Abstract:
AIM:To assess the impact of adding nursing support workers to ward staffing. BACKGROUND:Nurses' capacity to provide safe care is compromised by increased workloads and nursing shortages. Use of unregulated workers is an alternative to increasing the number of regulated nurses. The impact of adding nursing support workers on patient, nurse and system outcomes has not been systematically evaluated. DESIGN:A mixed longitudinal and cross-sectional design using administrative data sets and prospective data from a sample of wards. METHODS:Payroll data will identify wards on which unregulated staff work. To assess the impact on nursing-sensitive outcomes, retrospective analysis of morbidity and mortality data of all patients admitted to Western Australia hospitals for over 24 hours across 4 years will be undertaken. For the cross-sectional study, a sample of 20 pairs of matched wards will be selected: 10 with unregulated workers added and 10 where they have not. From this sample the impact on patients will be assessed using the Patient Evaluation of Emotional Care during Hospitalisation survey. The impact on nurses will be assessed by a nurse survey used extensively which includes variables such as job satisfaction and intention to leave. The impact on system outcomes will be explored using work sampling of staff activities and the Practice Environment Scale. Interviews will determine nurses' experience of working with nursing support workers. DISCUSSION:The study aims to provide evidence about the impact of adding nursing support workers to ward staffing for patients, staff and the work environment.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Duffield C,Roche M,Twigg D,Williams A,Clarke Sdoi
10.1111/jan.12965subject
Has Abstractpub_date
2016-09-01 00:00:00pages
2218-25issue
9eissn
0309-2402issn
1365-2648journal_volume
72pub_type
杂志文章abstract:BACKGROUND:The Index of Nausea and Vomiting (INV), developed by Rhodes and others in 1984, measures three dimensions of upper gastrointestinal distress: nausea, vomiting and retching (NVR). While the revised version has been tested with a variety of high-risk populations, there are no data suggesting that it can be use...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03067.x
更新日期:2004-07-01 00:00:00
abstract:AIM:The aim of this paper was to report the process evaluation of facilitators' delivery of a psychosocial intervention (called CONNECT), in a randomized controlled trial, to men with prostate cancer and their partners. BACKGROUND:There is a lack of information on the process of implementing psychosocial interventions...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.13248
更新日期:2017-07-01 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::This paper sets out to explore key aspects of women's views of women GPs and practice nurses within primary health care settings. The extent to which women actively seek female health workers for the provision of their primary health care needs, including preventive health care, is examined. The findings presented in ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.12519.x
更新日期:1996-06-01 00:00:00
abstract:AIM OF THE PAPER:This paper, which is part of a larger study that examined how community mental health nurses promoted wellness with young adult who were experiencing an early episode of psychotic illness, aims to explicate how nurses develop interpersonal relationships with these consumers. RATIONALE:Research into th...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01782.x
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND:Children with congenital heart disease (CHD) commonly experience delayed growth. Because growth and development are closely related, both should be considered when a child's progress is examined. PURPOSE:This paper reports a study to evaluate and compare the growth and development of preschool children with...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03090.x
更新日期:2004-08-01 00:00:00
abstract::This preliminary study is part of an ongoing action research project. Elderly patients (n = 45) and their informal caregivers (n = 147) completed a questionnaire. The purpose of this study was to evaluate the quality of care from both the patients' and their informal caregivers' points of view and to compare differenc...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1994.20010071.x
更新日期:1994-07-01 00:00:00
abstract:AIMS:This paper reports a study to investigate the relationships between informal and formal care, changing relationships over time, impact of integrated care, and theoretical and methodological lessons that can be drawn from research on this topic. BACKGROUND:The ratio of informal to formal care provided in nursing h...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03299.x
更新日期:2005-02-01 00:00:00
abstract::This study forms part of the International Family Dynamics Project. Its purpose was describe the family functioning of families with mental health problems on the basis of Barnhill's framework for healthy family systems. The sample consisted of 160 families in which one family member had mental health problems. Both t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1997.tb00802.x
更新日期:1997-12-01 00:00:00
abstract:AIMS:To explore the impact of bracing on the perceptions of body image, happiness and satisfaction of adolescents with scoliosis. DESIGN:The study was designed as compare of 134 girls and 16 boys who wore a Boston type brace for scoliosis treatment and a control group of 99 healthy girls and 51 healthy boys. All them ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01900.x
更新日期:2001-09-01 00:00:00
abstract::Though standards for handwashing have been defined, little effort has been made to assess the quality of handwashing in clinical settings. This paper describes tests of reliability and validity of tools to evaluate two aspects of handwashing--appropriateness and technique. Based on these tests, methods to evaluate han...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1985.tb00546.x
更新日期:1985-11-01 00:00:00
abstract:AIMS:To report a study of patients' views of patient-centred care. The study aimed to explore patients' understanding and conceptualization of patient-centred care and link it to existing literature on the topic. BACKGROUND:Patient-centred care currently lacks a widely accepted definition, with much of the literature ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05965.x
更新日期:2012-12-01 00:00:00
abstract:AIM:This project has two aims: (a) What do relatives to brought in dead (BID) describe as helpful and supportive care when they arrive at the emergency department to see and say goodbye to a deceased? (b) What do nurses describe as good nursing practice for BID persons and their relatives and what may hinder or facilit...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14353
更新日期:2020-07-01 00:00:00
abstract:AIMS:We examined the effects of perceived supervisor support, value congruence and hospital nurse staffing on nurses' job satisfaction through the satisfaction of the three psychological needs for autonomy, competence and relatedness. Then, we examined the links between job satisfaction and quality of care as well as t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13524
更新日期:2018-05-01 00:00:00
abstract::This study examines the effects of distress on the capacity of informal caregivers of stroke patients to absorb information about stroke and caregiving. Thirty-seven caregivers took part in a stroke seminar. Minor psychiatric symptoms were related to caregivers' knowledge prior to the seminar, with the more emotionall...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18020195.x
更新日期:1993-02-01 00:00:00
abstract:AIM:To evaluate the impact of a new model for the detection and management of deteriorating patients on knowledge and confidence of nursing staff in an acute hospital. BACKGROUND:International evidence shows that clinical deterioration is not always recognized or acted on by nurses. The use of physiological track and ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05986.x
更新日期:2013-01-01 00:00:00
abstract::The use of reflective journal writing has become popularized in the past decade. This paper uses the experience of two university lecturers to problematize this practice. The practice of journal writing in nursing courses is explored firstly through the lens of critical theory and secondly that of post-structuralism. ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1996.tb02946.x
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:Despite 30 years of research attention, discharge planning and district nurse (DN) referral remain problematic and few cancer-related publications exist. With shorter hospitalizations, discharged cancer patients and their carers may experience unmet needs for assessment, information and support. Although DN ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02173.x
更新日期:2002-05-01 00:00:00
abstract::The validity of studies using translated instruments may be questioned when there is a lack of attention to and/or minimal explanation of the procedures used for determining the equivalence between the primary and secondary language tool. Ensuring equivalence of a translated Chinese version of the Menstrual Distress Q...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00891.x
更新日期:1999-02-01 00:00:00
abstract:AIM:This paper is a report of a qualitative study of mobilization of knowledge within the critical thinking process deployed by female undergraduate nursing students in practical care situations. BACKGROUND:Holistic practice is based on variety of knowledge mobilized by a critical thinking process. Novices and, more s...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05637.x
更新日期:2011-09-01 00:00:00
abstract::This research study was funded by the Health Systems Trust in Cape Town through the University of Natal in Durban. OBJECTIVES. The objectives of this study were to teach primary health care nurses to diagnose and treat common psychiatric conditions, to refer those patients whom they cannot handle, and to evaluate the ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.01068.x
更新日期:1999-07-01 00:00:00
abstract:AIM:To evaluate the effects of a self-care promoting problem-based learning programme for people with rheumatic diseases in terms of health-related quality of life, empowerment, and self-care ability. BACKGROUND:Individuals with rheumatoid arthritis express a great need for education and support in adapting to the dis...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jan.12008
更新日期:2013-07-01 00:00:00
abstract:AIMS:The aim of this study was to test a symptom cluster model in chronic kidney disease patients based on the Theory of Unpleasant Symptoms, accounting for the relationships between influencing factors, symptom experience and consequences for quality of life. BACKGROUND:The evaluation of symptom clusters is a new fie...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13303
更新日期:2017-10-01 00:00:00
abstract:AIM:To investigate the rate of and risk factors for perinatal depression in an Israeli ultra-orthodox Jewish community and assess the contribution of antenatal nursing intervention to reducing symptoms of postpartum depression. BACKGROUND:Perinatal depression is recognized globally as a common complication of pregnanc...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12938
更新日期:2016-07-01 00:00:00
abstract:AIM:The purpose of this study was to test the factor structure of an Italian version of the Maslach Burnout Inventory for Human Service employees. In addition we examined the reliability and construct validity of the scale. BACKGROUND:There is increasing evidence that nurses are at risk of experiencing burnout. Despit...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06114.x
更新日期:2013-03-01 00:00:00
abstract:AIMS:To provide an overview of the literature focusing on the influence of self-efficacy and self-efficacy enhancing interventions on mobility, activities of daily living, depression and quality of life of patients with stroke. BACKGROUND:There is growing evidence for the importance of self-efficacy in the care of peo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2011.05659.x
更新日期:2011-09-01 00:00:00
abstract::The literature suggests that stress is a major factor for nurses personally 'disengaging' from patients who are critically ill. This research aimed to investigate if nurses in a general intensive therapy unit (ITU) disengage from their patients by using touches that are mainly task orientated, rather than caring/socia...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb01169.x
更新日期:1994-05-01 00:00:00
abstract::This paper is a brief critique of the concept of hardiness. While the concept is appealing in its potential to elucidate the relationships between stress, health and illness, I argue that there are problems with how the concept is defined, measured and applied. In particular, the usefulness of the concept is diminishe...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1996.22820.x
更新日期:1996-09-01 00:00:00
abstract:AIM:This paper is a report of a study to describe scholarly nursing practice from the perspectives of experienced nurses. BACKGROUND:Theoretically, nursing scholarship has been well-described in the literature and flourishes in academic environments. Nursing organizations and nurse leaders worldwide have embraced the ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2007.04499.x
更新日期:2008-02-01 00:00:00
abstract:AIM:To describe an analysis of the concept of abductive reasoning. BACKGROUND:In the discipline of nursing, abductive reasoning has received only philosophical attention and remains a vague concept. In addition to deductive and inductive reasoning, abductive reasoning is not recognized even in prominent nursing knowle...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12379
更新日期:2014-09-01 00:00:00