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  1. Moore, Katherine MSN, CNA
  2. Lynn, Mary R. PhD
  3. McMillen, Bradley J. PhD
  4. Evans, Sandra MBA, BSN


A major challenge in healthcare today is measuring the quality of care. To explore nursing's contribution to patients in acute care settings, the American Nurses Association commissioned the development of the "Nursing Report Card." This study explored whether these report card indicators capture quality care. The convenience sample comprised 1,500 patients and 300 nurses from 16 units at an academic medical center. Using regression analysis, the most consistent predictor of outcome indicators was the percentage of RNs of the total staff.