The impact of adding assistants in nursing to acute care hospital ward nurse staffing on adverse patient outcomes: An analysis of administrative health data

Abstract

The results suggest that the introduction of assistants in nursing into ward staffing in an additive role should be done under a protocol which clearly defines their role, scope of practice, and working relationship with registered nurses, and the impact on patient care should be monitored.

A causal model for the quality of nursing care in Thailand

“…), reduced the rate of CAUTI (Twigg et al. ) and pressure ulcer incidence (Choi ' Staggs ), and improved patient satisfaction (You et al. ).…”

“…Prior studies indicated that a richer skill mix was related to lower catheter‐associated urinary tract infection (CAUTI) (Twigg et al. ) and pressure ulcer incidence (Choi & Staggs ), and greater patient satisfaction (You et al. ).…”

“…; Choi & Staggs ; Twigg et al. ). The S‐P‐O Model does not predict the exact mechanism of relationships among these concepts but is useful for guiding research and testing theory.…”

“…In Asia, skill mix varies from 53.9% in Korean hospitals (Su-Jin & Jinhyun 2014) to 59.3% in northern Thailand (Chitpakdee et al, 2008). Prior studies indicated that a richer skill mix was related to lower catheter-associated urinary tract infection (CAUTI) (Twigg et al 2016) and pressure ulcer incidence (Choi & Staggs 2014), and greater patient satisfaction (You et al 2013).…”

Adding unregulated nursing support workers to ward staffing: Exploration of a natural experiment

“…Twigg et al. () showed that spending time on wards with nursing support workers added was a significant predictor for urinary tract infection and pneumonia. For every 10% of extra time patients spent on these wards, there was a 1% increase in the odds of developing a urinary tract infection and a 2% increase in the odds of developing pneumonia.…”