Implementation of a model of emergency care in an Australian hospital

Nurse/midwife-to-patient ratios: A scoping review

BACKGROUND

A significant body of work has linked high nurse or midwife workload to negative patient outcomes. Anecdotal reports suggest that mandated ratio models enhance patient care and improve nurse job satisfaction. However, there is limited focused research.

OBJECTIVE

To identify key outcomes, implementation processes, and research needs regarding nurse/midwife-to-patient ratios in the Australian healthcare context.

DESIGN

Scoping review.

METHODS

Data sources were CINAHL, Open Dissertations, Medline, and Scopus. 289 articles screened, and 53 full text documents independently assessed against criteria by two reviewers and conflicts resolved by a third reviewer, using Covidence™. Three studies were included in this review.

RESULTS

Studies focused on nurse (job satisfaction, burnout), patient (mortality, readmission, length of stay) and system (costs) outcomes with limited information on implementation processes and no midwifery research.

CONCLUSIONS

Ratios provide benefits for patients, nurses, and hospitals although there is limited research in Australia. Implementation was poorly reported..

Model of care knowledge among Riyadh First Health Cluster staff at the Ministry of Health, Saudi Arabia

Purpose:

This study assessed “model of care” (MoC) knowledge among Riyadh First Health Cluster (C1) staff (health workers and admin) at Saudi Arabia's Ministry of Health (MOH).

Methods:

This study is cross-sectional, observational, and analytic. Raw data were collected from the data warehouse of the Vision Realization Office (VRO) at the MOH. It was then entered into SPSS, Version 24, and 3,696 individuals were analyzed. Descriptive statistics were presented as numbers and percentages, and a Chi-square test was used to test for associations. The study was approved by the hospital research committee and the Institutional Review Board (HlRI-15-Dec l9-01).

Results:

The staff who knew of the transformation occurring in the healthcare sector were 98.2% male and 93.6% female (P < .001). The staff having more than 20 years of experience represented the highest level of understanding (44.4%). In contrast, a team with 0–1 years of experience had the lowest level of understanding (13.6%) (P < .001). However, the staff with 0–1 years of experience was associated with the highest agreement percentages (93.4%, 92.2%) while the staff with more than 20 years of experience was associated with a lower agreement of percentages (88.2%, 79.1%) (P < .001). Finally, we found pharmacists and primary healthcare centers to generally have the highest knowledge percentages across the studied dimensions (P < .001).

Conclusion:

The C1 staff who participated in this study had good knowledge of Saudi Arabia's MoC. We recommend future elaborating research about the Saudi MoC to compare in detail with the staff in the other sectors and reach an international benchmark.