Hospital nurse staffing models and patient and staff-related outcomes

Butler, Michelle; Collins, R; Drennan, Jonathan; Halligan, Phil; O’Mathúna, Dónal P; Schultz, Tim; Sheridan, Ann; Vilis, Eileen

doi:10.1002/14651858.cd007019.pub2

Cited by 97 publications

(67 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The median AMSTAR score for the included reviews was 9. MNH specific outcomes were reported in only one review evaluating the impact of midwifery teams [53] while other reported outcomes included impact on healthcare measures like hospital stay, complications rate, mortality and re-visit rates. Meta-analysis was conducted in three reviews.…”

Section: Resultsmentioning

confidence: 99%

Evidence from facility level inputs to improve quality of care for maternal and newborn health: interventions and findings

et al. 2014

View full text Add to dashboard Cite

Most of the maternal and newborn deaths occur at birth or within 24 hours of birth. Therefore, essential lifesaving interventions need to be delivered at basic or comprehensive emergency obstetric care facilities. Facilities provide complex interventions including advice on referrals, post discharge care, long-term management of chronic conditions along with staff training, managerial and administrative support to other facilities. This paper reviews the effectiveness of facility level inputs for improving maternal and newborn health outcomes. We considered all available systematic reviews published before May 2013 on the pre-defined facility level interventions and included 32 systematic reviews.Findings suggest that additional social support during pregnancy and labour significantly decreased the risk of antenatal hospital admission, intrapartum analgesia, dissatisfaction, labour duration, cesarean delivery and instrumental vaginal birth. However, it did not have any impact on pregnancy outcomes. Continued midwifery care from early pregnancy to postpartum period was associated with reduced medical procedures during labour and shorter length of stay. Facility based stress training and management interventions to maintain well performing and motivated workforce, significantly reduced job stress and improved job satisfaction while the interventions tailored to address identified barriers to change improved the desired practice. We found limited and inconclusive evidence for the impacts of physical environment, exit interviews and organizational culture modifications.At the facility level, specialized midwifery teams and social support during pregnancy and labour have demonstrated conclusive benefits in improving maternal newborn health outcomes. However, the generalizability of these findings is limited to high income countries. Future programs in resource limited settings should utilize these findings to implement relevant interventions tailored to their needs.

show abstract

Section: Resultsmentioning

confidence: 99%

Evidence from facility level inputs to improve quality of care for maternal and newborn health: interventions and findings

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Studies were carried out in a diverse range of international hospitals in Australia, the Netherlands, UK, USA, Canada, Ireland, Scotland, Norway, Trinidad, Denmark and Iran. The average score out of 18 for these articles was eight, and the range of scores is illustrated in the box plot in Figure 1. A summary of the articles is included in Table 1 below. A number of articles suggested strategies for reducing patient length of stay: [3][4][5] 3.1 Collaborative physician/nurse practitioner multidisciplinary care management Cowan et al [3] suggested that there is potential for using collaborative physician/nurse practitioner multidisciplinary care management of patients alongside team-based planning, with assessment after expedited discharge. Their study compared two groups of general medicine patients with 581 patients in the experimental group and 626 patients in the control group.…”

Section: Resultsmentioning

confidence: 99%

“…In a systematic review, Butler et al [5] suggested that that the addition of spe- Cowan et al [3] Collaborative physician/nurse practitioner multidisciplinary care management of general medicine patients alongside team-based planning, with assessment after expedited discharge Reduced patient length of stay 8…”

Section: Use Of Specialist Nurses and Team Midwivesmentioning

confidence: 99%

See 1 more Smart Citation

Optimisation of hospital resource use: A rapid review of the literature

Madell¹,

Villa²,

Hayward³

et al. 2015

JHA

View full text Add to dashboard Cite

Project System Wide Integration for Transformation (SWIFT) is a programme of work supported by developments in technology that aims to improve the health of people in Counties Manukau through initiatives focused on community-based care and improving hospital systems. A "rapid review" of literature focussing optimisation of resource use in hospitals was carried out to support this programme. In total, 36 articles were considered in detail for inclusion in this rapid review, with many other articles considered briefly from title or abstract alone. Of the 36 articles, 24 (66.7%) were ultimately deemed relevant, and included. The review found reasonable evidence that patient length of stay can be reduced by using: (1) collaborative physician/nurse multidisciplinary care management of medical patients with expedited discharge, and assessment following discharge; (2) perioperative anaesthetic and pain management strategies for primary total hip (THA) and total knee arthroplasty (TKA); (3) the use of specialist nurses across a variety of roles, and team midwives who provide care for pregnant women from the beginning of care to the end of the post-natal period. It also found that there is potential for a reduction in adverse cardiac outcomes in hospitals through: (1) prescribing guideline discharge therapies in acute cardiac care, and (2) remote management of heart failure patients implanted with cardioverter defibrillators. The review also suggested that appointment cancellations or instances of non-attendance can be reduced by: (1) the establishment of pre-operative assessment and consultation clinics; (2) distributed access to scheduling systems; (3) preferentially loading appointments onto high-attendance days; and (4) the use of text messaging or automated phone calls to remind patients about appointments.

show abstract

“…Diversos estudos, realizados, sobretudo, no cenário internacional, têm procurado demonstrar que o número inadequado de profissionais além de interferir na qualidade e nos custos da assistência à saúde, contribuindo para o aumento das taxas de mortalidade e de infecções hospitalares, do tempo de hospitalização e dos índices de eventos adversos (Needleman et al, 2002;Lankshear, Sheldon, Maynard, 2005;Butler et al, 2011;Bray et al, 2014) pode, também, repercutir na saúde e na qualidade de vida dos trabalhadores, elevando os riscos de sobrecarga de trabalho, exaustão emocional, insatisfação no trabalho, estresse e burnout, com consequente impacto nos 9…”

Section: Pesquisa Desenvolvida Na Unidade De Terapia Intensiva Pediátunclassified

Correlação entre o tempo de assistência de enfermagem e indicadores de qualidade assistencial em Unidades de Terapia Intensiva

Garcia¹

View full text Add to dashboard Cite

Hospital nurse staffing models and patient and staff-related outcomes

Cited by 97 publications

References 67 publications

Evidence from facility level inputs to improve quality of care for maternal and newborn health: interventions and findings

Evidence from facility level inputs to improve quality of care for maternal and newborn health: interventions and findings

Optimisation of hospital resource use: A rapid review of the literature

Correlação entre o tempo de assistência de enfermagem e indicadores de qualidade assistencial em Unidades de Terapia Intensiva

Contact Info

Product

Resources

About