Abstract
Increasing registered nurse staffing and skill mix can be a net cost-saving solution to nurse shortages. Contrary to the strong policy push towards a dilution of nursing skill mix, investment in supply of RNs should become the priority.
Notes
Open Access Details:
This is an open access article originally published under the terms of a Creative Commons License, which permits the Sigma Repository to post a copy in its collections. The license is attached to this item record; please click on the license for further details.
Original Article Citation:
Griffiths, Peter, et al. “Costs and cost-effectiveness of improved nurse staffing levels and skill mix in acute hospitals: A systematic review.” International Journal of Nursing Studies, vol. 147, Nov. 2023, p. 104601, https://doi.org/10.1016/j.ijnurstu.2023.104601.
No changes have been made to this article.
Sigma Membership
Non-member
Lead Author Affiliation
University of Southampton, England, United Kingdom
Type
Article
Format Type
Text-based Document
Study Design/Type
Systematic Review
Research Approach
Other
Keywords:
Economics, Cost-Benefit Analysis, Costs and Cost Analysis, Cost-Effectiveness Analysis, Workforce, Health Workforce, Personnel Staffing and Scheduling
Recommended Citation
Griffiths, Peter; Saville, Christina; Ball, Jane; Dall'Ora, Chiara; Meredith, Paul; Turner, Lesley; and Jones, Jeremy, "Costs and Cost-Effectiveness of Improved Nurse Staffing Levels and Skill Mix in Acute Hospitals: A Systematic Review" (2026). Individual Articles. 41.
https://www.sigmarepository.org/individual_articles/41
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.
Publisher
Elsevier
Version
Publisher's Version
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
External Review: Previously Published Material
Acquisition
Indexed Previously Published Material (Per Creative Commons License)
Date of Issue
2026-01-13
Full Text of Presentation
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