Please wait, while we are loading the content...
Please wait, while we are loading the content...
| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Wilson, Sally Bremner, Alexandra Hauck, Yvonne Finn, Judith |
| Description | Country affiliation: Australia Author Affiliation: Wilson S ( School of Population Health, The University of Western Australia, Perth, Australia. swilson@meddent.uwa.edu.au) |
| Abstract | AIM: The aim of the present study was to identify any association between nurse staffing and clinical outcomes in hospitalised children. INCLUSION CRITERIA: Quantitative studies that evaluated the effect of nurse staffing on clinical outcomes of hospitalised children aged from 0-18 years. Measures of nurse staffing included nursing hours per patient day, nurse-to-patient ratio, skill mix and nurse characteristics such as level of education and years of experience. The clinical outcomes were those believed to be potentially sensitive to nursing care. Specifically, where the provision, or lack, of competent nursing care have made a difference to the outcome for the child (a nursing-sensitive outcome). Examples included mortality, healthcare-associated infections, failure to rescue, medication administration errors, postoperative complications and pressure ulcers. SEARCH STRATEGY: The search strategy aimed to find published and unpublished studies written in English between 1993 and 2010. Following an initial search of the Cochrane and Joanna Briggs Institute Libraries of Systematic Reviews, a three-step search strategy was utilised. First, a limited search of MEDLINE and CINAHL using keywords was undertaken and the words contained in the titles, abstracts and the index terms used to describe each article were analysed. A second search using all identified keywords and index terms was done. Third, the reference lists of all identified reports and articles were searched for additional relevant studies. METHODOLOGICAL QUALITY: Using the critical appraisal instrument from the Joanna Briggs Institute, each article was assessed by two independent reviewers for methodological quality before inclusion. RESULTS: Eight studies were included of which six were cohort, one case-control and one cross-sectional. Comparison across studies was limited as few clinical outcomes were the same; similarly there was a lack of consistency in the measures of nurse staffing. Fourteen different healthcare-associated infections and ten further clinical outcomes, of which eight were adverse events, were reported. Predictor variables were 10 different definitions of nurse staffing. Measures of Registered Nurse staffing were used most frequently. Increased Registered Nurse nursing hours per patient day was associated with decreases in eight adverse events. Similarly, higher Registered Nurse skill mix contributed positively to three clinical outcomes in children. However, there appears to be a level where increasing Registered Nurse hours no longer has a significant effect on decreasing adverse events. Results reporting association between children's outcomes and casual/agency nurses are equivocal. CONCLUSIONS: There is evidence that levels of nurse staffing are associated with clinical outcomes of children. Standardisation of nurse-sensitive indicators and measures of nurse staffing will enable empirical research. Further research to find the levels of Registered Nurse hours per patient day and proportion of Registered Nurse in the skill mix that maximises children's clinical outcomes is still required. |
| File Format | HTM / HTML |
| ISSN | 17441595 |
| Issue Number | 2 |
| Volume Number | 9 |
| e-ISSN | 17441609 |
| Journal | International Journal of Evidence-Based Healthcare |
| Language | English |
| Publisher | Wolters Kluwer Health |
| Publisher Date | 2011-06-01 |
| Publisher Place | Australia |
| Access Restriction | Subscribed |
| Subject Keyword | Discipline Health Services Nursing Staff, Hospital Organization & Administration Outcome Assessment (health Care) Personnel Staffing And Scheduling Statistics & Numerical Data Adolescent Child Clinical Competence Humans Infant Nurse-patient Relations Journal Article Review |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Health Policy |
National Digital Library of India (NDLI) is a virtual repository of learning resources which is not just a repository with search/browse facilities but provides a host of services for the learner community. It is sponsored and mentored by Ministry of Education, Government of India, through its National Mission on Education through Information and Communication Technology (NMEICT). Filtered and federated searching is employed to facilitate focused searching so that learners can find the right resource with least effort and in minimum time. NDLI provides user group-specific services such as Examination Preparatory for School and College students and job aspirants. Services for Researchers and general learners are also provided. NDLI is designed to hold content of any language and provides interface support for 10 most widely used Indian languages. It is built to provide support for all academic levels including researchers and life-long learners, all disciplines, all popular forms of access devices and differently-abled learners. It is designed to enable people to learn and prepare from best practices from all over the world and to facilitate researchers to perform inter-linked exploration from multiple sources. It is developed, operated and maintained from Indian Institute of Technology Kharagpur.
Learn more about this project from here.
NDLI is a conglomeration of freely available or institutionally contributed or donated or publisher managed contents. Almost all these contents are hosted and accessed from respective sources. The responsibility for authenticity, relevance, completeness, accuracy, reliability and suitability of these contents rests with the respective organization and NDLI has no responsibility or liability for these. Every effort is made to keep the NDLI portal up and running smoothly unless there are some unavoidable technical issues.
Ministry of Education, through its National Mission on Education through Information and Communication Technology (NMEICT), has sponsored and funded the National Digital Library of India (NDLI) project.
| Sl. | Authority | Responsibilities | Communication Details |
|---|---|---|---|
| 1 | Ministry of Education (GoI), Department of Higher Education |
Sanctioning Authority | https://www.education.gov.in/ict-initiatives |
| 2 | Indian Institute of Technology Kharagpur | Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project | https://www.iitkgp.ac.in |
| 3 | National Digital Library of India Office, Indian Institute of Technology Kharagpur | The administrative and infrastructural headquarters of the project | Dr. B. Sutradhar bsutra@ndl.gov.in |
| 4 | Project PI / Joint PI | Principal Investigator and Joint Principal Investigators of the project |
Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon |
| 5 | Website/Portal (Helpdesk) | Queries regarding NDLI and its services | support@ndl.gov.in |
| 6 | Contents and Copyright Issues | Queries related to content curation and copyright issues | content@ndl.gov.in |
| 7 | National Digital Library of India Club (NDLI Club) | Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach | clubsupport@ndl.gov.in |
| 8 | Digital Preservation Centre (DPC) | Assistance with digitizing and archiving copyright-free printed books | dpc@ndl.gov.in |
| 9 | IDR Setup or Support | Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops | idr@ndl.gov.in |
|
Loading...
|