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Updated: Feb 12, 2026

The ITS2 Database
Published on: March 12, 2012
Seventy Years of RN Effectiveness: A Database Development Project to Inform Best Practice
Zainab Lulat1, Julie Blain-McLeod2, Doris Grinspun3
1Nursing Research Associate, International Affairs and Best Practice Guidelines Centre, Registered Nurses' Association of Ontario, Toronto, Ontario, Canada.
A comprehensive database of studies on Registered Nurse (RN) effectiveness was created to inform staffing decisions. This resource aids policymakers and clinicians in understanding the impact of RNs on patient, organizational, and financial outcomes.
Area of Science:
- Nursing Research
- Health Services Research
- Evidence-Based Practice
Background:
- Appropriate nursing staff mix is crucial for quality patient care.
- Nurse staffing varies globally and across healthcare settings.
- Understanding the impact of staffing skill mix on outcomes is vital for informed decision-making.
Purpose of the Study:
- To develop an electronic database of studies on Registered Nurse (RN) effectiveness.
- To systematically collect evidence on RN impact on clinical, patient, organizational, nurse, and financial outcomes.
Main Methods:
- Conducted comprehensive literature searches across four electronic databases (1946-2016).
- Included peer-reviewed international literature focusing on RNs across all healthcare sectors.
- Masters-prepared researchers screened titles, abstracts, and relevance for database inclusion.
Main Results:
- The database includes 626 abstracts from an initial 90,352 records.
- Studies were categorized into clinical/patient outcomes (244), organizational/nurse outcomes (282), and financial outcomes (124).
- Organizational and nurse-related outcomes formed the largest study category.
Conclusions:
- A comprehensive database on RN effectiveness is now available.
- This resource supports the Registered Nurses' Association of Ontario and stakeholders.
- The database serves as a tool for evidence-informed staffing decisions by researchers, clinicians, and policymakers.
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