Abstract：
AIM:To determine the cost effectiveness of increasing nurse staffing or changing the nursing skill mix in adult medical and/or surgical patients? BACKGROUND:Research has demonstrated that nurse staffing levels and skill mix are associated with patient outcomes in acute care settings. If increased nurse staffing levels or richer skill mix can be shown to be cost-effective hospitals may be more likely to consider these aspects when making staffing decisions. DESIGN:A systematic review of the literature on economic evaluations of nurse staffing and patient outcomes was conducted to see whether there is consensus that increasing nursing hours/skill mix is a cost-effective way of improving patient outcomes. We used the Cochrane Collaboration systematic review method incorporating economic evidence. DATA SOURCES:The MEDLINE, CINAHL, SPORTDiscus and PsychINFO databases were searched in 2013 for published and unpublished studies in English with no date limits. REVIEW METHODS:The review focused on full economic evaluations where costs of increasing nursing hours or changing the skill mix were included and where consequences included nursing sensitive outcomes. RESULTS:Four-cost benefit and five-cost effectiveness analyses were identified. There were no cost-minimization or cost-utility studies identified in the review. A variety of methods to conceptualize and measure costs and consequences were used across the studies making it difficult to compare results. CONCLUSION:This review was unable to determine conclusively whether or not changes in nurse staffing levels and/or skill mix is a cost-effective intervention for improving patient outcomes due to the small number of studies, the mixed results and the inability to compare results across studies.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Twigg DE,Myers H,Duffield C,Giles M,Evans Gdoi
10.1111/jan.12577subject
Has Abstractpub_date
2015-05-01 00:00:00pages
975-90issue
5eissn
0309-2402issn
1365-2648journal_volume
71pub_type
杂志文章,评审abstract：AIM:This paper reports a study that compares opinions of final year nursing students, rating their own competence, with the opinions of experienced nurses on the competence of newly-graduated nurses. BACKGROUND:The transition of nursing preparation into higher education is regarded as positive, although it has led to ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2006.03778.x
更新日期：2006-03-01 00:00:00
abstract：AIM:This paper identifies the characteristics of Greek patients with acute myocardial infarction who have long prehospital delays and identifies the factors that are specifically associated with these delays. BACKGROUND:The time between the first appearance of symptoms until the hospitalization of the patient with myo...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1365-2648.2010.05301.x
更新日期：2010-07-01 00:00:00
abstract：AIM:The aim of this study is to identify the nature and structure of the real world experiences of people living with HIV infection and adhering to antiretroviral therapy (ART). DESIGN:Giorgi's phenomenological method was applied. METHODS:Data collection was conducted from 1 November 2016-1 September 2017. A total of...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14309
更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Many patients with heart failure have generalized wasting, referred to as cardiac cachexia. This leads to skeletal muscle wasting, impaired mobility, reduced functional capacity and poor prognosis. Patients with heart failure have symptoms that can affect their food intake, for example breathing difficulties...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03025.x
更新日期：2004-06-01 00:00:00
abstract：AIMS:To evaluate the effectiveness of a tailored blood glucose control protocol for postoperative cardiac surgery patients treated in intensive care. DESIGN:Retrospective study. METHODS:Data for the control group (non-tailored protocol) were collected from medical records at a tertiary hospital in Seoul, Korea betwee...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14592
更新日期：2020-10-05 00:00:00
abstract：AIM:To assess nurse-reported organizational readiness for implementing change in acute care hospitals. BACKGROUND:An organization's success at implementing new policies and programmes depends largely on its stakeholders' readiness for change. Organizational readiness is a multilevel, multifaceted construct associated ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,多中心研究
doi：10.1111/jan.13801
更新日期：2018-12-01 00:00:00
abstract：AIMS:To identify the potential sources of inaccuracy in manually measured adult respiratory rate (RR) data and quantify their effects. DESIGN:Quantitative systematic review with meta-analyses where appropriate. DATA SOURCES:Medline, CINAHL, and Cochrane Library (from database inception to 31 July 2019). REVIEW METHO...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.14584
更新日期：2020-10-10 00:00:00
abstract：AIMS:To explore first-time mothers' expectations and experiences regarding rupture of membranes at term and their views on the potential use of reagent pads that detect amniotic fluid. BACKGROUND:There is little information available on women's experiences of spontaneous rupture of membranes, or interest in using meth...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13365
更新日期：2017-12-01 00:00:00
abstract：:This paper demonstrates how a health authority can use personnel records of nurses' working histories as an effective tool in manpower planning. Suggestions are given as to how these histories might be analysed and interpreted. Methods described range from the use of simple summary statistics and graphical methods to ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1989.tb01587.x
更新日期：1989-07-01 00:00:00
abstract：AIM:To report the development and psychometric testing of the Supportive Needs of Adolescents Breastfeeding Scale. BACKGROUND:Nurses worldwide can influence adolescent mothers' decisions to initiate and continue breastfeeding through understanding their social support needs in the early postpartum. Review of the liter...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2012.06119.x
更新日期：2013-03-01 00:00:00
abstract：AIMS:To evaluate the effectiveness of a mobile health (mHealth) application, based on self-regulation theory, on patients' knowledge of wound care, skills in changing dressings and anxiety. DESIGN:A prospective randomized controlled trial. METHODS:Seventy patients (or family members) at a 1,500-bed university hospita...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/jan.14287
更新日期：2020-04-01 00:00:00
abstract：AIMS:This paper reports a study undertaken to broaden nurse clinicians', policy-makers', and researchers' understandings of what it means to elders to receive family care. BACKGROUND:The number of older people receiving assistance at home will increase tremendously in coming decades in proportion to the rapidly increa...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2004.03321.x
更新日期：2005-03-01 00:00:00
abstract：:Family dynamics, parental-fetal attachment and infant temperament The purpose of this longitudinal study of families having their first or second baby was to explore relationships among family dynamics, paternal- and maternal-fetal attachment, and infant temperament. Data were collected from 156 women and 62 of their ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.2000.01245.x
更新日期：2000-01-01 00:00:00
abstract：:This paper describes the development of a methodology to study the relationship between quality of care received by patients and the quality of the ward as a learning environment for nurses in training. Firstly, the literature review and background literature to the research question are described. Secondly, the metho...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1987.tb01350.x
更新日期：1987-07-01 00:00:00
abstract：BACKGROUND:Clinical Nurse Specialists (CNS) play a major role in the delivery of specialist palliative care services to patients with advanced cancer, in hospital, hospice and community settings across the United Kingdom. A major component of their work focuses on the delivery of emotional care and support to patients ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.2003.02749.x
更新日期：2003-09-01 00:00:00
abstract：AIM:To report an analysis of the concept of youth physical activity self-efficacy. BACKGROUND:Physical activity self-efficacy is a concept that has been frequently examined as a key variable in research aimed at increasing physical activity among youth. Different conceptual definitions and empirical measures indicate ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.12658
更新日期：2015-09-01 00:00:00
abstract：:The use of nursing literature is frequently advocated as a means of maintaining competence. The purpose of this study was to compare the frequency of references to competencies in the literature with those retained for the role of first-line nurse managers by an expert panel involved in the Delphi technique. In this w...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1991.tb01497.x
更新日期：1991-01-01 00:00:00
abstract：AIMS:To determine key factors that stimulate and drive the ongoing interests of leaders in the field of pain to continue to work for change and to explore how they use their own experiences in their teaching. BACKGROUND:The assessment and management of acute and chronic pain remains a challenge and the pain education ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.13050
更新日期：2016-11-01 00:00:00
abstract：AIM:The aim of this paper is to show how a framework of relational ethics may be used in establishing trusting relationships with at-risk families. BACKGROUND:Public health nurses have historically carried out assessment and monitoring of parenting within the family home, particularly with at-risk families. In this ro...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2005.03512.x
更新日期：2005-08-01 00:00:00
abstract：AIM:This paper is a report of an evaluation of the psychometric properties of the Health Beliefs Related to Cardiovascular Disease Scale designed to measure beliefs related to cardiovascular disease risk and diet and exercise in adults with diabetes. BACKGROUND:Heart attack and stroke are 2-4 times more common among a...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.2010.05443.x
更新日期：2010-12-01 00:00:00
abstract：:The words 'nurse' and 'nursing' originate in the word 'nurture' which dates back to the 14th century. 'Nurturance' appeared for the first time in the 1976 Supplement to the Oxford English Dictionary and in a United States dictionary in 1983. Etymologically and semantically bound to nursing, little is known about the t...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/j.1365-2648.1990.tb01851.x
更新日期：1990-05-01 00:00:00
abstract：:The purpose of this study was to identify the stressors perceived by individuals with rheumatoid arthritis (RA) and to describe coping strategies used to cope with illness-related stressors and their perceived effectiveness. Data were collected from 53 patients attending a rheumatology clinic. Results revealed that pa...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1997.19970251144.x
更新日期：1997-06-01 00:00:00
abstract：:The purpose of this paper is to alert researchers and agency staff to potential conflicts that may arise during research projects conducted in busy community-based agencies. Within a framework of human territoriality, key factors in avoiding such conflicts are explored. Territoriality is the defence against intruders ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/j.1365-2648.1996.tb00044.x
更新日期：1996-04-01 00:00:00
abstract：AIMS:To describe the characteristics of medication administration (MA) incidents reported to have occurred in patients' own homes (reporters' profession, incident types, contributing factors, patient consequence, and most common medications involved) and to identify the connection terms related to the most common contr...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1111/jan.14532
更新日期：2020-12-01 00:00:00
abstract：:The purpose of this study was to identify the relationship between the number and quality of nursing diagnoses generated by public health nurses (PHNs), and the use of different assessment databases (nursing or medical). In addition, the effect of experience with theory-based nursing practice on the number and quality...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21040800.x
更新日期：1995-04-01 00:00:00
abstract：AIMS:To systemically review the efficacy and safety of auricular point therapy in patients with cancer-related fatigue. DESIGN:A systematic review and meta-analysis of randomized controlled trials. DATA SOURCES:Eight electronic databases (PubMed, CENTRAL, Embase, CINAHL, Web of Science, China Biology Medicine, China ...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1111/jan.14375
更新日期：2020-05-19 00:00:00
abstract：AIM:The aim of the study was to test the effect of an audiotape giving concrete objective information and strategies to reduce symptoms, psychological distress and enhance physical functioning in patients having coronary artery bypass grafts. BACKGROUND:The period following hospital discharge is stressful for patients...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1365-2648.2010.05334.x
更新日期：2010-08-01 00:00:00
abstract：:The notion of intersubjectivity raises fundamental epistemological and ontological questions concerning how individuals come to know one another and how that knowing affects action. Within the sphere of professional nursing, relationship, as an intersubjective process between individuals, constitutes an integral eleme...
journal_title：Journal of advanced nursing
pub_type： 杂志文章,评审
doi：10.1046/j.1365-2648.1999.01081.x
更新日期：1999-08-01 00:00:00
abstract：:This study investigated whether the temporal stress of working at night interferes with nurses' experience of different phases of the menstrual cycle. Twenty-four, rotating-shift nurses recorded data on a hand-held computer at the start and end of each day and every 2 hours during their shifts for a period of 28 days....
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1995.21050996.x
更新日期：1995-05-01 00:00:00
abstract：:The death of a spouse is one of the most stressful events in a person's life. Social support has been shown to be widely beneficial in moderating the effects of both chronic and acute stress. The answers of Finnish widows and widowers (n=318) were analysed in order to investigate the sources of social support, what is...
journal_title：Journal of advanced nursing
pub_type： 杂志文章
doi：10.1046/j.1365-2648.1999.01220.x
更新日期：1999-12-01 00:00:00
