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  • 1
    Language: English
    In: Nursing Standard, April 18, 2012, Vol.26(33), p.26(2)
    Keywords: Nursing Research -- Analysis ; Nurses -- Practice
    ISSN: 0029-6570
    E-ISSN: 20479018
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  • 2
    Language: English
    In: International Journal of Nursing Studies, May 2014, Vol.51(5), pp.689-690
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ijnurstu.2014.02.010 Byline: Peter Griffiths Author Affiliation: Health Services Research, University of Southampton, UK Article History: Received 12 February 2014
    Keywords: Nursing
    ISSN: 0020-7489
    E-ISSN: 1873-491X
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  • 3
    Language: English
    In: International Journal of Nursing Studies, March 2014, Vol.51(3), pp.353-354
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ijnurstu.2013.11.007 Byline: Peter Griffiths Author Affiliation: International Journal of Nursing Studies, University of Southampton, Work Futures Research Centre, UK
    Keywords: Nursing
    ISSN: 0020-7489
    E-ISSN: 1873-491X
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  • 4
    Language: English
    In: International Journal of Nursing Studies, May 2016, Vol.57, pp.A1-A4
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ijnurstu.2016.03.017 Byline: Peter Griffiths Author Affiliation: University of Southampton, UK
    Keywords: Nursing
    ISSN: 0020-7489
    E-ISSN: 1873-491X
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  • 5
    Language: English
    In: International Journal of Nursing Studies, February 2013, Vol.50(2), pp.292-300
    Description: ‘ ’ – death after a treatable complication – is used as a nursing sensitive quality indicator in the USA. It is associated with the size of the nursing workforce relative to patient load, for example patient to nurse ratio, although assessments of nurse sensitivity have not previously considered other staff groups. This study aims to assess the potential to derive failure to rescue and a proxy measure, based on long length of stay, from English hospital administrative data. By exploring change in coding practice over time and measuring associations between failure to rescue and factors including staffing, we assess whether two measures of failure to rescue are useful nurse sensitive indicators. Cross sectional observational study of routinely collected administrative data. Discharge data from 66,100,672 surgical admissions to 146 general acute hospital trusts in England (1997–2009). Median percentage of surgical admissions with at least one secondary diagnosis recorded increased from 26% in 1997/1998 to 40% in 2008/2009. Regression analyses showed that mortality based failure to rescue rates were significantly associated ( 〈 0.05) with several hospital characteristics previously associated with quality, including staffing levels. Lower rates of failure to rescue were associated with a greater number of nurses per bed and doctors per bed in a bivariate analysis. Higher total clinically qualified staffing (doctors + nurses) per bed and a higher number of doctors relative to the number of nurses were both associated with lower mortality based failure to rescue in the fully adjusted analysis ( 〈 0.05); however, the extended stay based measure showed the opposite relationship. Failure to rescue can be derived from English administrative data and may be a valid quality indicator. This is the first study to assess the association between failure to rescue and medical staffing. The suggestion that it is particularly sensitive to nursing is not clearly supported, nor is the suggestion that the number of patients with an extended hospital stay is a good proxy.
    Keywords: Hospital Mortality ; Quality Indicators ; Health Care ; Surgical Procedures ; Operative/Adverse Effects ; Nursing Service ; Hospital ; Treatment Failure ; Nursing Care Quality ; Hospital Staffing ; Nursing Workforce ; Nursing
    ISSN: 0020-7489
    E-ISSN: 1873-491X
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  • 6
    Language: English
    In: International Journal of Nursing Studies, 2011, Vol.48(10), pp.1199-1210
    Description: An association between quality of care and staffing levels, particularly registered nurses, has been established in acute hospitals. Recently an association between nurse staffing and quality of care for several chronic conditions has also been demonstrated for primary care in English general practice. A smaller body of literature identifies organisational factors, in particular issues of human resource management, as being a dominant factor. However the literature has tended to consider staffing and organisational factors separately. We aim to determine whether relationships between the quality of clinical care and nurse staffing in general practice are attenuated or enhanced when organisational factors associated with quality of care are considered. We further aim to determine the relative contribution and interaction between these factors. We used routinely collected data from 8409 English general practices. The data, on organisational factors and the quality of clinical care for a range of long term conditions, is gathered as part of “Quality and Outcomes Framework” pay for performance system. Regression models exploring the relationship of staffing and organisational factors with care quality were fitted using MPLUS statistical modelling software. Higher levels of nurse staffing, clinical recording, education and reflection on the results of patient surveys were significantly associated with improved clinical care for COPD, CHD, Diabetes and Hypothyroidism after controlling for organisational factors. There was some evidence of attenuation of the estimated nurse staffing effect when organisational factors were considered, but this was small. The effect of staffing interacted significantly with the effect of organisational factors. Overall however, the characteristics that emerged as the strongest predictors of quality of clinical care were not staffing levels but the organisational factors of clinical recording, education and training and use of patient experience surveys. Organisational factors contribute significantly to observed variation in the quality of care in English general practices. Levels of nurse staffing have an independent association with quality but also interact with organisational factors. The observed relationships are not necessarily causal but a causal relationship is plausible. The benefits and importance of education, training and personal development of nursing and other practice staff was clearly indicated.
    Keywords: Workforce ; Primary Care ; Practice Nurses ; Quality of Care Indicators ; Performance ; Staffing Levels ; Organisational Factors ; Multivariate Analysis ; Nursing
    ISSN: 0020-7489
    E-ISSN: 1873-491X
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  • 7
    Language: English
    In: Nursing standard (Royal College of Nursing (Great Britain) : 1987), 08 April 2015, Vol.29(32), pp.30
    Description: James Smith is critical of June Clark's argument for mandatory nurse-patient ratios (letters March 25), citing a single study published in the Journal of Advanced Nursing. The study by Schreuders et al found no consistent association between nurse staffing levels and a variety of complications in Western Australian hospitals.
    Keywords: Quality of Health Care ; Nurses -- Standards ; Personnel Staffing and Scheduling -- Standards ; Workload -- Standards
    ISSN: 00296570
    E-ISSN: 2047-9018
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  • 8
    Article
    Article
    Language: English
    In: Nursing standard (Royal College of Nursing (Great Britain) : 1987), 15 June 2016, Vol.30(42), pp.27
    Description: The Nuffield Trust report on reshaping the healthcare workforce was published last month. Its conclusions were widely reported as a recommendation to 'train up' nurses as a solution to junior doctor shortages, with support workers, in turn, substituting for registered nurses.
    Keywords: Health Personnel -- Education ; Nurses -- Economics ; Nursing Assistants -- Education
    ISSN: 00296570
    E-ISSN: 2047-9018
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  • 9
    Language: English
    In: Nursing Standard, 04/18/2012, Vol.26(33), pp.26-27
    ISSN: 0029-6570
    E-ISSN: 2047-9018
    Source: CrossRef
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  • 10
    In: Journal of Clinical Nursing, May 2015, Vol.24(9-10), pp.1394-1405
    Description: To purchase or authenticate to the full-text of this article, please visit this link: http://onlinelibrary.wiley.com/doi/10.1111/jocn.12717/abstract Byline: Peter Griffiths, Jackie Bridges, Helen Sheldon, Rachel Thompson Keywords: acute care; advanced practice; Alzheimer's; dementia; hospitals; nurse specialist; nursing; specialist nurse Aims and objectives To identify the potential benefits of dementia specialist nursing and to inform the implementation of roles to support people with dementia during hospital admission. Background Extended stays and adverse events mean that hospital admissions are costly for people with dementia, and patient experiences and outcomes can be poor. Specialist nurses have been identified as having potential to enhance care quality, reduce excess stays and reduce costs, but the evidence base for dementia specialist nurse roles has not previously been synthesised. Design Scoping review. Data sources Cochrane Library, Campbell Collaboration, Clinical Evidence, Evidence-Based Medicine, York Centre for Reviews and Dissemination, PubMed, Medline, CINAHL and PsycInfo databases and internet searches and personal libraries/expert consultation to identify grey literature. Methods Initial scoping searches were used to inform more focused systematic searches. Studies directly evaluating dementia nurse specialist roles or giving evidence of effectiveness of interventions/services that could be delivered by them to improve core outcomes were identified by one reviewer and verified by a second reviewer. Results While direct evidence for the effectiveness of these roles is lacking, a number of areas were identified in which a nurse specialist role could make a contribution, including preventing adverse events and improving patient experiences and outcomes. There is a considerable body of evidence for the effectiveness of these interventions although the volume of evidence for specific interventions is not always significant. Conclusions The evidence indicates that a skilled dementia specialist nurse, undertaking a clearly defined role, and working directly with people with dementia and their carers for a significant proportion of the time, could benefit people with dementia in hospitals and their family carers. Relevance to clinical practice Clear guidance for the development and implementation of dementia specialist nurse roles in acute hospital settings.
    Keywords: Acute Care ; Advanced Practice ; A Lzheimer'S ; Dementia ; Hospitals ; Nurse Specialist ; Nursing ; Specialist Nurse
    ISSN: 0962-1067
    E-ISSN: 1365-2702
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