Matches in SemOpenAlex for { <https://semopenalex.org/work/W4286794318> ?p ?o ?g. }
- W4286794318 abstract "Nurses comprise the largest component of the health workforce worldwide and numerous models of workforce allocation and profile have been implemented. These include changes in skill mix, grade mix or qualification mix, staff-allocation models, staffing levels, nursing shifts, or nurses' work patterns. This is the first update of our review published in 2011.The purpose of this review was to explore the effect of hospital nurse-staffing models on patient and staff-related outcomes in the hospital setting, specifically to identify which staffing model(s) are associated with: 1) better outcomes for patients, 2) better staff-related outcomes, and, 3) the impact of staffing model(s) on cost outcomes.CENTRAL, MEDLINE, Embase, two other databases and two trials registers were searched on 22 March 2018 together with reference checking, citation searching and contact with study authors to identify additional studies.We included randomised trials, non-randomised trials, controlled before-after studies and interrupted-time-series or repeated-measures studies of interventions relating to hospital nurse-staffing models. Participants were patients and nursing staff working in hospital settings. We included any objective reported measure of patient-, staff-related, or economic outcome. The most important outcomes included in this review were: nursing-staff turnover, patient mortality, patient readmissions, patient attendances at the emergency department (ED), length of stay, patients with pressure ulcers, and costs.We worked independently in pairs to extract data from each potentially relevant study and to assess risk of bias and the certainty of the evidence.We included 19 studies, 17 of which were included in the analysis and eight of which we identified for this update. We identified four types of interventions relating to hospital nurse-staffing models:- introduction of advanced or specialist nurses to the nursing workforce;- introduction of nursing assistive personnel to the hospital workforce;- primary nursing; and- staffing models.The studies were conducted in the USA, the Netherlands, UK, Australia, and Canada and included patients with cancer, asthma, diabetes and chronic illness, on medical, acute care, intensive care and long-stay psychiatric units. The risk of bias across studies was high, with limitations mainly related to blinding of patients and personnel, allocation concealment, sequence generation, and blinding of outcome assessment.The addition of advanced or specialist nurses to hospital nurse staffing may lead to little or no difference in patient mortality (3 studies, 1358 participants). It is uncertain whether this intervention reduces patient readmissions (7 studies, 2995 participants), patient attendances at the ED (6 studies, 2274 participants), length of stay (3 studies, 907 participants), number of patients with pressure ulcers (1 study, 753 participants), or costs (3 studies, 617 participants), as we assessed the evidence for these outcomes as being of very low certainty. It is uncertain whether adding nursing assistive personnel to the hospital workforce reduces costs (1 study, 6769 participants), as we assessed the evidence for this outcome to be of very low certainty. It is uncertain whether primary nursing (3 studies, > 464 participants) or staffing models (1 study, 647 participants) reduces nursing-staff turnover, or if primary nursing (2 studies, > 138 participants) reduces costs, as we assessed the evidence for these outcomes to be of very low certainty.The findings of this review should be treated with caution due to the limited amount and quality of the published research that was included. We have most confidence in our finding that the introduction of advanced or specialist nurses may lead to little or no difference in one patient outcome (i.e. mortality) with greater uncertainty about other patient outcomes (i.e. readmissions, ED attendance, length of stay and pressure ulcer rates). The evidence is of insufficient certainty to draw conclusions about the effectiveness of other types of interventions, including new nurse-staffing models and introduction of nursing assistive personnel, on patient, staff and cost outcomes. Although it has been seven years since the original review was published, the certainty of the evidence about hospital nurse staffing still remains very low." @default.
- W4286794318 created "2022-07-24" @default.
- W4286794318 creator A5015226599 @default.
- W4286794318 creator A5021685703 @default.
- W4286794318 creator A5031949488 @default.
- W4286794318 creator A5033156316 @default.
- W4286794318 creator A5036972628 @default.
- W4286794318 creator A5049572518 @default.
- W4286794318 creator A5066363610 @default.
- W4286794318 creator A5077233931 @default.
- W4286794318 creator A5079856305 @default.
- W4286794318 date "2019-04-23" @default.
- W4286794318 modified "2023-10-15" @default.
- W4286794318 title "Hospital nurse-staffing models and patient- and staff-related outcomes" @default.
- W4286794318 cites W140212989 @default.
- W4286794318 cites W1535151776 @default.
- W4286794318 cites W1593173821 @default.
- W4286794318 cites W1602763288 @default.
- W4286794318 cites W1727344339 @default.
- W4286794318 cites W1762553519 @default.
- W4286794318 cites W1811181864 @default.
- W4286794318 cites W1825537828 @default.
- W4286794318 cites W1833622773 @default.
- W4286794318 cites W186268426 @default.
- W4286794318 cites W1871094146 @default.
- W4286794318 cites W1932137520 @default.
- W4286794318 cites W1943879285 @default.
- W4286794318 cites W1966481167 @default.
- W4286794318 cites W1970099705 @default.
- W4286794318 cites W197070705 @default.
- W4286794318 cites W1975539347 @default.
- W4286794318 cites W1977040272 @default.
- W4286794318 cites W1978925609 @default.
- W4286794318 cites W1979429521 @default.
- W4286794318 cites W1981409974 @default.
- W4286794318 cites W1982633826 @default.
- W4286794318 cites W1982951030 @default.
- W4286794318 cites W1985318707 @default.
- W4286794318 cites W1985755894 @default.
- W4286794318 cites W1986605933 @default.
- W4286794318 cites W1988488024 @default.
- W4286794318 cites W1991850983 @default.
- W4286794318 cites W1994548741 @default.
- W4286794318 cites W1996702170 @default.
- W4286794318 cites W2000481822 @default.
- W4286794318 cites W2000516261 @default.
- W4286794318 cites W2000989896 @default.
- W4286794318 cites W2001766584 @default.
- W4286794318 cites W2003512947 @default.
- W4286794318 cites W2006392817 @default.
- W4286794318 cites W2006627773 @default.
- W4286794318 cites W2009507173 @default.
- W4286794318 cites W2009617535 @default.
- W4286794318 cites W2010309511 @default.
- W4286794318 cites W2019088197 @default.
- W4286794318 cites W2020230305 @default.
- W4286794318 cites W2022220886 @default.
- W4286794318 cites W2024491306 @default.
- W4286794318 cites W2024717488 @default.
- W4286794318 cites W2025771695 @default.
- W4286794318 cites W2027745874 @default.
- W4286794318 cites W2031630544 @default.
- W4286794318 cites W2031892683 @default.
- W4286794318 cites W2034705453 @default.
- W4286794318 cites W2037490817 @default.
- W4286794318 cites W2038782271 @default.
- W4286794318 cites W2039376995 @default.
- W4286794318 cites W2046557476 @default.
- W4286794318 cites W2047662090 @default.
- W4286794318 cites W2048594834 @default.
- W4286794318 cites W2051128174 @default.
- W4286794318 cites W2053104241 @default.
- W4286794318 cites W2055904857 @default.
- W4286794318 cites W2057002410 @default.
- W4286794318 cites W2060221820 @default.
- W4286794318 cites W2071878805 @default.
- W4286794318 cites W2076342268 @default.
- W4286794318 cites W2081920754 @default.
- W4286794318 cites W2083720367 @default.
- W4286794318 cites W2085910052 @default.
- W4286794318 cites W2085960215 @default.
- W4286794318 cites W2086290585 @default.
- W4286794318 cites W2086814764 @default.
- W4286794318 cites W2091343120 @default.
- W4286794318 cites W2092025396 @default.
- W4286794318 cites W2093750376 @default.
- W4286794318 cites W2098745922 @default.
- W4286794318 cites W2100324736 @default.
- W4286794318 cites W2103967358 @default.
- W4286794318 cites W2107775114 @default.
- W4286794318 cites W2108570092 @default.
- W4286794318 cites W2116062103 @default.
- W4286794318 cites W2123746917 @default.
- W4286794318 cites W2128040448 @default.
- W4286794318 cites W2128158142 @default.
- W4286794318 cites W2134647046 @default.
- W4286794318 cites W2137419656 @default.
- W4286794318 cites W2138826257 @default.
- W4286794318 cites W2144828469 @default.
- W4286794318 cites W2151740461 @default.