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Cost containment pressures underscore the need to better understand how nursing resources can be optimally configured.

To obtain a snapshot of European nurses’ assessments of their hospital work environments and quality of care in order to identify promising strategies to retain nurses in hospital practice and to avoid quality of care erosions related to cost containment.

Cross sectional surveys of 33,659 hospital medical–surgical nurses in 12 European countries.

Surveyed nurses provided care in 488 hospitals in Belgium, England, Finland, Germany, Greece, Ireland, the Netherlands, Norway, Poland, Spain, Sweden, and Switzerland.

All nurses were surveyed from medical-surgical units 30 or more hospitals from geographically representative samples of hospitals in each country, except for Ireland and Norway, where all hospitals were selected …