Seventy Years of RN Effectiveness: A Database Development Project to Inform Best Practice
| Autor: | Zainab Lulat, Doris Grinspun, Michelle Rey, Tasha Penney, Julie Blain-McLeod, Anastasia Harripaul-Yhap |
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| Rok vydání: | 2018 |
| Předmět: |
Evidence-based practice
030504 nursing Database Best practice Staffing General Medicine computer.software_genre 03 medical and health sciences 0302 clinical medicine Skill mix Resource (project management) Relevance (information retrieval) 030212 general & internal medicine 0305 other medical science Psychology computer Inclusion (education) General Nursing Health policy |
| Zdroj: | Worldviews on Evidence-Based Nursing. 15:281-289 |
| ISSN: | 1545-102X |
| DOI: | 10.1111/wvn.12283 |
| Popis: | BACKGROUND The appropriate nursing staff mix is imperative to the provision of quality care. Nurse staffing levels and staff mix vary from country to country, as well as between care settings. Understanding how staffing skill mix impacts patient, organizational, and financial outcomes is critical in order to allow policymakers and clinicians to make evidence-informed staffing decisions. AIMS This paper reports on the methodology for creation of an electronic database of studies exploring the effectiveness of Registered Nurses (RNs) on clinical and patient outcomes, organizational and nurse outcomes, and financial outcomes. METHODS Comprehensive literature searches were conducted in four electronic databases. Inclusion criteria for the database included studies published from 1946 to 2016, peer-reviewed international literature, and studies focused on RNs in all health-care disciplines, settings, and sectors. Masters-prepared nurse researchers conducted title and abstract screening and relevance review to determine eligibility of studies for the database. High-level analysis was conducted to determine key outcomes and the frequency at which they appeared within the database. RESULTS Of the initial 90,352 records, a total of 626 abstracts were included within the database. Studies were organized into three groups corresponding to clinical and patient outcomes, organizational and nurse-related outcomes, and financial outcomes. Organizational and nurse-related outcomes represented the largest category in the database with 282 studies, followed by clinical and patient outcomes with 244 studies, and lastly financial outcomes, which included 124 studies. LINKING EVIDENCE TO ACTION The comprehensive database of evidence for RN effectiveness is freely available at https://rnao.ca/bpg/initiatives/RNEffectiveness. The database will serve as a resource for the Registered Nurses' Association of Ontario, as well as a tool for researchers, clinicians, and policymakers for making evidence-informed staffing decisions. |
| Databáze: | OpenAIRE |
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