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class="DesignSystem"><div class="onsite-ping" id="onsite-ping"></div></div><div class="profile-user-info DesignSystem"><div class="social-profile-container"><div class="left-panel-container"><div class="user-info-component-wrapper"><div class="user-summary-cta-container"><div class="user-summary-container"><div class="social-profile-avatar-container"><img class="profile-avatar u-positionAbsolute" alt="Peter Griffiths" border="0" onerror="if (this.src != '//a.academia-assets.com/images/s200_no_pic.png') this.src = '//a.academia-assets.com/images/s200_no_pic.png';" width="200" height="200" src="https://0.academia-photos.com/346304/94113/206747/s200_peter.griffiths.jpg" /></div><div class="title-container"><h1 class="ds2-5-heading-sans-serif-sm">Peter Griffiths</h1><div class="affiliations-container fake-truncate js-profile-affiliations"><div><a class="u-tcGrayDarker" href="https://soton.academia.edu/">University of Southampton</a>, <a class="u-tcGrayDarker" href="https://soton.academia.edu/Departments/School_of_Health_Sciences/Documents">School of Health Sciences</a>, <span class="u-tcGrayDarker">Faculty Member</span></div><div><a class="u-tcGrayDarker" href="https://kcl.academia.edu/">King's College London</a>, <a class="u-tcGrayDarker" href="https://kcl.academia.edu/Departments/National_Nursing_Research_Unit/Documents">National Nursing Research Unit</a>, <span class="u-tcGrayDarker">Alumnus</span></div><div><a class="u-tcGrayDarker" href="https://sciencedirect.academia.edu/">International Journal of Nursing Studies</a>, <a class="u-tcGrayDarker" href="https://sciencedirect.academia.edu/Departments/Editorial/Documents">Editorial</a>, <span class="u-tcGrayDarker">Editor</span></div></div></div></div><div class="sidebar-cta-container"><button class="ds2-5-button hidden profile-cta-button grow js-profile-follow-button" data-broccoli-component="user-info.follow-button" data-click-track="profile-user-info-follow-button" data-follow-user-fname="Peter" data-follow-user-id="346304" data-follow-user-source="profile_button" data-has-google="false"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">add</span>Follow</button><button class="ds2-5-button hidden profile-cta-button grow js-profile-unfollow-button" data-broccoli-component="user-info.unfollow-button" data-click-track="profile-user-info-unfollow-button" data-unfollow-user-id="346304"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">done</span>Following</button></div></div><div class="user-stats-container"><a><div class="stat-container js-profile-followers"><p class="label">Followers</p><p class="data">1,245</p></div></a><a><div class="stat-container js-profile-followees" data-broccoli-component="user-info.followees-count" data-click-track="profile-expand-user-info-following"><p class="label">Following</p><p class="data">172</p></div></a><a><div class="stat-container js-profile-coauthors" data-broccoli-component="user-info.coauthors-count" data-click-track="profile-expand-user-info-coauthors"><p class="label">Co-authors</p><p class="data">37</p></div></a><span><div class="stat-container"><p class="label"><span class="js-profile-total-view-text">Public Views</span></p><p class="data"><span class="js-profile-view-count"></span></p></div></span></div><div class="user-bio-container"><div class="profile-bio fake-truncate js-profile-about" style="margin: 0px;">My current programme of work explores issues of workforce effectiveness using routinely collected data and the development and use of nurse sensitive outcomes and quality measures. I am particularly interested in issues of skill mix and substitution and the effect of change in the composition and organisation of the workforce on patient outcomes. I have long been involved in the evaluation of innovation in service delivery, including nurse-led sub-acute care and, more recently, the national roll out of the “Productive Ward, Releasing Time to Care” programme in England. I am currently working as part of RN4CAST consortium (www.rn4cast.eu) which is undertaking a major EU funded study on the impact of nurse deployment on patient safety.<br /><span class="u-fw700">Phone: </span>+44(0)2380597877<br /><b>Address: </b>Faculty of Health Sciences <br />Room E4015, Building 67 <br />Highfield Campus <br />Southampton <br />England <br />SO17 1BJ<br /><div class="js-profile-less-about u-linkUnstyled u-tcGrayDarker u-textDecorationUnderline u-displayNone">less</div></div></div><div class="ri-section"><div class="ri-section-header"><span>Interests</span><a class="ri-more-link js-profile-ri-list-card" data-click-track="profile-user-info-primary-research-interest" data-has-card-for-ri-list="346304">View All (19)</a></div><div class="ri-tags-container"><a data-click-track="profile-user-info-expand-research-interests" data-has-card-for-ri-list="346304" href="https://www.academia.edu/Documents/in/Health_Services_Research"><div id="js-react-on-rails-context" 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class="uploads-container" id="social-redesign-work-container"><div class="upload-header"><h2 class="ds2-5-heading-sans-serif-xs">Uploads</h2></div><div class="nav-container backbone-profile-documents-nav hidden-xs"><ul class="nav-tablist" role="tablist"><li class="nav-chip active" role="presentation"><a data-section-name="" data-toggle="tab" href="#all" role="tab">all</a></li><li class="nav-chip" role="presentation"><a class="js-profile-docs-nav-section u-textTruncate" data-click-track="profile-works-tab" data-section-name="Papers" data-toggle="tab" href="#papers" role="tab" title="Papers"><span>357</span> <span class="ds2-5-body-sm-bold">Papers</span></a></li><li class="nav-chip" role="presentation"><a class="js-profile-docs-nav-section u-textTruncate" data-click-track="profile-works-tab" data-section-name="Books" data-toggle="tab" href="#books" role="tab" title="Books"><span>9</span> <span class="ds2-5-body-sm-bold">Books</span></a></li><li class="nav-chip" role="presentation"><a 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href="https://www.academia.edu/106225839/Prevalence_of_cancer_chemotherapy_related_problems_their_relation_to_health_related_quality_of_life_and_associated_supportive_care_a_cross_sectional_survey"><img alt="Research paper thumbnail of Prevalence of cancer chemotherapy-related problems, their relation to health-related quality of life and associated supportive care: a cross-sectional survey" class="work-thumbnail" src="https://attachments.academia-assets.com/105477971/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/106225839/Prevalence_of_cancer_chemotherapy_related_problems_their_relation_to_health_related_quality_of_life_and_associated_supportive_care_a_cross_sectional_survey">Prevalence of cancer chemotherapy-related problems, their relation to health-related quality of life and associated supportive care: a cross-sectional survey</a></div><div class="wp-workCard_item"><span>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</span><span>, Dec 27, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The purpose of this study was to identify the treatment-associated problems that most impact on p...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The purpose of this study was to identify the treatment-associated problems that most impact on patients undergoing cancer chemotherapy, how problems relate to experiences of supportive care and variations in experience between cancer treatment centres. A survey administered to patients at six cancer centres in England explored variations of prevalence of 17 cancer chemotherapy-associated problems and associated supportive care. Problem items were identified as the most frequently experienced and severe when experienced in a scoping and consensus exercise. A health-related quality of life (HRQoL) measure, the EQ5D, was included to measure impact of problems. A total of 363 completed questionnaires were returned (response rate 43 %, median 61 %). The most prevalent problem was &#39;tiredness/fatigued&#39; (90 %), followed by &#39;changes in taste & smell&#39; (69 %) and &#39;difficulty managing everyday tasks&#39; (61 %). Significant variations in problem prevalence existed between c...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="881a6c32dfb2d6103ab425d52d7869cf" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":105477971,"asset_id":106225839,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/105477971/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="106225839"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="106225839"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 106225839; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=106225839]").text(description); $(".js-view-count[data-work-id=106225839]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 106225839; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='106225839']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 106225839, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "881a6c32dfb2d6103ab425d52d7869cf" } } $('.js-work-strip[data-work-id=106225839]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":106225839,"title":"Prevalence of cancer chemotherapy-related problems, their relation to health-related quality of life and associated supportive care: a cross-sectional survey","translated_title":"","metadata":{"abstract":"The purpose of this study was to identify the treatment-associated problems that most impact on patients undergoing cancer chemotherapy, how problems relate to experiences of supportive care and variations in experience between cancer treatment centres. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405683"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405683/Patient_satisfaction_with_hospital_care_and_nurses_in_England_an_observational_study"><img alt="Research paper thumbnail of Patient satisfaction with hospital care and nurses in England: an observational study" class="work-thumbnail" src="https://attachments.academia-assets.com/96871176/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405683/Patient_satisfaction_with_hospital_care_and_nurses_in_England_an_observational_study">Patient satisfaction with hospital care and nurses in England: an observational study</a></div><div class="wp-workCard_item"><span>BMJ open</span><span>, Jan 11, 2018</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To inform healthcare workforce policy decisions by showing how patient perceptions of hospital ca...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To inform healthcare workforce policy decisions by showing how patient perceptions of hospital care are associated with confidence in nurses and doctors, nurse staffing levels and hospital work environments. Cross-sectional surveys of 66 348 hospital patients and 2963 inpatient nurses. Patients surveyed were discharged in 2010 from 161 National Health Service (NHS) trusts in England. Inpatient nurses were surveyed in 2010 in a sample of 46 hospitals in 31 of the same 161 trusts. The 2010 NHS Survey of Inpatients obtained information from 50% of all patients discharged between June and August. The 2010 RN4CAST England Nurse Survey gathered information from inpatient medical and surgical nurses. Patient ratings of their hospital care, their confidence in nurses and doctors and other indicators of their satisfaction. Missed nursing care was treated as both an outcome measure and explanatory factor. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405682"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405682/A_fundamental_conflict_of_care_nurses_accounts_of_balancing_sleep_with_taking_vital_signs_observations_at_night"><img alt="Research paper thumbnail of A fundamental conflict of care: nurses' accounts of balancing sleep with taking vital signs observations at night" class="work-thumbnail" src="https://attachments.academia-assets.com/96871171/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405682/A_fundamental_conflict_of_care_nurses_accounts_of_balancing_sleep_with_taking_vital_signs_observations_at_night">A fundamental conflict of care: nurses' accounts of balancing sleep with taking vital signs observations at night</a></div><div class="wp-workCard_item"><span>Journal of clinical nursing</span><span>, Jan 21, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To explore why adherence to vital signs observations scheduled by an Early Warning Score protocol...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To explore why adherence to vital signs observations scheduled by an Early Warning Score protocol reduces at night. Regular vital signs observations can reduce avoidable deterioration in hospital. Early Warning Score protocols set the frequency of these observations by the severity of a patient&#39;s condition. Vital signs observations are taken less frequently at night, even with an Early Warning Score in place, but no literature has explored why. A qualitative interpretative design informed this study. Seventeen semi-structured interviews with nursing staff working on wards with varying levels of adherence to scheduled vital signs observations. A thematic analysis approach was used. At night, nursing teams found it difficult to balance the competing care goals of supporting sleep with taking vital signs observations. The night-time frequency of these observations was determined by clinical judgement, ward-level expectations of observation timing and the risk of disturbing other pa...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="2fdd1dc0cf44b81b7d9f6f26f8523c85" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871171,"asset_id":94405682,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871171/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405682"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405682"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405682; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405682]").text(description); $(".js-view-count[data-work-id=94405682]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405682; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405682']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405682, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "2fdd1dc0cf44b81b7d9f6f26f8523c85" } } $('.js-work-strip[data-work-id=94405682]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405682,"title":"A fundamental conflict of care: nurses' accounts of balancing sleep with taking vital signs observations at night","translated_title":"","metadata":{"abstract":"To explore why adherence to vital signs observations scheduled by an Early Warning Score protocol reduces at night. 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The night-time frequency of these observations was determined by clinical judgement, ward-level expectations of observation timing and the risk of disturbing other pa...","publication_date":{"day":21,"month":1,"year":2017,"errors":{}},"publication_name":"Journal of clinical nursing"},"translated_abstract":"To explore why adherence to vital signs observations scheduled by an Early Warning Score protocol reduces at night. Regular vital signs observations can reduce avoidable deterioration in hospital. Early Warning Score protocols set the frequency of these observations by the severity of a patient\u0026#39;s condition. Vital signs observations are taken less frequently at night, even with an Early Warning Score in place, but no literature has explored why. A qualitative interpretative design informed this study. Seventeen semi-structured interviews with nursing staff working on wards with varying levels of adherence to scheduled vital signs observations. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405681"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405681/Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review"><img alt="Research paper thumbnail of Workforce characteristics and interventions associated with high-quality care and support to older people with cancer: a systematic review" class="work-thumbnail" src="https://attachments.academia-assets.com/96871174/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405681/Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review">Workforce characteristics and interventions associated with high-quality care and support to older people with cancer: a systematic review</a></div><div class="wp-workCard_item"><span>BMJ open</span><span>, Jan 31, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To provide an overview of the evidence base on the effectiveness of workforce interventions for i...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To provide an overview of the evidence base on the effectiveness of workforce interventions for improving the outcomes for older people with cancer, as well as analysing key features of the workforce associated with those improvements. Systematic review. Relevant databases were searched for primary research, published in English, reporting on older people and cancer and the outcomes of interventions to improve workforce knowledge, attitudes or skills; involving a change in workforce composition and/or skill mix; and/or requiring significant workforce reconfiguration or new roles. Studies were also sought on associations between the composition and characteristics of the cancer care workforce and older people&#39;s outcomes. A narrative synthesis was conducted and supported by tabulation of key study data. Studies (n=24) included 4555 patients aged 60+ from targeted cancer screening to end of life care. Interventions were diverse and two-thirds of the studies were assessed as low qua...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="25111cef6bf72021066dc6168b57cc7e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871174,"asset_id":94405681,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871174/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405681"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405681"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405681; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405681]").text(description); $(".js-view-count[data-work-id=94405681]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405681; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405681']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405681, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "25111cef6bf72021066dc6168b57cc7e" } } $('.js-work-strip[data-work-id=94405681]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405681,"title":"Workforce characteristics and interventions associated with high-quality care and support to older people with cancer: a systematic review","translated_title":"","metadata":{"abstract":"To provide an overview of the evidence base on the effectiveness of workforce interventions for improving the outcomes for older people with cancer, as well as analysing key features of the workforce associated with those improvements. Systematic review. Relevant databases were searched for primary research, published in English, reporting on older people and cancer and the outcomes of interventions to improve workforce knowledge, attitudes or skills; involving a change in workforce composition and/or skill mix; and/or requiring significant workforce reconfiguration or new roles. Studies were also sought on associations between the composition and characteristics of the cancer care workforce and older people\u0026#39;s outcomes. A narrative synthesis was conducted and supported by tabulation of key study data. Studies (n=24) included 4555 patients aged 60+ from targeted cancer screening to end of life care. Interventions were diverse and two-thirds of the studies were assessed as low qua...","publication_date":{"day":31,"month":1,"year":2017,"errors":{}},"publication_name":"BMJ open"},"translated_abstract":"To provide an overview of the evidence base on the effectiveness of workforce interventions for improving the outcomes for older people with cancer, as well as analysing key features of the workforce associated with those improvements. Systematic review. Relevant databases were searched for primary research, published in English, reporting on older people and cancer and the outcomes of interventions to improve workforce knowledge, attitudes or skills; involving a change in workforce composition and/or skill mix; and/or requiring significant workforce reconfiguration or new roles. Studies were also sought on associations between the composition and characteristics of the cancer care workforce and older people\u0026#39;s outcomes. A narrative synthesis was conducted and supported by tabulation of key study data. Studies (n=24) included 4555 patients aged 60+ from targeted cancer screening to end of life care. Interventions were diverse and two-thirds of the studies were assessed as low qua...","internal_url":"https://www.academia.edu/94405681/Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review","translated_internal_url":"","created_at":"2023-01-05T09:55:32.464-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":96871174,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871174/thumbnails/1.jpg","file_name":"Workforce_characteristics_and_interventions_associated.pdf","download_url":"https://www.academia.edu/attachments/96871174/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Workforce_characteristics_and_interventi.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871174/Workforce_characteristics_and_interventions_associated-libre.pdf?1672941571=\u0026response-content-disposition=attachment%3B+filename%3DWorkforce_characteristics_and_interventi.pdf\u0026Expires=1731455213\u0026Signature=TbF1ZJi8Pci~9IzhRH7svtNY3IsiE0MfOyoLvbGeJhEt-ooY267o3xz86wuTFSbyCxB6x3HesXgTW2faBhyGc-LZr12hKPMJg0uKtMAm~z2XS3ZZtpIO-epz0R9sORGP2C7aDVHFHZ42MDRC5DbxLTpoOBf-nCbazxu~qvj-E6e6p1O-nuMwuW7kG5oe8SI6Cgf3xiIA5e8P6xtoItT9ftxkT4G~xArBR1B~E7vhIsPIGy~jObzstPSkmq8DqmTGSMjxIJseVKvGg93cGaxNU8Euf7J2bU30n-etHKp-vVrSZV2-DDyaGyWjR6xlizBosdyfJ-uR18-tX3TQ0MyWUA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review","translated_slug":"","page_count":15,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":96871174,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871174/thumbnails/1.jpg","file_name":"Workforce_characteristics_and_interventions_associated.pdf","download_url":"https://www.academia.edu/attachments/96871174/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Workforce_characteristics_and_interventi.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871174/Workforce_characteristics_and_interventions_associated-libre.pdf?1672941571=\u0026response-content-disposition=attachment%3B+filename%3DWorkforce_characteristics_and_interventi.pdf\u0026Expires=1731455213\u0026Signature=TbF1ZJi8Pci~9IzhRH7svtNY3IsiE0MfOyoLvbGeJhEt-ooY267o3xz86wuTFSbyCxB6x3HesXgTW2faBhyGc-LZr12hKPMJg0uKtMAm~z2XS3ZZtpIO-epz0R9sORGP2C7aDVHFHZ42MDRC5DbxLTpoOBf-nCbazxu~qvj-E6e6p1O-nuMwuW7kG5oe8SI6Cgf3xiIA5e8P6xtoItT9ftxkT4G~xArBR1B~E7vhIsPIGy~jObzstPSkmq8DqmTGSMjxIJseVKvGg93cGaxNU8Euf7J2bU30n-etHKp-vVrSZV2-DDyaGyWjR6xlizBosdyfJ-uR18-tX3TQ0MyWUA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":45142,"name":"Staff Development","url":"https://www.academia.edu/Documents/in/Staff_Development"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":116278,"name":"Psychological Intervention","url":"https://www.academia.edu/Documents/in/Psychological_Intervention"},{"id":161403,"name":"Workforce","url":"https://www.academia.edu/Documents/in/Workforce"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":469018,"name":"Neoplasms","url":"https://www.academia.edu/Documents/in/Neoplasms"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence"},{"id":1010274,"name":"Standard of Care","url":"https://www.academia.edu/Documents/in/Standard_of_Care"},{"id":2060696,"name":"Health services for the aged","url":"https://www.academia.edu/Documents/in/Health_services_for_the_aged"},{"id":3016289,"name":"Health Manpower","url":"https://www.academia.edu/Documents/in/Health_Manpower"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405680"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405680/What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature"><img alt="Research paper thumbnail of What impact does nursing care left undone have on patient outcomes? Review of the literature" class="work-thumbnail" src="https://attachments.academia-assets.com/96871173/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405680/What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature">What impact does nursing care left undone have on patient outcomes? Review of the literature</a></div><div class="wp-workCard_item"><span>Journal of clinical nursing</span><span>, Jan 31, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital w...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear. Systematic review. We searched Medline (via Ovid), CINAHL (EBSCOhost) and Scopus for studies examining the association of missed nursing care and at least one patient outcome. Studies regarding registered nurses, healthcare assistants/support workers/nurses&#39; aides were retained. Only adult settings were included. Because of the nature of the review, qualitative studies, editorials, letters and commentaries were excluded. PRISMA guidelines were followed in reporting the review. Fourteen studies reported associations between missed care and patient outco...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="92549bd46d155e897763d1adc017db76" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871173,"asset_id":94405680,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871173/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405680"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405680"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405680; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405680]").text(description); $(".js-view-count[data-work-id=94405680]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405680; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405680']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405680, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "92549bd46d155e897763d1adc017db76" } } $('.js-work-strip[data-work-id=94405680]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405680,"title":"What impact does nursing care left undone have on patient outcomes? Review of the literature","translated_title":"","metadata":{"abstract":"Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear. Systematic review. We searched Medline (via Ovid), CINAHL (EBSCOhost) and Scopus for studies examining the association of missed nursing care and at least one patient outcome. Studies regarding registered nurses, healthcare assistants/support workers/nurses\u0026#39; aides were retained. Only adult settings were included. Because of the nature of the review, qualitative studies, editorials, letters and commentaries were excluded. PRISMA guidelines were followed in reporting the review. Fourteen studies reported associations between missed care and patient outco...","publication_date":{"day":31,"month":1,"year":2017,"errors":{}},"publication_name":"Journal of clinical nursing"},"translated_abstract":"Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear. Systematic review. We searched Medline (via Ovid), CINAHL (EBSCOhost) and Scopus for studies examining the association of missed nursing care and at least one patient outcome. Studies regarding registered nurses, healthcare assistants/support workers/nurses\u0026#39; aides were retained. Only adult settings were included. Because of the nature of the review, qualitative studies, editorials, letters and commentaries were excluded. PRISMA guidelines were followed in reporting the review. Fourteen studies reported associations between missed care and patient outco...","internal_url":"https://www.academia.edu/94405680/What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature","translated_internal_url":"","created_at":"2023-01-05T09:55:32.361-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":96871173,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871173/thumbnails/1.jpg","file_name":"Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing.pdf","download_url":"https://www.academia.edu/attachments/96871173/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"What_impact_does_nursing_care_left_undon.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871173/Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing-libre.pdf?1672941573=\u0026response-content-disposition=attachment%3B+filename%3DWhat_impact_does_nursing_care_left_undon.pdf\u0026Expires=1731455213\u0026Signature=BmAbdJM3a7SCIXZl50w~p64nFDX7aZb1O2wtPMBIf8lNbKKRl18wOIfR1gr6JW~EPGHPtltipbuygCfkrsvqJQCpS8Oh-Wk5gbJfvWBLuz5XF2oy3-2aAaskAYTzPNTwQ5bt~IQ-7QA6iFJyqy67BzgQUmwp7D5QDO5rg8qg-PZ0g8Nb6uVbrSk9AcP9nFptfGiRrvY~DZIwZMUFsMlXZpkSqgs2LSS6w8h4i7foKPVYXVLVmc0X265auZUxCuLftmjPfn8BTXNtZSRFYaHJp5fmwnwEiAHa5NaSMyXU5B3H-YlrUVElBZyTm4fkpr4a43wjlOLKjha1aC8oymVXuw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature","translated_slug":"","page_count":12,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":96871173,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871173/thumbnails/1.jpg","file_name":"Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing.pdf","download_url":"https://www.academia.edu/attachments/96871173/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"What_impact_does_nursing_care_left_undon.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871173/Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing-libre.pdf?1672941573=\u0026response-content-disposition=attachment%3B+filename%3DWhat_impact_does_nursing_care_left_undon.pdf\u0026Expires=1731455213\u0026Signature=BmAbdJM3a7SCIXZl50w~p64nFDX7aZb1O2wtPMBIf8lNbKKRl18wOIfR1gr6JW~EPGHPtltipbuygCfkrsvqJQCpS8Oh-Wk5gbJfvWBLuz5XF2oy3-2aAaskAYTzPNTwQ5bt~IQ-7QA6iFJyqy67BzgQUmwp7D5QDO5rg8qg-PZ0g8Nb6uVbrSk9AcP9nFptfGiRrvY~DZIwZMUFsMlXZpkSqgs2LSS6w8h4i7foKPVYXVLVmc0X265auZUxCuLftmjPfn8BTXNtZSRFYaHJp5fmwnwEiAHa5NaSMyXU5B3H-YlrUVElBZyTm4fkpr4a43wjlOLKjha1aC8oymVXuw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":144052,"name":"Patient Satisfaction","url":"https://www.academia.edu/Documents/in/Patient_Satisfaction"},{"id":144053,"name":"Nursing Care","url":"https://www.academia.edu/Documents/in/Nursing_Care"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1274078,"name":"Clinical Nursing","url":"https://www.academia.edu/Documents/in/Clinical_Nursing"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care"},{"id":3499881,"name":"Outcome assessment (Health care)","url":"https://www.academia.edu/Documents/in/Outcome_assessment_Health_care_"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405679"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405679/Reliability_feasibility_and_validity_of_the_quality_of_interactions_schedule_QuIS_in_acute_hospital_care_an_observational_study"><img alt="Research paper thumbnail of Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study" class="work-thumbnail" src="https://attachments.academia-assets.com/96871172/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405679/Reliability_feasibility_and_validity_of_the_quality_of_interactions_schedule_QuIS_in_acute_hospital_care_an_observational_study">Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study</a></div><div class="wp-workCard_item"><span>BMC health services research</span><span>, May 31, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Research into relational care in hospitals will be facilitated by a focus on staff-patient intera...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Research into relational care in hospitals will be facilitated by a focus on staff-patient interactions. The Quality of Interactions Schedule (QuIS) uses independent observers to measure the number of staff-patient interactions within a healthcare context, and to rate these interactions as &#39;positive social&#39;; &#39;positive care&#39;; &#39;neutral&#39;; &#39;negative protective&#39;; or &#39;negative restrictive&#39;. QuIS was developed as a research instrument in long term care settings and has since been used for quality improvement in acute care. Prior to this study, its use had not been standardised, and reliability and validity in acute care had not been established. In 2014 and 2015 a three - phase study was undertaken to develop and test protocols for the use of QuIS across three acute wards within one NHS trust in England. The phases were: (1) A pilot of 16 h observation which developed implementation strategies for QuIS in this context; (2) training two observers and ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="52afe20aab184ec76ff3a3f92409aeda" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871172,"asset_id":94405679,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871172/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405679"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405679"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405679; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405679]").text(description); $(".js-view-count[data-work-id=94405679]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405679; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405679']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405679, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "52afe20aab184ec76ff3a3f92409aeda" } } $('.js-work-strip[data-work-id=94405679]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405679,"title":"Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study","translated_title":"","metadata":{"abstract":"Research into relational care in hospitals will be facilitated by a focus on staff-patient interactions. The Quality of Interactions Schedule (QuIS) uses independent observers to measure the number of staff-patient interactions within a healthcare context, and to rate these interactions as \u0026#39;positive social\u0026#39;; \u0026#39;positive care\u0026#39;; \u0026#39;neutral\u0026#39;; \u0026#39;negative protective\u0026#39;; or \u0026#39;negative restrictive\u0026#39;. QuIS was developed as a research instrument in long term care settings and has since been used for quality improvement in acute care. Prior to this study, its use had not been standardised, and reliability and validity in acute care had not been established. In 2014 and 2015 a three - phase study was undertaken to develop and test protocols for the use of QuIS across three acute wards within one NHS trust in England. 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src="https://attachments.academia-assets.com/96871186/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405678/The_relationship_between_cognitive_impairment_mortality_and_discharge_characteristics_in_a_large_cohort_of_older_adults_with_unscheduled_admissions_to_an_acute_hospital_a_retrospective_observational_study">The relationship between cognitive impairment, mortality and discharge characteristics in a large cohort of older adults with unscheduled admissions to an acute hospital: a retrospective observational study</a></div><div class="wp-workCard_item"><span>Age and ageing</span><span>, Jan 25, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">older people with dementia admitted to hospital for acute illness have higher mortality and longe...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. Cognitive impairment (CI) is common in older people, and they may also be at increased risk of poor outcomes. retrospective observational study of unscheduled admissions aged ≥75 years. Admission characteristics, mortality rates and discharge outcomes were compared between three groups: (i) known dementia diagnosis (DD), (ii) CI but no diagnosis of dementia and (iii) no CI. of 19,269 admissions (13,652 patients), 19.8% had a DD, 11.6% had CI and 68.6% had neither. Admissions with CI or DD were older and had more females than those with no CI, and were more likely to be admitted through the Emergency Department (88.4% and 90.7%, versus 82.0%) and to medical wards (89.4% and 84.4%, versus 76.8%). Acuity levels at admission were similar between the groups. Patients with CI or DD had more admissions at &#39;high risk&#39; from malnutrition...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="1a189bfc1273d09d6c44206afbecf6d5" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871186,"asset_id":94405678,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871186/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405678"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405678"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405678; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405678]").text(description); $(".js-view-count[data-work-id=94405678]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405678; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405678']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405678, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "1a189bfc1273d09d6c44206afbecf6d5" } } $('.js-work-strip[data-work-id=94405678]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405678,"title":"The relationship between cognitive impairment, mortality and discharge characteristics in a large cohort of older adults with unscheduled admissions to an acute hospital: a retrospective observational study","translated_title":"","metadata":{"abstract":"older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. Cognitive impairment (CI) is common in older people, and they may also be at increased risk of poor outcomes. retrospective observational study of unscheduled admissions aged ≥75 years. Admission characteristics, mortality rates and discharge outcomes were compared between three groups: (i) known dementia diagnosis (DD), (ii) CI but no diagnosis of dementia and (iii) no CI. of 19,269 admissions (13,652 patients), 19.8% had a DD, 11.6% had CI and 68.6% had neither. Admissions with CI or DD were older and had more females than those with no CI, and were more likely to be admitted through the Emergency Department (88.4% and 90.7%, versus 82.0%) and to medical wards (89.4% and 84.4%, versus 76.8%). Acuity levels at admission were similar between the groups. 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$a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405677"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405677/Inter_rater_reliability_of_the_QuIS_as_an_assessment_of_the_quality_of_staff_inpatient_interactions"><img alt="Research paper thumbnail of Inter-rater reliability of the QuIS as an assessment of the quality of staff-inpatient interactions" class="work-thumbnail" src="https://attachments.academia-assets.com/96871170/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405677/Inter_rater_reliability_of_the_QuIS_as_an_assessment_of_the_quality_of_staff_inpatient_interactions">Inter-rater reliability of the QuIS as an assessment of the quality of staff-inpatient interactions</a></div><div class="wp-workCard_item"><span>BMC medical research methodology</span><span>, Dec 7, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Recent studies of the quality of in-hospital care have used the Quality of Interaction Schedule (...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Recent studies of the quality of in-hospital care have used the Quality of Interaction Schedule (QuIS) to rate interactions observed between staff and inpatients in a variety of ward conditions. The QuIS was developed and evaluated in nursing and residential care. We set out to develop methodology for summarising information from inter-rater reliability studies of the QuIS in the acute hospital setting. Staff-inpatient interactions were rated by trained staff observing care delivered during two-hour observation periods. Anticipating the possibility of the quality of care varying depending on ward conditions, we selected wards and times of day to reflect the variety of daytime care delivered to patients. We estimated inter-rater reliability using weighted kappa, κ w , combined over observation periods to produce an overall, summary estimate, [Formula: see text]. Weighting schemes putting different emphasis on the severity of misclassification between QuIS categories were compared, as...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="5e444ca0a84fa32a658f53ce6157c3c4" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871170,"asset_id":94405677,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871170/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405677"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405677"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405677; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405677]").text(description); $(".js-view-count[data-work-id=94405677]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405677; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405677']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405677, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "5e444ca0a84fa32a658f53ce6157c3c4" } } $('.js-work-strip[data-work-id=94405677]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405677,"title":"Inter-rater reliability of the QuIS as an assessment of the quality of staff-inpatient interactions","translated_title":"","metadata":{"abstract":"Recent studies of the quality of in-hospital care have used the Quality of Interaction Schedule (QuIS) to rate interactions observed between staff and inpatients in a variety of ward conditions. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94404992"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94404992/Post_operative_mortality_missed_care_and_nurse_staffing_in_nine_countries_A_cross_sectional_study"><img alt="Research paper thumbnail of Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study" class="work-thumbnail" src="https://attachments.academia-assets.com/96870712/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94404992/Post_operative_mortality_missed_care_and_nurse_staffing_in_nine_countries_A_cross_sectional_study">Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study</a></div><div class="wp-workCard_item"><span>International journal of nursing studies</span><span>, Jan 24, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Variation in post-operative mortality rates has been associated with differences in registered nu...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Variation in post-operative mortality rates has been associated with differences in registered nurse staffing levels. When nurse staffing levels are lower there is also a higher incidence of necessary but missed nursing care. Missed nursing care may be a significant predictor of patient mortality following surgery. Examine if missed nursing care mediates the observed association between nurse staffing levels and mortality. Data from the RN4CAST study (2009-2011) combined routinely collected data on 422,730 surgical patients from 300 general acute hospitals in 9 countries, with survey data from 26,516 registered nurses, to examine associations between nurses&#39; staffing, missed care and 30-day in-patient mortality. Staffing and missed care measures were derived from the nurse survey. A generalized estimation approach was used to examine the relationship between first staffing, and then missed care, on mortality. Bayesian methods were used to test for mediation. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="84798492"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/84798492/A_Japanese_version_of_the_Perceived_Stress_Scale_cross_cultural_translation_and_equivalence_assessment"><img alt="Research paper thumbnail of A Japanese version of the Perceived Stress Scale: cross-cultural translation and equivalence assessment" class="work-thumbnail" src="https://attachments.academia-assets.com/89698856/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/84798492/A_Japanese_version_of_the_Perceived_Stress_Scale_cross_cultural_translation_and_equivalence_assessment">A Japanese version of the Perceived Stress Scale: cross-cultural translation and equivalence assessment</a></div><div class="wp-workCard_item"><span>BMC Psychiatry</span><span>, 2008</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="a793f93fda2b9d7880b8455954caf899" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":89698856,"asset_id":84798492,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/89698856/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="84798492"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="84798492"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 84798492; 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The PSS is one of the few instruments to measure a global level of perceived stress, and has been widely used in a range of clinical and research settings. The PSS has already been translated into several languages, but there is no validated Japanese version. Methods: A forward-backward procedure was implemented. Multiple forward and backward translations were produced, and a panel of reviewers verified conceptual and semantic equivalence between the source and final versions. Non-professional translators who were not brought up in bilingual families were used in order to enhance representativeness of language in the target populations. The PSS was administered to 222 native English speakers and the Japanese version (PSS-J) to 1320 native Japanese speakers. Results: Factor analysis showed similar factor loadings of the items and satisfactory factorial agreement between the PSS and PSS-J. Cronbach's alpha coefficient was high for both versions and for each factor. 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Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":467939,"name":"Cross Cultural","url":"https://www.academia.edu/Documents/in/Cross_Cultural"},{"id":1201074,"name":"Psychological Stress","url":"https://www.academia.edu/Documents/in/Psychological_Stress"},{"id":1414499,"name":"Life Change Events","url":"https://www.academia.edu/Documents/in/Life_Change_Events"},{"id":3695086,"name":"Perceived stress scale","url":"https://www.academia.edu/Documents/in/Perceived_stress_scale"}],"urls":[{"id":22953157,"url":"http://link.springer.com/article/10.1186/1471-244X-8-85/fulltext.html"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="84798438"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/84798438/_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students"><img alt="Research paper thumbnail of “The damage I could do…”– Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students" class="work-thumbnail" src="https://attachments.academia-assets.com/89698804/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/84798438/_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students">“The damage I could do…”– Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students</a></div><div class="wp-workCard_item"><span>Journal of Nursing Education and Practice</span><span>, 2013</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="79e9694e6d855a8c584cfa4247d1da1f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":89698804,"asset_id":84798438,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/89698804/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="84798438"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="84798438"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 84798438; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=84798438]").text(description); $(".js-view-count[data-work-id=84798438]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 84798438; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='84798438']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 84798438, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "79e9694e6d855a8c584cfa4247d1da1f" } } $('.js-work-strip[data-work-id=84798438]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":84798438,"title":"“The damage I could do…”– Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students","translated_title":"","metadata":{"grobid_abstract":"Background: In recent years, nurse education has emphasised the development of high cost, high-fidelity simulations because they are considered to provide a more realistic learning experience. Integral is the facility to commit and learn from error. Error may provide a mechanism to make low cost, low-fidelity simulations more psychologically realistic and salient. We developed a web based medication administration simulation which included all essential cognitive elements of medication administration task, but was \"low-fidelity\" in engineering terms of its portrayal of the physical world. The simulation incorporated conditions designed to generate high rates of medication administration error. The purpose of this study was to determine if the low cost low-fidelity simulation provided a salient, effective and psychologically realistic learning experience for pre-registration nursing students over the long term. Methods: Individual qualitative interviews were conducted with 12 pre-registration nursing students, from one UK university, from a group of 49 students who had received the simulation as trial participants 2-years previously. The interviews were analysed using thematic analysis. Results: Most participants were able to reflect on their experiences of the simulation in depth, and considered the simulation to be a valuable component to their learning. The simulation encouraged students to question their practice and highlighted their vulnerability to medication administration error. It reinforced both the importance of completing checking procedures and the potential consequences of making an error in practice. Most students believed the lowfidelity simulation provided a psychologically realistic representation of medication administration, which was underpinned by the negative emotional reactions to making an error, for example, guilt. Conclusions: Low-fidelity web based simulations can provide a sufficiently realistic psychological representation of medication administration to produce a salient, effective learning experience over the long-term. Low-fidelity simulations can provide a low cost alternative to high-fidelity simulations. Making error in a simulation should be transformed from a useful but passive by-product into an active component of the simulation learning approach.","publication_date":{"day":null,"month":null,"year":2013,"errors":{}},"publication_name":"Journal of Nursing Education and Practice","grobid_abstract_attachment_id":89698804},"translated_abstract":null,"internal_url":"https://www.academia.edu/84798438/_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students","translated_internal_url":"","created_at":"2022-08-15T07:27:08.527-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":89698804,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/89698804/thumbnails/1.jpg","file_name":"The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity.pdf","download_url":"https://www.academia.edu/attachments/89698804/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"The_damage_I_could_do_Qualitative_evalu.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/89698804/The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity-libre.pdf?1660574220=\u0026response-content-disposition=attachment%3B+filename%3DThe_damage_I_could_do_Qualitative_evalu.pdf\u0026Expires=1732498225\u0026Signature=A9Sd8OXVfFzpTaRr0zexWboN4DT~~R1RSDGgbxPH2b0i2~O0V8HbEYOSggpyOkjQ7xp5S5pEHj9k~hE~KQYe5Kxu8SqEzxenVNzJsuLlxTGUQmGO8KXlMdx4BRWetOCKLawxschsnXJO660F-OlMiAwR6dZsrI8YAhlM~9IQhLFjoR8fRte1Y4A-Oewyh4EHsJXZsEBOqaaLVy6U2EJdyNb6b27~xa7ZmWvgIaeA-fhNE4WdijfA25dpHbkiKmEEyZnmYFfzKt6aAm~4mjQdhw-c~4raKyzkdvrTlBstJnSQ7VjB9iejiV8VuSShGdb071VRmJ9I9cW36JYv4c8abA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students","translated_slug":"","page_count":9,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":89698804,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/89698804/thumbnails/1.jpg","file_name":"The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity.pdf","download_url":"https://www.academia.edu/attachments/89698804/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"The_damage_I_could_do_Qualitative_evalu.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/89698804/The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity-libre.pdf?1660574220=\u0026response-content-disposition=attachment%3B+filename%3DThe_damage_I_could_do_Qualitative_evalu.pdf\u0026Expires=1732498225\u0026Signature=A9Sd8OXVfFzpTaRr0zexWboN4DT~~R1RSDGgbxPH2b0i2~O0V8HbEYOSggpyOkjQ7xp5S5pEHj9k~hE~KQYe5Kxu8SqEzxenVNzJsuLlxTGUQmGO8KXlMdx4BRWetOCKLawxschsnXJO660F-OlMiAwR6dZsrI8YAhlM~9IQhLFjoR8fRte1Y4A-Oewyh4EHsJXZsEBOqaaLVy6U2EJdyNb6b27~xa7ZmWvgIaeA-fhNE4WdijfA25dpHbkiKmEEyZnmYFfzKt6aAm~4mjQdhw-c~4raKyzkdvrTlBstJnSQ7VjB9iejiV8VuSShGdb071VRmJ9I9cW36JYv4c8abA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":236,"name":"Cognitive Psychology","url":"https://www.academia.edu/Documents/in/Cognitive_Psychology"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":922,"name":"Education","url":"https://www.academia.edu/Documents/in/Education"},{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety"},{"id":6601,"name":"Nurse Education","url":"https://www.academia.edu/Documents/in/Nurse_Education"},{"id":48636,"name":"Simulation","url":"https://www.academia.edu/Documents/in/Simulation"},{"id":91366,"name":"Change Blindness","url":"https://www.academia.edu/Documents/in/Change_Blindness"},{"id":96679,"name":"Quality and patient safety","url":"https://www.academia.edu/Documents/in/Quality_and_patient_safety"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="84798412"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/84798412/Economic_Evaluation_of_a_Nursing_Led_Intermediate_Care_Unit"><img alt="Research paper thumbnail of Economic Evaluation of a Nursing-Led Intermediate Care Unit" class="work-thumbnail" src="https://attachments.academia-assets.com/89698772/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/84798412/Economic_Evaluation_of_a_Nursing_Led_Intermediate_Care_Unit">Economic Evaluation of a Nursing-Led Intermediate Care Unit</a></div><div class="wp-workCard_item"><span>International Journal of Technology Assessment in Health Care</span><span>, 2001</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward progra...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward program together with examining the impact this may have on patients&#39; outcomes.Methods: The study had a sample size of 177 patients with a mean age of 77, and randomized to either a treatment group (care on a nursing-led ward, n = 97) or a control group (standard care usually on a consultant-led acute ward, n = 80). Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. However, the postdischarge costs were significantly lower for the treatment group.Conclusions: The provision of nursing-led intermediate care units has been proposed as a solution to inappropriate use of acute medical wards by patients who requir...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0b26038d685a38da28ce1e3e3c9eeae7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":89698772,"asset_id":84798412,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/89698772/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="84798412"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="84798412"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 84798412; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=84798412]").text(description); $(".js-view-count[data-work-id=84798412]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 84798412; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='84798412']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 84798412, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0b26038d685a38da28ce1e3e3c9eeae7" } } $('.js-work-strip[data-work-id=84798412]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":84798412,"title":"Economic Evaluation of a Nursing-Led Intermediate Care Unit","translated_title":"","metadata":{"abstract":"Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward program together with examining the impact this may have on patients\u0026#39; outcomes.Methods: The study had a sample size of 177 patients with a mean age of 77, and randomized to either a treatment group (care on a nursing-led ward, n = 97) or a control group (standard care usually on a consultant-led acute ward, n = 80). Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. However, the postdischarge costs were significantly lower for the treatment group.Conclusions: The provision of nursing-led intermediate care units has been proposed as a solution to inappropriate use of acute medical wards by patients who requir...","publisher":"Cambridge University Press (CUP)","publication_date":{"day":null,"month":null,"year":2001,"errors":{}},"publication_name":"International Journal of Technology Assessment in Health Care"},"translated_abstract":"Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward program together with examining the impact this may have on patients\u0026#39; outcomes.Methods: The study had a sample size of 177 patients with a mean age of 77, and randomized to either a treatment group (care on a nursing-led ward, n = 97) or a control group (standard care usually on a consultant-led acute ward, n = 80). Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. 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href="https://www.academia.edu/80345647/Keeping_to_the_same_old_pathways">Keeping to the same old pathways</a></div><div class="wp-workCard_item"><span>Nursing Standard</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The Department of Health (DH) once had lofty aspirations for reform of the healthcare workforce. ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The Department of Health (DH) once had lofty aspirations for reform of the healthcare workforce. 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Workforce research and the future of nursing" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80345646/Doing_Away_With_Doctors_Workforce_research_and_the_future_of_nursing">Doing Away With Doctors? Workforce research and the future of nursing</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This paper discusses research evidence about changes in the size and composi-tion of the health c...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This paper discusses research evidence about changes in the size and composi-tion of the health care workforce. Much of it concerns &#39;&#39;skill mix&#39;&#39; – a term often used to describe the mix of posts, grades or occupations in an organization or the combinations of activities or skills need-ed for each &quot;job&quot; within the organization (Buchan and Dal Puz 2002). 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="50631" id="papers"><div class="js-work-strip profile--work_container" data-work-id="106225839"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/106225839/Prevalence_of_cancer_chemotherapy_related_problems_their_relation_to_health_related_quality_of_life_and_associated_supportive_care_a_cross_sectional_survey"><img alt="Research paper thumbnail of Prevalence of cancer chemotherapy-related problems, their relation to health-related quality of life and associated supportive care: a cross-sectional survey" class="work-thumbnail" src="https://attachments.academia-assets.com/105477971/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/106225839/Prevalence_of_cancer_chemotherapy_related_problems_their_relation_to_health_related_quality_of_life_and_associated_supportive_care_a_cross_sectional_survey">Prevalence of cancer chemotherapy-related problems, their relation to health-related quality of life and associated supportive care: a cross-sectional survey</a></div><div class="wp-workCard_item"><span>Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer</span><span>, Dec 27, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The purpose of this study was to identify the treatment-associated problems that most impact on p...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The purpose of this study was to identify the treatment-associated problems that most impact on patients undergoing cancer chemotherapy, how problems relate to experiences of supportive care and variations in experience between cancer treatment centres. A survey administered to patients at six cancer centres in England explored variations of prevalence of 17 cancer chemotherapy-associated problems and associated supportive care. Problem items were identified as the most frequently experienced and severe when experienced in a scoping and consensus exercise. A health-related quality of life (HRQoL) measure, the EQ5D, was included to measure impact of problems. A total of 363 completed questionnaires were returned (response rate 43 %, median 61 %). The most prevalent problem was &#39;tiredness/fatigued&#39; (90 %), followed by &#39;changes in taste & smell&#39; (69 %) and &#39;difficulty managing everyday tasks&#39; (61 %). Significant variations in problem prevalence existed between c...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="881a6c32dfb2d6103ab425d52d7869cf" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":105477971,"asset_id":106225839,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/105477971/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="106225839"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="106225839"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 106225839; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=106225839]").text(description); $(".js-view-count[data-work-id=106225839]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 106225839; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='106225839']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 106225839, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "881a6c32dfb2d6103ab425d52d7869cf" } } $('.js-work-strip[data-work-id=106225839]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":106225839,"title":"Prevalence of cancer chemotherapy-related problems, their relation to health-related quality of life and associated supportive care: a cross-sectional survey","translated_title":"","metadata":{"abstract":"The purpose of this study was to identify the treatment-associated problems that most impact on patients undergoing cancer chemotherapy, how problems relate to experiences of supportive care and variations in experience between cancer treatment centres. 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Regular vital signs observations can reduce avoidable deterioration in hospital. Early Warning Score protocols set the frequency of these observations by the severity of a patient&#39;s condition. Vital signs observations are taken less frequently at night, even with an Early Warning Score in place, but no literature has explored why. A qualitative interpretative design informed this study. Seventeen semi-structured interviews with nursing staff working on wards with varying levels of adherence to scheduled vital signs observations. A thematic analysis approach was used. At night, nursing teams found it difficult to balance the competing care goals of supporting sleep with taking vital signs observations. 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The night-time frequency of these observations was determined by clinical judgement, ward-level expectations of observation timing and the risk of disturbing other pa...","publication_date":{"day":21,"month":1,"year":2017,"errors":{}},"publication_name":"Journal of clinical nursing"},"translated_abstract":"To explore why adherence to vital signs observations scheduled by an Early Warning Score protocol reduces at night. Regular vital signs observations can reduce avoidable deterioration in hospital. Early Warning Score protocols set the frequency of these observations by the severity of a patient\u0026#39;s condition. Vital signs observations are taken less frequently at night, even with an Early Warning Score in place, but no literature has explored why. A qualitative interpretative design informed this study. Seventeen semi-structured interviews with nursing staff working on wards with varying levels of adherence to scheduled vital signs observations. 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The night-time frequency of these observations was determined by clinical judgement, ward-level expectations of observation timing and the risk of disturbing other pa...","internal_url":"https://www.academia.edu/94405682/A_fundamental_conflict_of_care_nurses_accounts_of_balancing_sleep_with_taking_vital_signs_observations_at_night","translated_internal_url":"","created_at":"2023-01-05T09:55:32.571-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":96871171,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871171/thumbnails/1.jpg","file_name":"fullpdf.pdf","download_url":"https://www.academia.edu/attachments/96871171/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"A_fundamental_conflict_of_care_nurses_ac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871171/fullpdf-libre.pdf?1672941566=\u0026response-content-disposition=attachment%3B+filename%3DA_fundamental_conflict_of_care_nurses_ac.pdf\u0026Expires=1731455213\u0026Signature=KUxRzU5CBCLUfxYjM7Q2IvRJ1PIXqdRRxir8hS71-5mjF4CcWs4X6Y3H5VGl55MNSafYKGSx9Xa8BzlQKVTxtSi6Ejk2X2fARsW1RxICx0fArWYhGdoxkYNdr5uLK2yQ3PONilDE5xXRCVMDB2YkFFk9s1Bb15XuTiafrWP5Qu-GN~idxW9I1GBu4wJ1bwBObt0UHrTXtmA6AD~eLG6n5ZEggs9bzG30r28Y48oftX5npIFwYisZzmj9FolKi69CpSaNW2~nuR-vGfFnxSgXHhTT7bO25IS1cAH44I48LU24mqWwSioi3PA4r~aFisedbjVMdN499lqKj6U1JTMhoQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"A_fundamental_conflict_of_care_nurses_accounts_of_balancing_sleep_with_taking_vital_signs_observations_at_night","translated_slug":"","page_count":12,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":96871171,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871171/thumbnails/1.jpg","file_name":"fullpdf.pdf","download_url":"https://www.academia.edu/attachments/96871171/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"A_fundamental_conflict_of_care_nurses_ac.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871171/fullpdf-libre.pdf?1672941566=\u0026response-content-disposition=attachment%3B+filename%3DA_fundamental_conflict_of_care_nurses_ac.pdf\u0026Expires=1731455213\u0026Signature=KUxRzU5CBCLUfxYjM7Q2IvRJ1PIXqdRRxir8hS71-5mjF4CcWs4X6Y3H5VGl55MNSafYKGSx9Xa8BzlQKVTxtSi6Ejk2X2fARsW1RxICx0fArWYhGdoxkYNdr5uLK2yQ3PONilDE5xXRCVMDB2YkFFk9s1Bb15XuTiafrWP5Qu-GN~idxW9I1GBu4wJ1bwBObt0UHrTXtmA6AD~eLG6n5ZEggs9bzG30r28Y48oftX5npIFwYisZzmj9FolKi69CpSaNW2~nuR-vGfFnxSgXHhTT7bO25IS1cAH44I48LU24mqWwSioi3PA4r~aFisedbjVMdN499lqKj6U1JTMhoQ__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":1681,"name":"Decision Making","url":"https://www.academia.edu/Documents/in/Decision_Making"},{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":16664,"name":"Risk assessment","url":"https://www.academia.edu/Documents/in/Risk_assessment"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":133324,"name":"Sleep","url":"https://www.academia.edu/Documents/in/Sleep"},{"id":166359,"name":"Vital Signs","url":"https://www.academia.edu/Documents/in/Vital_Signs"},{"id":622589,"name":"Risk Assessment","url":"https://www.academia.edu/Documents/in/Risk_Assessment-2"},{"id":1274078,"name":"Clinical Nursing","url":"https://www.academia.edu/Documents/in/Clinical_Nursing"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405681"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405681/Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review"><img alt="Research paper thumbnail of Workforce characteristics and interventions associated with high-quality care and support to older people with cancer: a systematic review" class="work-thumbnail" src="https://attachments.academia-assets.com/96871174/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405681/Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review">Workforce characteristics and interventions associated with high-quality care and support to older people with cancer: a systematic review</a></div><div class="wp-workCard_item"><span>BMJ open</span><span>, Jan 31, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">To provide an overview of the evidence base on the effectiveness of workforce interventions for i...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">To provide an overview of the evidence base on the effectiveness of workforce interventions for improving the outcomes for older people with cancer, as well as analysing key features of the workforce associated with those improvements. Systematic review. Relevant databases were searched for primary research, published in English, reporting on older people and cancer and the outcomes of interventions to improve workforce knowledge, attitudes or skills; involving a change in workforce composition and/or skill mix; and/or requiring significant workforce reconfiguration or new roles. Studies were also sought on associations between the composition and characteristics of the cancer care workforce and older people&#39;s outcomes. A narrative synthesis was conducted and supported by tabulation of key study data. Studies (n=24) included 4555 patients aged 60+ from targeted cancer screening to end of life care. Interventions were diverse and two-thirds of the studies were assessed as low qua...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="25111cef6bf72021066dc6168b57cc7e" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871174,"asset_id":94405681,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871174/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405681"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405681"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405681; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405681]").text(description); $(".js-view-count[data-work-id=94405681]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405681; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405681']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405681, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "25111cef6bf72021066dc6168b57cc7e" } } $('.js-work-strip[data-work-id=94405681]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405681,"title":"Workforce characteristics and interventions associated with high-quality care and support to older people with cancer: a systematic review","translated_title":"","metadata":{"abstract":"To provide an overview of the evidence base on the effectiveness of workforce interventions for improving the outcomes for older people with cancer, as well as analysing key features of the workforce associated with those improvements. Systematic review. Relevant databases were searched for primary research, published in English, reporting on older people and cancer and the outcomes of interventions to improve workforce knowledge, attitudes or skills; involving a change in workforce composition and/or skill mix; and/or requiring significant workforce reconfiguration or new roles. Studies were also sought on associations between the composition and characteristics of the cancer care workforce and older people\u0026#39;s outcomes. A narrative synthesis was conducted and supported by tabulation of key study data. Studies (n=24) included 4555 patients aged 60+ from targeted cancer screening to end of life care. Interventions were diverse and two-thirds of the studies were assessed as low qua...","publication_date":{"day":31,"month":1,"year":2017,"errors":{}},"publication_name":"BMJ open"},"translated_abstract":"To provide an overview of the evidence base on the effectiveness of workforce interventions for improving the outcomes for older people with cancer, as well as analysing key features of the workforce associated with those improvements. Systematic review. Relevant databases were searched for primary research, published in English, reporting on older people and cancer and the outcomes of interventions to improve workforce knowledge, attitudes or skills; involving a change in workforce composition and/or skill mix; and/or requiring significant workforce reconfiguration or new roles. Studies were also sought on associations between the composition and characteristics of the cancer care workforce and older people\u0026#39;s outcomes. A narrative synthesis was conducted and supported by tabulation of key study data. Studies (n=24) included 4555 patients aged 60+ from targeted cancer screening to end of life care. Interventions were diverse and two-thirds of the studies were assessed as low qua...","internal_url":"https://www.academia.edu/94405681/Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review","translated_internal_url":"","created_at":"2023-01-05T09:55:32.464-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":96871174,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871174/thumbnails/1.jpg","file_name":"Workforce_characteristics_and_interventions_associated.pdf","download_url":"https://www.academia.edu/attachments/96871174/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Workforce_characteristics_and_interventi.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871174/Workforce_characteristics_and_interventions_associated-libre.pdf?1672941571=\u0026response-content-disposition=attachment%3B+filename%3DWorkforce_characteristics_and_interventi.pdf\u0026Expires=1731455213\u0026Signature=TbF1ZJi8Pci~9IzhRH7svtNY3IsiE0MfOyoLvbGeJhEt-ooY267o3xz86wuTFSbyCxB6x3HesXgTW2faBhyGc-LZr12hKPMJg0uKtMAm~z2XS3ZZtpIO-epz0R9sORGP2C7aDVHFHZ42MDRC5DbxLTpoOBf-nCbazxu~qvj-E6e6p1O-nuMwuW7kG5oe8SI6Cgf3xiIA5e8P6xtoItT9ftxkT4G~xArBR1B~E7vhIsPIGy~jObzstPSkmq8DqmTGSMjxIJseVKvGg93cGaxNU8Euf7J2bU30n-etHKp-vVrSZV2-DDyaGyWjR6xlizBosdyfJ-uR18-tX3TQ0MyWUA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Workforce_characteristics_and_interventions_associated_with_high_quality_care_and_support_to_older_people_with_cancer_a_systematic_review","translated_slug":"","page_count":15,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":96871174,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871174/thumbnails/1.jpg","file_name":"Workforce_characteristics_and_interventions_associated.pdf","download_url":"https://www.academia.edu/attachments/96871174/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Workforce_characteristics_and_interventi.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871174/Workforce_characteristics_and_interventions_associated-libre.pdf?1672941571=\u0026response-content-disposition=attachment%3B+filename%3DWorkforce_characteristics_and_interventi.pdf\u0026Expires=1731455213\u0026Signature=TbF1ZJi8Pci~9IzhRH7svtNY3IsiE0MfOyoLvbGeJhEt-ooY267o3xz86wuTFSbyCxB6x3HesXgTW2faBhyGc-LZr12hKPMJg0uKtMAm~z2XS3ZZtpIO-epz0R9sORGP2C7aDVHFHZ42MDRC5DbxLTpoOBf-nCbazxu~qvj-E6e6p1O-nuMwuW7kG5oe8SI6Cgf3xiIA5e8P6xtoItT9ftxkT4G~xArBR1B~E7vhIsPIGy~jObzstPSkmq8DqmTGSMjxIJseVKvGg93cGaxNU8Euf7J2bU30n-etHKp-vVrSZV2-DDyaGyWjR6xlizBosdyfJ-uR18-tX3TQ0MyWUA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":45142,"name":"Staff Development","url":"https://www.academia.edu/Documents/in/Staff_Development"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":116278,"name":"Psychological Intervention","url":"https://www.academia.edu/Documents/in/Psychological_Intervention"},{"id":161403,"name":"Workforce","url":"https://www.academia.edu/Documents/in/Workforce"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":469018,"name":"Neoplasms","url":"https://www.academia.edu/Documents/in/Neoplasms"},{"id":704648,"name":"Clinical Competence","url":"https://www.academia.edu/Documents/in/Clinical_Competence"},{"id":1010274,"name":"Standard of Care","url":"https://www.academia.edu/Documents/in/Standard_of_Care"},{"id":2060696,"name":"Health services for the aged","url":"https://www.academia.edu/Documents/in/Health_services_for_the_aged"},{"id":3016289,"name":"Health Manpower","url":"https://www.academia.edu/Documents/in/Health_Manpower"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405680"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405680/What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature"><img alt="Research paper thumbnail of What impact does nursing care left undone have on patient outcomes? Review of the literature" class="work-thumbnail" src="https://attachments.academia-assets.com/96871173/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405680/What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature">What impact does nursing care left undone have on patient outcomes? Review of the literature</a></div><div class="wp-workCard_item"><span>Journal of clinical nursing</span><span>, Jan 31, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital w...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear. Systematic review. We searched Medline (via Ovid), CINAHL (EBSCOhost) and Scopus for studies examining the association of missed nursing care and at least one patient outcome. Studies regarding registered nurses, healthcare assistants/support workers/nurses&#39; aides were retained. Only adult settings were included. Because of the nature of the review, qualitative studies, editorials, letters and commentaries were excluded. PRISMA guidelines were followed in reporting the review. Fourteen studies reported associations between missed care and patient outco...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="92549bd46d155e897763d1adc017db76" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871173,"asset_id":94405680,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871173/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405680"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405680"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405680; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405680]").text(description); $(".js-view-count[data-work-id=94405680]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405680; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405680']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405680, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "92549bd46d155e897763d1adc017db76" } } $('.js-work-strip[data-work-id=94405680]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405680,"title":"What impact does nursing care left undone have on patient outcomes? Review of the literature","translated_title":"","metadata":{"abstract":"Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear. Systematic review. We searched Medline (via Ovid), CINAHL (EBSCOhost) and Scopus for studies examining the association of missed nursing care and at least one patient outcome. Studies regarding registered nurses, healthcare assistants/support workers/nurses\u0026#39; aides were retained. Only adult settings were included. Because of the nature of the review, qualitative studies, editorials, letters and commentaries were excluded. PRISMA guidelines were followed in reporting the review. Fourteen studies reported associations between missed care and patient outco...","publication_date":{"day":31,"month":1,"year":2017,"errors":{}},"publication_name":"Journal of clinical nursing"},"translated_abstract":"Systematic review of the impact of missed nursing care on outcomes in adults, on acute hospital wards and in nursing homes. A considerable body of evidence support the hypothesis that lower levels of registered nurses on duty increases the likelihood of patients dying on hospital wards, and the risk of many aspects of care being either delayed or left undone (missed). However, the direct consequence of missed care remains unclear. Systematic review. We searched Medline (via Ovid), CINAHL (EBSCOhost) and Scopus for studies examining the association of missed nursing care and at least one patient outcome. Studies regarding registered nurses, healthcare assistants/support workers/nurses\u0026#39; aides were retained. Only adult settings were included. Because of the nature of the review, qualitative studies, editorials, letters and commentaries were excluded. PRISMA guidelines were followed in reporting the review. Fourteen studies reported associations between missed care and patient outco...","internal_url":"https://www.academia.edu/94405680/What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature","translated_internal_url":"","created_at":"2023-01-05T09:55:32.361-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":96871173,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871173/thumbnails/1.jpg","file_name":"Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing.pdf","download_url":"https://www.academia.edu/attachments/96871173/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"What_impact_does_nursing_care_left_undon.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871173/Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing-libre.pdf?1672941573=\u0026response-content-disposition=attachment%3B+filename%3DWhat_impact_does_nursing_care_left_undon.pdf\u0026Expires=1731455213\u0026Signature=BmAbdJM3a7SCIXZl50w~p64nFDX7aZb1O2wtPMBIf8lNbKKRl18wOIfR1gr6JW~EPGHPtltipbuygCfkrsvqJQCpS8Oh-Wk5gbJfvWBLuz5XF2oy3-2aAaskAYTzPNTwQ5bt~IQ-7QA6iFJyqy67BzgQUmwp7D5QDO5rg8qg-PZ0g8Nb6uVbrSk9AcP9nFptfGiRrvY~DZIwZMUFsMlXZpkSqgs2LSS6w8h4i7foKPVYXVLVmc0X265auZUxCuLftmjPfn8BTXNtZSRFYaHJp5fmwnwEiAHa5NaSMyXU5B3H-YlrUVElBZyTm4fkpr4a43wjlOLKjha1aC8oymVXuw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"What_impact_does_nursing_care_left_undone_have_on_patient_outcomes_Review_of_the_literature","translated_slug":"","page_count":12,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":96871173,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871173/thumbnails/1.jpg","file_name":"Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing.pdf","download_url":"https://www.academia.edu/attachments/96871173/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"What_impact_does_nursing_care_left_undon.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871173/Recio-Saucedo_et_al-2018-Journal_of_Clinical_Nursing-libre.pdf?1672941573=\u0026response-content-disposition=attachment%3B+filename%3DWhat_impact_does_nursing_care_left_undon.pdf\u0026Expires=1731455213\u0026Signature=BmAbdJM3a7SCIXZl50w~p64nFDX7aZb1O2wtPMBIf8lNbKKRl18wOIfR1gr6JW~EPGHPtltipbuygCfkrsvqJQCpS8Oh-Wk5gbJfvWBLuz5XF2oy3-2aAaskAYTzPNTwQ5bt~IQ-7QA6iFJyqy67BzgQUmwp7D5QDO5rg8qg-PZ0g8Nb6uVbrSk9AcP9nFptfGiRrvY~DZIwZMUFsMlXZpkSqgs2LSS6w8h4i7foKPVYXVLVmc0X265auZUxCuLftmjPfn8BTXNtZSRFYaHJp5fmwnwEiAHa5NaSMyXU5B3H-YlrUVElBZyTm4fkpr4a43wjlOLKjha1aC8oymVXuw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":221,"name":"Psychology","url":"https://www.academia.edu/Documents/in/Psychology"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":26327,"name":"Medicine","url":"https://www.academia.edu/Documents/in/Medicine"},{"id":64568,"name":"Humans","url":"https://www.academia.edu/Documents/in/Humans"},{"id":98925,"name":"Female","url":"https://www.academia.edu/Documents/in/Female"},{"id":111545,"name":"Male","url":"https://www.academia.edu/Documents/in/Male"},{"id":144052,"name":"Patient Satisfaction","url":"https://www.academia.edu/Documents/in/Patient_Satisfaction"},{"id":144053,"name":"Nursing Care","url":"https://www.academia.edu/Documents/in/Nursing_Care"},{"id":289271,"name":"Aged","url":"https://www.academia.edu/Documents/in/Aged"},{"id":295155,"name":"Middle Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":1274078,"name":"Clinical Nursing","url":"https://www.academia.edu/Documents/in/Clinical_Nursing"},{"id":3194761,"name":"Quality of health care","url":"https://www.academia.edu/Documents/in/Quality_of_health_care"},{"id":3499881,"name":"Outcome assessment (Health care)","url":"https://www.academia.edu/Documents/in/Outcome_assessment_Health_care_"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405679"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405679/Reliability_feasibility_and_validity_of_the_quality_of_interactions_schedule_QuIS_in_acute_hospital_care_an_observational_study"><img alt="Research paper thumbnail of Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study" class="work-thumbnail" src="https://attachments.academia-assets.com/96871172/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405679/Reliability_feasibility_and_validity_of_the_quality_of_interactions_schedule_QuIS_in_acute_hospital_care_an_observational_study">Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study</a></div><div class="wp-workCard_item"><span>BMC health services research</span><span>, May 31, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Research into relational care in hospitals will be facilitated by a focus on staff-patient intera...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Research into relational care in hospitals will be facilitated by a focus on staff-patient interactions. The Quality of Interactions Schedule (QuIS) uses independent observers to measure the number of staff-patient interactions within a healthcare context, and to rate these interactions as &#39;positive social&#39;; &#39;positive care&#39;; &#39;neutral&#39;; &#39;negative protective&#39;; or &#39;negative restrictive&#39;. QuIS was developed as a research instrument in long term care settings and has since been used for quality improvement in acute care. Prior to this study, its use had not been standardised, and reliability and validity in acute care had not been established. In 2014 and 2015 a three - phase study was undertaken to develop and test protocols for the use of QuIS across three acute wards within one NHS trust in England. The phases were: (1) A pilot of 16 h observation which developed implementation strategies for QuIS in this context; (2) training two observers and ...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="52afe20aab184ec76ff3a3f92409aeda" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871172,"asset_id":94405679,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871172/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405679"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405679"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405679; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405679]").text(description); $(".js-view-count[data-work-id=94405679]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405679; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405679']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405679, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "52afe20aab184ec76ff3a3f92409aeda" } } $('.js-work-strip[data-work-id=94405679]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405679,"title":"Reliability, feasibility, and validity of the quality of interactions schedule (QuIS) in acute hospital care: an observational study","translated_title":"","metadata":{"abstract":"Research into relational care in hospitals will be facilitated by a focus on staff-patient interactions. The Quality of Interactions Schedule (QuIS) uses independent observers to measure the number of staff-patient interactions within a healthcare context, and to rate these interactions as \u0026#39;positive social\u0026#39;; \u0026#39;positive care\u0026#39;; \u0026#39;neutral\u0026#39;; \u0026#39;negative protective\u0026#39;; or \u0026#39;negative restrictive\u0026#39;. QuIS was developed as a research instrument in long term care settings and has since been used for quality improvement in acute care. Prior to this study, its use had not been standardised, and reliability and validity in acute care had not been established. In 2014 and 2015 a three - phase study was undertaken to develop and test protocols for the use of QuIS across three acute wards within one NHS trust in England. The phases were: (1) A pilot of 16 h observation which developed implementation strategies for QuIS in this context; (2) training two observers and ...","publication_date":{"day":31,"month":5,"year":2017,"errors":{}},"publication_name":"BMC health services research"},"translated_abstract":"Research into relational care in hospitals will be facilitated by a focus on staff-patient interactions. The Quality of Interactions Schedule (QuIS) uses independent observers to measure the number of staff-patient interactions within a healthcare context, and to rate these interactions as \u0026#39;positive social\u0026#39;; \u0026#39;positive care\u0026#39;; \u0026#39;neutral\u0026#39;; \u0026#39;negative protective\u0026#39;; or \u0026#39;negative restrictive\u0026#39;. QuIS was developed as a research instrument in long term care settings and has since been used for quality improvement in acute care. Prior to this study, its use had not been standardised, and reliability and validity in acute care had not been established. In 2014 and 2015 a three - phase study was undertaken to develop and test protocols for the use of QuIS across three acute wards within one NHS trust in England. The phases were: (1) A pilot of 16 h observation which developed implementation strategies for QuIS in this context; (2) training two observers and ...","internal_url":"https://www.academia.edu/94405679/Reliability_feasibility_and_validity_of_the_quality_of_interactions_schedule_QuIS_in_acute_hospital_care_an_observational_study","translated_internal_url":"","created_at":"2023-01-05T09:55:32.250-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":96871172,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/96871172/thumbnails/1.jpg","file_name":"s12913-017-2312-2.pdf","download_url":"https://www.academia.edu/attachments/96871172/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Reliability_feasibility_and_validity_of.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/96871172/s12913-017-2312-2-libre.pdf?1672941560=\u0026response-content-disposition=attachment%3B+filename%3DReliability_feasibility_and_validity_of.pdf\u0026Expires=1731455213\u0026Signature=PhS5CumHIsA~sWHWw98z-E3heIl8wjUsx6epy8V5KBwcktQbZ8CrKfvD54AcvAnKmEHtTOKQZFMHg6~bGByiDYA977516mczMLuGE1h2eaERULad0TYv90-fEa2bZzlHWHXr8OY4zCa6qWu-JC7Li75W3BB8t7hrlu1yP7qHgZaWuDcEKrE8HhhE1ErTB~QuJpEujQfPZJwigmpH0tdLhV3531VEmzwak6FUYdzuHC3~xOFucqUc6tmZMQk2TITy6thxBhWyL2OjOFn8CWk3-yXZ4VmWxdI1ViVV8BZyqsPalo82LpoaJolsg5enYpHv8fXm6Z9tFtUOCHz5fxDnyw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Reliability_feasibility_and_validity_of_the_quality_of_interactions_schedule_QuIS_in_acute_hospital_care_an_observational_study","translated_slug":"","page_count":10,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter 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src="https://attachments.academia-assets.com/96871186/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405678/The_relationship_between_cognitive_impairment_mortality_and_discharge_characteristics_in_a_large_cohort_of_older_adults_with_unscheduled_admissions_to_an_acute_hospital_a_retrospective_observational_study">The relationship between cognitive impairment, mortality and discharge characteristics in a large cohort of older adults with unscheduled admissions to an acute hospital: a retrospective observational study</a></div><div class="wp-workCard_item"><span>Age and ageing</span><span>, Jan 25, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">older people with dementia admitted to hospital for acute illness have higher mortality and longe...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. Cognitive impairment (CI) is common in older people, and they may also be at increased risk of poor outcomes. retrospective observational study of unscheduled admissions aged ≥75 years. Admission characteristics, mortality rates and discharge outcomes were compared between three groups: (i) known dementia diagnosis (DD), (ii) CI but no diagnosis of dementia and (iii) no CI. of 19,269 admissions (13,652 patients), 19.8% had a DD, 11.6% had CI and 68.6% had neither. Admissions with CI or DD were older and had more females than those with no CI, and were more likely to be admitted through the Emergency Department (88.4% and 90.7%, versus 82.0%) and to medical wards (89.4% and 84.4%, versus 76.8%). Acuity levels at admission were similar between the groups. Patients with CI or DD had more admissions at &#39;high risk&#39; from malnutrition...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="1a189bfc1273d09d6c44206afbecf6d5" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871186,"asset_id":94405678,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871186/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405678"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405678"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405678; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405678]").text(description); $(".js-view-count[data-work-id=94405678]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405678; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405678']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405678, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "1a189bfc1273d09d6c44206afbecf6d5" } } $('.js-work-strip[data-work-id=94405678]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405678,"title":"The relationship between cognitive impairment, mortality and discharge characteristics in a large cohort of older adults with unscheduled admissions to an acute hospital: a retrospective observational study","translated_title":"","metadata":{"abstract":"older people with dementia admitted to hospital for acute illness have higher mortality and longer hospital stays compared to those without dementia. 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$a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405677"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405677/Inter_rater_reliability_of_the_QuIS_as_an_assessment_of_the_quality_of_staff_inpatient_interactions"><img alt="Research paper thumbnail of Inter-rater reliability of the QuIS as an assessment of the quality of staff-inpatient interactions" class="work-thumbnail" src="https://attachments.academia-assets.com/96871170/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405677/Inter_rater_reliability_of_the_QuIS_as_an_assessment_of_the_quality_of_staff_inpatient_interactions">Inter-rater reliability of the QuIS as an assessment of the quality of staff-inpatient interactions</a></div><div class="wp-workCard_item"><span>BMC medical research methodology</span><span>, Dec 7, 2016</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Recent studies of the quality of in-hospital care have used the Quality of Interaction Schedule (...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Recent studies of the quality of in-hospital care have used the Quality of Interaction Schedule (QuIS) to rate interactions observed between staff and inpatients in a variety of ward conditions. The QuIS was developed and evaluated in nursing and residential care. We set out to develop methodology for summarising information from inter-rater reliability studies of the QuIS in the acute hospital setting. Staff-inpatient interactions were rated by trained staff observing care delivered during two-hour observation periods. Anticipating the possibility of the quality of care varying depending on ward conditions, we selected wards and times of day to reflect the variety of daytime care delivered to patients. We estimated inter-rater reliability using weighted kappa, κ w , combined over observation periods to produce an overall, summary estimate, [Formula: see text]. Weighting schemes putting different emphasis on the severity of misclassification between QuIS categories were compared, as...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="5e444ca0a84fa32a658f53ce6157c3c4" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96871170,"asset_id":94405677,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96871170/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405677"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405677"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405677; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94405677]").text(description); $(".js-view-count[data-work-id=94405677]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94405677; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94405677']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94405677, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "5e444ca0a84fa32a658f53ce6157c3c4" } } $('.js-work-strip[data-work-id=94405677]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94405677,"title":"Inter-rater reliability of the QuIS as an assessment of the quality of staff-inpatient interactions","translated_title":"","metadata":{"abstract":"Recent studies of the quality of in-hospital care have used the Quality of Interaction Schedule (QuIS) to rate interactions observed between staff and inpatients in a variety of ward conditions. The QuIS was developed and evaluated in nursing and residential care. We set out to develop methodology for summarising information from inter-rater reliability studies of the QuIS in the acute hospital setting. Staff-inpatient interactions were rated by trained staff observing care delivered during two-hour observation periods. Anticipating the possibility of the quality of care varying depending on ward conditions, we selected wards and times of day to reflect the variety of daytime care delivered to patients. We estimated inter-rater reliability using weighted kappa, κ w , combined over observation periods to produce an overall, summary estimate, [Formula: see text]. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94405675"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94405675/RESEARCH_Acupuncture_forfrequent_attenders_with_medically_unexplained_symptoms_A_randomised_controlled_trial_CACTUS_study_"><img alt="Research paper thumbnail of RESEARCH-Acupuncture for'frequent attenders' with medically unexplained symptoms: A randomised controlled trial (CACTUS study)" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94405675/RESEARCH_Acupuncture_forfrequent_attenders_with_medically_unexplained_symptoms_A_randomised_controlled_trial_CACTUS_study_">RESEARCH-Acupuncture for'frequent attenders' with medically unexplained symptoms: A randomised controlled trial (CACTUS study)</a></div><div class="wp-workCard_item"><span>British Journal of General Practice-Journal ofRoyal College of General Pract</span><span>, 2011</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94405675"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94405675"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94405675; 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="94404992"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/94404992/Post_operative_mortality_missed_care_and_nurse_staffing_in_nine_countries_A_cross_sectional_study"><img alt="Research paper thumbnail of Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study" class="work-thumbnail" src="https://attachments.academia-assets.com/96870712/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/94404992/Post_operative_mortality_missed_care_and_nurse_staffing_in_nine_countries_A_cross_sectional_study">Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study</a></div><div class="wp-workCard_item"><span>International journal of nursing studies</span><span>, Jan 24, 2017</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Variation in post-operative mortality rates has been associated with differences in registered nu...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Variation in post-operative mortality rates has been associated with differences in registered nurse staffing levels. When nurse staffing levels are lower there is also a higher incidence of necessary but missed nursing care. Missed nursing care may be a significant predictor of patient mortality following surgery. Examine if missed nursing care mediates the observed association between nurse staffing levels and mortality. Data from the RN4CAST study (2009-2011) combined routinely collected data on 422,730 surgical patients from 300 general acute hospitals in 9 countries, with survey data from 26,516 registered nurses, to examine associations between nurses&#39; staffing, missed care and 30-day in-patient mortality. Staffing and missed care measures were derived from the nurse survey. A generalized estimation approach was used to examine the relationship between first staffing, and then missed care, on mortality. Bayesian methods were used to test for mediation. Nurse staffing and m...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="21f438f4c379abb33298c38e3b9eaead" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":96870712,"asset_id":94404992,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/96870712/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="94404992"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="94404992"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 94404992; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=94404992]").text(description); $(".js-view-count[data-work-id=94404992]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 94404992; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='94404992']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 94404992, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "21f438f4c379abb33298c38e3b9eaead" } } $('.js-work-strip[data-work-id=94404992]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":94404992,"title":"Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study","translated_title":"","metadata":{"abstract":"Variation in post-operative mortality rates has been associated with differences in registered nurse staffing levels. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="84798492"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/84798492/A_Japanese_version_of_the_Perceived_Stress_Scale_cross_cultural_translation_and_equivalence_assessment"><img alt="Research paper thumbnail of A Japanese version of the Perceived Stress Scale: cross-cultural translation and equivalence assessment" class="work-thumbnail" src="https://attachments.academia-assets.com/89698856/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/84798492/A_Japanese_version_of_the_Perceived_Stress_Scale_cross_cultural_translation_and_equivalence_assessment">A Japanese version of the Perceived Stress Scale: cross-cultural translation and equivalence assessment</a></div><div class="wp-workCard_item"><span>BMC Psychiatry</span><span>, 2008</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="a793f93fda2b9d7880b8455954caf899" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":89698856,"asset_id":84798492,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/89698856/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="84798492"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="84798492"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 84798492; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=84798492]").text(description); $(".js-view-count[data-work-id=84798492]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 84798492; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='84798492']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 84798492, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "a793f93fda2b9d7880b8455954caf899" } } $('.js-work-strip[data-work-id=84798492]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":84798492,"title":"A Japanese version of the Perceived Stress Scale: cross-cultural translation and equivalence assessment","translated_title":"","metadata":{"publisher":"Springer Science and Business Media LLC","grobid_abstract":"Background: This paper describes the development of a Japanese version of the Perceived Stress Scale (PSS), and examines the equivalence between the original and translated version. The PSS is one of the few instruments to measure a global level of perceived stress, and has been widely used in a range of clinical and research settings. The PSS has already been translated into several languages, but there is no validated Japanese version. Methods: A forward-backward procedure was implemented. Multiple forward and backward translations were produced, and a panel of reviewers verified conceptual and semantic equivalence between the source and final versions. Non-professional translators who were not brought up in bilingual families were used in order to enhance representativeness of language in the target populations. The PSS was administered to 222 native English speakers and the Japanese version (PSS-J) to 1320 native Japanese speakers. Results: Factor analysis showed similar factor loadings of the items and satisfactory factorial agreement between the PSS and PSS-J. Cronbach's alpha coefficient was high for both versions and for each factor. Conclusion: It is concluded that the PSS and PSS-J are substantially equivalent and suited for use in comparative cross-cultural studies.","publication_date":{"day":null,"month":null,"year":2008,"errors":{}},"publication_name":"BMC Psychiatry","grobid_abstract_attachment_id":89698856},"translated_abstract":null,"internal_url":"https://www.academia.edu/84798492/A_Japanese_version_of_the_Perceived_Stress_Scale_cross_cultural_translation_and_equivalence_assessment","translated_internal_url":"","created_at":"2022-08-15T07:27:54.325-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":89698856,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/89698856/thumbnails/1.jpg","file_name":"1471-244X-8-85.pdf","download_url":"https://www.academia.edu/attachments/89698856/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"A_Japanese_version_of_the_Perceived_Stre.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/89698856/1471-244X-8-85-libre.pdf?1660574218=\u0026response-content-disposition=attachment%3B+filename%3DA_Japanese_version_of_the_Perceived_Stre.pdf\u0026Expires=1732498225\u0026Signature=S3bI04wYhNYgDoDT27AAS8NkRQTIgEzlRN3eZxIPbcRZY3UoE~U3PwkXPeHCKhDFfom9CuTXF0xgbc0LhXySqHIeX6aLOWkyQmCZ1ZYGq~HZbsSTSKl5MQzCaSuPDlowUfQAzVm-aBIsypwUjj467GvtO2ruRnWOfJFf1vb6GTuoikoJ2zHuNeuZihoCwTbQldjOne8cU9Bpl9NCbyyoaIyh5G7Z5-WsclpZTBpRq7YeHVxjAe~Qmqwd~b-YAHpYOWEz9wCKrwpL7aqFI-hC8nv8IexZy1mg20Vq7OdKqCyf6SGUerXWZg1YJOgxO~MhvAPuwhWjfm6HoazhbnE8ew__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"A_Japanese_version_of_the_Perceived_Stress_Scale_cross_cultural_translation_and_equivalence_assessment","translated_slug":"","page_count":7,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter 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Aged","url":"https://www.academia.edu/Documents/in/Middle_Aged"},{"id":327850,"name":"Questionnaires","url":"https://www.academia.edu/Documents/in/Questionnaires"},{"id":382075,"name":"Adult","url":"https://www.academia.edu/Documents/in/Adult"},{"id":467939,"name":"Cross Cultural","url":"https://www.academia.edu/Documents/in/Cross_Cultural"},{"id":1201074,"name":"Psychological Stress","url":"https://www.academia.edu/Documents/in/Psychological_Stress"},{"id":1414499,"name":"Life Change Events","url":"https://www.academia.edu/Documents/in/Life_Change_Events"},{"id":3695086,"name":"Perceived stress scale","url":"https://www.academia.edu/Documents/in/Perceived_stress_scale"}],"urls":[{"id":22953157,"url":"http://link.springer.com/article/10.1186/1471-244X-8-85/fulltext.html"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="84798438"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/84798438/_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students"><img alt="Research paper thumbnail of “The damage I could do…”– Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students" class="work-thumbnail" src="https://attachments.academia-assets.com/89698804/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/84798438/_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students">“The damage I could do…”– Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students</a></div><div class="wp-workCard_item"><span>Journal of Nursing Education and Practice</span><span>, 2013</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="79e9694e6d855a8c584cfa4247d1da1f" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":89698804,"asset_id":84798438,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/89698804/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="84798438"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="84798438"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 84798438; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=84798438]").text(description); $(".js-view-count[data-work-id=84798438]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 84798438; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='84798438']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 84798438, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "79e9694e6d855a8c584cfa4247d1da1f" } } $('.js-work-strip[data-work-id=84798438]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":84798438,"title":"“The damage I could do…”– Qualitative evaluation of a low-fidelity medication administration simulation that generates error as a learning experience for pre-registration nursing students","translated_title":"","metadata":{"grobid_abstract":"Background: In recent years, nurse education has emphasised the development of high cost, high-fidelity simulations because they are considered to provide a more realistic learning experience. Integral is the facility to commit and learn from error. Error may provide a mechanism to make low cost, low-fidelity simulations more psychologically realistic and salient. We developed a web based medication administration simulation which included all essential cognitive elements of medication administration task, but was \"low-fidelity\" in engineering terms of its portrayal of the physical world. The simulation incorporated conditions designed to generate high rates of medication administration error. The purpose of this study was to determine if the low cost low-fidelity simulation provided a salient, effective and psychologically realistic learning experience for pre-registration nursing students over the long term. Methods: Individual qualitative interviews were conducted with 12 pre-registration nursing students, from one UK university, from a group of 49 students who had received the simulation as trial participants 2-years previously. The interviews were analysed using thematic analysis. Results: Most participants were able to reflect on their experiences of the simulation in depth, and considered the simulation to be a valuable component to their learning. The simulation encouraged students to question their practice and highlighted their vulnerability to medication administration error. It reinforced both the importance of completing checking procedures and the potential consequences of making an error in practice. Most students believed the lowfidelity simulation provided a psychologically realistic representation of medication administration, which was underpinned by the negative emotional reactions to making an error, for example, guilt. Conclusions: Low-fidelity web based simulations can provide a sufficiently realistic psychological representation of medication administration to produce a salient, effective learning experience over the long-term. Low-fidelity simulations can provide a low cost alternative to high-fidelity simulations. Making error in a simulation should be transformed from a useful but passive by-product into an active component of the simulation learning approach.","publication_date":{"day":null,"month":null,"year":2013,"errors":{}},"publication_name":"Journal of Nursing Education and Practice","grobid_abstract_attachment_id":89698804},"translated_abstract":null,"internal_url":"https://www.academia.edu/84798438/_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students","translated_internal_url":"","created_at":"2022-08-15T07:27:08.527-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"paper","co_author_tags":[],"downloadable_attachments":[{"id":89698804,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/89698804/thumbnails/1.jpg","file_name":"The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity.pdf","download_url":"https://www.academia.edu/attachments/89698804/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"The_damage_I_could_do_Qualitative_evalu.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/89698804/The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity-libre.pdf?1660574220=\u0026response-content-disposition=attachment%3B+filename%3DThe_damage_I_could_do_Qualitative_evalu.pdf\u0026Expires=1732498225\u0026Signature=A9Sd8OXVfFzpTaRr0zexWboN4DT~~R1RSDGgbxPH2b0i2~O0V8HbEYOSggpyOkjQ7xp5S5pEHj9k~hE~KQYe5Kxu8SqEzxenVNzJsuLlxTGUQmGO8KXlMdx4BRWetOCKLawxschsnXJO660F-OlMiAwR6dZsrI8YAhlM~9IQhLFjoR8fRte1Y4A-Oewyh4EHsJXZsEBOqaaLVy6U2EJdyNb6b27~xa7ZmWvgIaeA-fhNE4WdijfA25dpHbkiKmEEyZnmYFfzKt6aAm~4mjQdhw-c~4raKyzkdvrTlBstJnSQ7VjB9iejiV8VuSShGdb071VRmJ9I9cW36JYv4c8abA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"_The_damage_I_could_do_Qualitative_evaluation_of_a_low_fidelity_medication_administration_simulation_that_generates_error_as_a_learning_experience_for_pre_registration_nursing_students","translated_slug":"","page_count":9,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":89698804,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/89698804/thumbnails/1.jpg","file_name":"The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity.pdf","download_url":"https://www.academia.edu/attachments/89698804/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"The_damage_I_could_do_Qualitative_evalu.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/89698804/The_2520damage_2520I_2520could_2520do._2520Qualitative_2520evaluation_2520of_2520a_2520low_2520fidelity-libre.pdf?1660574220=\u0026response-content-disposition=attachment%3B+filename%3DThe_damage_I_could_do_Qualitative_evalu.pdf\u0026Expires=1732498225\u0026Signature=A9Sd8OXVfFzpTaRr0zexWboN4DT~~R1RSDGgbxPH2b0i2~O0V8HbEYOSggpyOkjQ7xp5S5pEHj9k~hE~KQYe5Kxu8SqEzxenVNzJsuLlxTGUQmGO8KXlMdx4BRWetOCKLawxschsnXJO660F-OlMiAwR6dZsrI8YAhlM~9IQhLFjoR8fRte1Y4A-Oewyh4EHsJXZsEBOqaaLVy6U2EJdyNb6b27~xa7ZmWvgIaeA-fhNE4WdijfA25dpHbkiKmEEyZnmYFfzKt6aAm~4mjQdhw-c~4raKyzkdvrTlBstJnSQ7VjB9iejiV8VuSShGdb071VRmJ9I9cW36JYv4c8abA__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":236,"name":"Cognitive Psychology","url":"https://www.academia.edu/Documents/in/Cognitive_Psychology"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":922,"name":"Education","url":"https://www.academia.edu/Documents/in/Education"},{"id":3286,"name":"Patient Safety","url":"https://www.academia.edu/Documents/in/Patient_Safety"},{"id":6601,"name":"Nurse Education","url":"https://www.academia.edu/Documents/in/Nurse_Education"},{"id":48636,"name":"Simulation","url":"https://www.academia.edu/Documents/in/Simulation"},{"id":91366,"name":"Change Blindness","url":"https://www.academia.edu/Documents/in/Change_Blindness"},{"id":96679,"name":"Quality and patient safety","url":"https://www.academia.edu/Documents/in/Quality_and_patient_safety"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="84798412"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/84798412/Economic_Evaluation_of_a_Nursing_Led_Intermediate_Care_Unit"><img alt="Research paper thumbnail of Economic Evaluation of a Nursing-Led Intermediate Care Unit" class="work-thumbnail" src="https://attachments.academia-assets.com/89698772/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/84798412/Economic_Evaluation_of_a_Nursing_Led_Intermediate_Care_Unit">Economic Evaluation of a Nursing-Led Intermediate Care Unit</a></div><div class="wp-workCard_item"><span>International Journal of Technology Assessment in Health Care</span><span>, 2001</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward progra...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward program together with examining the impact this may have on patients&#39; outcomes.Methods: The study had a sample size of 177 patients with a mean age of 77, and randomized to either a treatment group (care on a nursing-led ward, n = 97) or a control group (standard care usually on a consultant-led acute ward, n = 80). Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. However, the postdischarge costs were significantly lower for the treatment group.Conclusions: The provision of nursing-led intermediate care units has been proposed as a solution to inappropriate use of acute medical wards by patients who requir...</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="0b26038d685a38da28ce1e3e3c9eeae7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":89698772,"asset_id":84798412,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/89698772/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="84798412"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="84798412"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 84798412; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=84798412]").text(description); $(".js-view-count[data-work-id=84798412]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 84798412; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='84798412']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 84798412, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "0b26038d685a38da28ce1e3e3c9eeae7" } } $('.js-work-strip[data-work-id=84798412]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":84798412,"title":"Economic Evaluation of a Nursing-Led Intermediate Care Unit","translated_title":"","metadata":{"abstract":"Objective: The aim of this paper is to examine the costs of introducing a nursing-led ward program together with examining the impact this may have on patients\u0026#39; outcomes.Methods: The study had a sample size of 177 patients with a mean age of 77, and randomized to either a treatment group (care on a nursing-led ward, n = 97) or a control group (standard care usually on a consultant-led acute ward, n = 80). Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. 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Resource use data including length of stay, tests and investigations performed, and multidisciplinary involvement in care were collected.Results: There were no significant differences in outcome between the two groups. The inpatient costs for the treatment group were significantly higher, due to the longer length of stay in this group. However, the postdischarge costs were significantly lower for the treatment group.Conclusions: The provision of nursing-led intermediate care units has been proposed as a solution to inappropriate use of acute medical wards by patients who 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href="https://www.academia.edu/80345647/Keeping_to_the_same_old_pathways">Keeping to the same old pathways</a></div><div class="wp-workCard_item"><span>Nursing Standard</span><span>, 2007</span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">The Department of Health (DH) once had lofty aspirations for reform of the healthcare workforce. ...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">The Department of Health (DH) once had lofty aspirations for reform of the healthcare workforce. Its document A Health Service of All The Talents (HSAT) advocated patient-led planning with a workforce of &#39;teams... rather than different professional tribes&#39; (DH 2000) (see box page 63 ).</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="80345647"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="80345647"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 80345647; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=80345647]").text(description); $(".js-view-count[data-work-id=80345647]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 80345647; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='80345647']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 80345647, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=80345647]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":80345647,"title":"Keeping to the same old pathways","translated_title":"","metadata":{"abstract":"The Department of Health (DH) once had lofty aspirations for reform of the healthcare workforce. 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Workforce research and the future of nursing" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/80345646/Doing_Away_With_Doctors_Workforce_research_and_the_future_of_nursing">Doing Away With Doctors? Workforce research and the future of nursing</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This paper discusses research evidence about changes in the size and composi-tion of the health c...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This paper discusses research evidence about changes in the size and composi-tion of the health care workforce. Much of it concerns &#39;&#39;skill mix&#39;&#39; – a term often used to describe the mix of posts, grades or occupations in an organization or the combinations of activities or skills need-ed for each &quot;job&quot; within the organization (Buchan and Dal Puz 2002). It is, on the face of it, a dry subject: remote from the day to day concerns and drama of clinical care. A rarefied pursuit and, perhaps, an example of researchers preoccupied with research that has little application &#39;to practice&#39;. On the other hand, workforce research is a surprisingly emotive subject because it raises questions about the fun-damental value of what people: health care workers, actually do, how they spend their working lives and, ultimately, their ability to make a living. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> </div><div class="profile--tab_content_container js-tab-pane tab-pane" data-section-id="50969" id="books"><div class="js-work-strip profile--work_container" data-work-id="3074440"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/3074440/Scoping_the_role_of_the_dementia_nurse_specialist_in_acute_care"><img alt="Research paper thumbnail of Scoping the role of the dementia nurse specialist in acute care" class="work-thumbnail" src="https://attachments.academia-assets.com/31001416/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/3074440/Scoping_the_role_of_the_dementia_nurse_specialist_in_acute_care">Scoping the role of the dementia nurse specialist in acute care</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated"> Abstract: This report explores evidence to identify the potential benefits and to inform the...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Abstract: This report explores evidence to identify the potential benefits and to inform the implementation of dementia specialist nursing roles to support people with dementia during admission to hospital. It shows a business case exists for developing a dementia specialist nurse role in the United Kingdom. The evidence suggests that a properly trained and educated 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. If these benefits addressed only a fraction of the excess stays experienced by people with dementia, a significant return on investment could be obtained. A reduction in hospital stay by one day on average could achieve an annual return on investment of 37%, with a net saving of nearly £11,000,000 nationally.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="5dac33a52821f4bbc38d0a2a12a5f542" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":31001416,"asset_id":3074440,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/31001416/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="3074440"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="3074440"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 3074440; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=3074440]").text(description); $(".js-view-count[data-work-id=3074440]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 3074440; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='3074440']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 3074440, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "5dac33a52821f4bbc38d0a2a12a5f542" } } $('.js-work-strip[data-work-id=3074440]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":3074440,"title":"Scoping the role of the dementia nurse specialist in acute care","translated_title":"","metadata":{"abstract":" Abstract: This report explores evidence to identify the potential benefits and to inform the implementation of dementia specialist nursing roles to support people with dementia during admission to hospital. 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","more_info":"comissioned by the royal College of Nursing (RCN)","publication_date":{"day":null,"month":3,"year":2013,"errors":{}}},"translated_abstract":" Abstract: This report explores evidence to identify the potential benefits and to inform the implementation of dementia specialist nursing roles to support people with dementia during admission to hospital. It shows a business case exists for developing a dementia specialist nurse role in the United Kingdom. The evidence suggests that a properly trained and educated 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. If these benefits addressed only a fraction of the excess stays experienced by people with dementia, a significant return on investment could be obtained. A reduction in hospital stay by one day on average could achieve an annual return on investment of 37%, with a net saving of nearly £11,000,000 nationally. 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Sciences","url":"https://www.academia.edu/Documents/in/Health_Sciences"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":3662,"name":"Dementia","url":"https://www.academia.edu/Documents/in/Dementia"},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":99192,"name":"Clinical Nurse Specialists","url":"https://www.academia.edu/Documents/in/Clinical_Nurse_Specialists"}],"urls":[{"id":893931,"url":"http://eprints.soton.ac.uk/349714/"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="2252385"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/2252385/High_Quality_Care_Metrics_for_Nursing"><img alt="Research paper thumbnail of High Quality Care Metrics for Nursing" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/2252385/High_Quality_Care_Metrics_for_Nursing">High Quality Care Metrics for Nursing</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">In April 2012 the Chief Nursing Officer Designate, Jane Cummings, requested the establishment o...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">In April 2012 the Chief Nursing Officer Designate, Jane Cummings, requested <br /> the establishment of a Task and Finish Group to look at measuring the quality of <br /> nursing care in the National Health Service (NHS). To inform the work of the <br /> Group the National Nursing Research Unit (NNRU) at King’s College London <br /> was asked to undertake a rapid appraisal (June-July 2012) of the evidence to date <br /> on nursing measures. <br /> The overall purpose of the resulting High Quality Care Metrics for Nursing <br /> report is to bring together the evidence and theory in a useful way to inform <br /> recommendations that will be put forward by the Task and Finish Group. In <br /> particular it aims to: <br /> • Review current knowledge and issues in defining and using nursing metrics <br /> as part of a national architecture for measuring the quality of healthcare that <br /> enables: accountability, quality improvement and transparency (the three <br /> dimensions identified in the NHS Outcomes Framework). <br /> • Build on the 2008 National Nursing Research Unit report State of the Art <br /> Metrics (Griffiths et al. 2008) to further identify the nursing metrics that are <br /> currently in operation, and explore any major trends, both nationally and <br /> internationally. <br /> The wider context of this work is a need to: <br /> • Establish a (small) set of clearly defined key indicators of high quality nursing. <br /> • Consider these alongside broader factors that underpin high quality healthcare. <br /> • Align nursing metrics with ‘what matters most’ to patients in terms of their <br /> experiences. <br /> • Demonstrate the broader contribution of nursing to high quality care. <br /> • Design and implement an infrastructure that enables national consistency and <br /> benchmarking between organisations. <br /> This report looks at UK initiatives and international developments in the <br /> measurement of nursing quality. Advances since our 2008 report include: more <br /> international healthcare systems using nursing metrics, the development of metrics <br /> for quality improvement and transparency in the UK, specialty-specific metrics <br /> (e.g. mental health nursing) and metrics in NHS accountability systems (e.g. <br /> clinical dashboards). <br /> High quality care metrics for nursing <br /> 2 <br /> Key findings of this report are that: <br /> • There are a number of widely recognised indicators of nursing care quality. <br /> These include: <br /> · Healthcare associated infection <br /> · Pressure ulcers <br /> · Falls <br /> · Drug administration errors <br /> · Patient complaints <br /> • It is unclear the extent to which all of these are sensitive to variation in nursing <br /> quality but they are plausible and, as such, widely supported. <br /> • There are numerous contextual variables that impact upon the quality of <br /> nursing care which can be regarded as wider structural indicators. These <br /> include: <br /> · Workforce e.g. staffing levels, skill mix, sickness absence <br /> · Staff experiences e.g. perception of the practice environment <br /> · Systems e.g. admissions, discharge, handover <br /> • Many NHS trusts are measuring some or all of these indicators in a structured <br /> way at a local level, including the use of quality dashboards. <br /> • There is considerable overlap between approaches to quality measurement but <br /> little standardisation of indicators. <br /> • As a result, many current systems of measurement do not permit benchmarking <br /> between organisations at the ward/unit level. <br /> • There is some degree of standardisation around specific nursing quality <br /> indicators for patient safety, including measures for falls and pressure sores <br /> (the NHS Safety Thermometer, and through the North West Transparency <br /> project). <br /> • We do not have good risk adjustment for measures such as falls and pressure <br /> ulcers to ensure valid comparisons between organisations. <br /> • Few if any UK systems appear to have the sophistication of the ‘state of the art’ <br /> represented by the United States and Canadian systems, although we have not <br /> been able to review them in depth here. <br /> High quality care metrics for nursing <br /> 3 <br /> Lessons from international systems are that: <br /> • Systems that collect patient level data can be risk adjusted, to ensure <br /> meaningful comparison across the system (i.e. benchmarking between matched <br /> comparators, or for specific specialties). <br /> • Systems and infrastructure need to be put in place and tested to enable <br /> consistent definition, collection and interpretation of information. <br /> • Commitment and investment is needed to develop and secure the required <br /> infrastructure <br /> • It is essential to have sufficient resourcing including for example the right <br /> informatics systems, information technology and expertise in place. <br /> • Professional learning networks specifically focusing on the contribution of <br /> nursing to achieving high quality care can support implementation. <br /> Whilst there has been considerable interest and some notable successes in <br /> measuring nursing quality in the UK, further work is needed to: <br /> • Coordinate a consistent and standardised approach to the collection, analysis, <br /> and interpretation of a core minimum dataset. <br /> • Identify a wider range of metrics and indicators that relate to effective and <br /> compassionate care, not just safety. <br /> • Develop metrics and systems that reflect the wider structural factors that <br /> underpin nursing quality, such as staffing, skill mix and staff experiences and <br /> link to other care quality metrics such as patient experience. <br /> • Create or adapt local infrastructure (e.g. information systems and technologies) <br /> to minimise the burden of measurement on staff. <br /> • Gain an informed understanding of what aspects of nursing quality are being <br /> measured by any new system, and what is not - or cannot - be measured (but is <br /> still important) and how this fits with the ‘whole picture’ of nursing quality. <br /> • Explore the potential for patient level data to be risk adjusted, to ensure <br /> meaningful comparison across the system (i.e. benchmarking between matched <br /> comparators, or for specific specialties). <br /> • Develop and secure support from national and regional leads for a national <br /> system of measurement and reporting before rolling-out any future <br /> measurement initiative to healthcare provider organisations. <br /> • Support professional learning networks which focus on the contribution of <br /> nursing to achieving high quality care.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="838e4aa44c4141b05a72defc8b14e59b" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":30304112,"asset_id":2252385,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/30304112/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="2252385"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="2252385"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 2252385; 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To inform the work of the\r\n Group the National Nursing Research Unit (NNRU) at King’s College London\r\n was asked to undertake a rapid appraisal (June-July 2012) of the evidence to date\r\n on nursing measures.\r\n The overall purpose of the resulting High Quality Care Metrics for Nursing\r\n report is to bring together the evidence and theory in a useful way to inform\r\n recommendations that will be put forward by the Task and Finish Group. In\r\n particular it aims to:\r\n • Review current knowledge and issues in defining and using nursing metrics\r\n as part of a national architecture for measuring the quality of healthcare that\r\n enables: accountability, quality improvement and transparency (the three\r\n dimensions identified in the NHS Outcomes Framework).\r\n • Build on the 2008 National Nursing Research Unit report State of the Art\r\n Metrics (Griffiths et al. 2008) to further identify the nursing metrics that are\r\n currently in operation, and explore any major trends, both nationally and\r\n internationally.\r\n The wider context of this work is a need to:\r\n • Establish a (small) set of clearly defined key indicators of high quality nursing.\r\n • Consider these alongside broader factors that underpin high quality healthcare.\r\n • Align nursing metrics with ‘what matters most’ to patients in terms of their\r\n experiences.\r\n • Demonstrate the broader contribution of nursing to high quality care.\r\n • Design and implement an infrastructure that enables national consistency and\r\n benchmarking between organisations.\r\n This report looks at UK initiatives and international developments in the\r\n measurement of nursing quality. Advances since our 2008 report include: more\r\n international healthcare systems using nursing metrics, the development of metrics\r\n for quality improvement and transparency in the UK, specialty-specific metrics\r\n (e.g. mental health nursing) and metrics in NHS accountability systems (e.g.\r\n clinical dashboards).\r\n High quality care metrics for nursing\r\n 2\r\n Key findings of this report are that:\r\n • There are a number of widely recognised indicators of nursing care quality.\r\n These include:\r\n · Healthcare associated infection\r\n · Pressure ulcers\r\n · Falls\r\n · Drug administration errors\r\n · Patient complaints\r\n • It is unclear the extent to which all of these are sensitive to variation in nursing\r\n quality but they are plausible and, as such, widely supported.\r\n • There are numerous contextual variables that impact upon the quality of\r\n nursing care which can be regarded as wider structural indicators. These\r\n include:\r\n · Workforce e.g. staffing levels, skill mix, sickness absence\r\n · Staff experiences e.g. perception of the practice environment\r\n · Systems e.g. admissions, discharge, handover\r\n • Many NHS trusts are measuring some or all of these indicators in a structured\r\n way at a local level, including the use of quality dashboards.\r\n • There is considerable overlap between approaches to quality measurement but\r\n little standardisation of indicators.\r\n • As a result, many current systems of measurement do not permit benchmarking\r\n between organisations at the ward/unit level.\r\n • There is some degree of standardisation around specific nursing quality\r\n indicators for patient safety, including measures for falls and pressure sores\r\n (the NHS Safety Thermometer, and through the North West Transparency\r\n project).\r\n • We do not have good risk adjustment for measures such as falls and pressure\r\n ulcers to ensure valid comparisons between organisations.\r\n • Few if any UK systems appear to have the sophistication of the ‘state of the art’\r\n represented by the United States and Canadian systems, although we have not\r\n been able to review them in depth here.\r\n High quality care metrics for nursing\r\n 3\r\n Lessons from international systems are that:\r\n • Systems that collect patient level data can be risk adjusted, to ensure\r\n meaningful comparison across the system (i.e. benchmarking between matched\r\n comparators, or for specific specialties).\r\n • Systems and infrastructure need to be put in place and tested to enable\r\n consistent definition, collection and interpretation of information.\r\n • Commitment and investment is needed to develop and secure the required\r\n infrastructure\r\n • It is essential to have sufficient resourcing including for example the right\r\n informatics systems, information technology and expertise in place.\r\n • Professional learning networks specifically focusing on the contribution of\r\n nursing to achieving high quality care can support implementation.\r\n Whilst there has been considerable interest and some notable successes in\r\n measuring nursing quality in the UK, further work is needed to:\r\n • Coordinate a consistent and standardised approach to the collection, analysis,\r\n and interpretation of a core minimum dataset.\r\n • Identify a wider range of metrics and indicators that relate to effective and\r\n compassionate care, not just safety.\r\n • Develop metrics and systems that reflect the wider structural factors that\r\n underpin nursing quality, such as staffing, skill mix and staff experiences and\r\n link to other care quality metrics such as patient experience.\r\n • Create or adapt local infrastructure (e.g. information systems and technologies)\r\n to minimise the burden of measurement on staff.\r\n • Gain an informed understanding of what aspects of nursing quality are being\r\n measured by any new system, and what is not - or cannot - be measured (but is\r\n still important) and how this fits with the ‘whole picture’ of nursing quality.\r\n • Explore the potential for patient level data to be risk adjusted, to ensure\r\n meaningful comparison across the system (i.e. benchmarking between matched\r\n comparators, or for specific specialties).\r\n • Develop and secure support from national and regional leads for a national\r\n system of measurement and reporting before rolling-out any future\r\n measurement initiative to healthcare provider organisations.\r\n • Support professional learning networks which focus on the contribution of\r\n nursing to achieving high quality care."},"translated_abstract":"In April 2012 the Chief Nursing Officer Designate, Jane Cummings, requested\r\n the establishment of a Task and Finish Group to look at measuring the quality of\r\n nursing care in the National Health Service (NHS). To inform the work of the\r\n Group the National Nursing Research Unit (NNRU) at King’s College London\r\n was asked to undertake a rapid appraisal (June-July 2012) of the evidence to date\r\n on nursing measures.\r\n The overall purpose of the resulting High Quality Care Metrics for Nursing\r\n report is to bring together the evidence and theory in a useful way to inform\r\n recommendations that will be put forward by the Task and Finish Group. In\r\n particular it aims to:\r\n • Review current knowledge and issues in defining and using nursing metrics\r\n as part of a national architecture for measuring the quality of healthcare that\r\n enables: accountability, quality improvement and transparency (the three\r\n dimensions identified in the NHS Outcomes Framework).\r\n • Build on the 2008 National Nursing Research Unit report State of the Art\r\n Metrics (Griffiths et al. 2008) to further identify the nursing metrics that are\r\n currently in operation, and explore any major trends, both nationally and\r\n internationally.\r\n The wider context of this work is a need to:\r\n • Establish a (small) set of clearly defined key indicators of high quality nursing.\r\n • Consider these alongside broader factors that underpin high quality healthcare.\r\n • Align nursing metrics with ‘what matters most’ to patients in terms of their\r\n experiences.\r\n • Demonstrate the broader contribution of nursing to high quality care.\r\n • Design and implement an infrastructure that enables national consistency and\r\n benchmarking between organisations.\r\n This report looks at UK initiatives and international developments in the\r\n measurement of nursing quality. Advances since our 2008 report include: more\r\n international healthcare systems using nursing metrics, the development of metrics\r\n for quality improvement and transparency in the UK, specialty-specific metrics\r\n (e.g. mental health nursing) and metrics in NHS accountability systems (e.g.\r\n clinical dashboards).\r\n High quality care metrics for nursing\r\n 2\r\n Key findings of this report are that:\r\n • There are a number of widely recognised indicators of nursing care quality.\r\n These include:\r\n · Healthcare associated infection\r\n · Pressure ulcers\r\n · Falls\r\n · Drug administration errors\r\n · Patient complaints\r\n • It is unclear the extent to which all of these are sensitive to variation in nursing\r\n quality but they are plausible and, as such, widely supported.\r\n • There are numerous contextual variables that impact upon the quality of\r\n nursing care which can be regarded as wider structural indicators. These\r\n include:\r\n · Workforce e.g. staffing levels, skill mix, sickness absence\r\n · Staff experiences e.g. perception of the practice environment\r\n · Systems e.g. admissions, discharge, handover\r\n • Many NHS trusts are measuring some or all of these indicators in a structured\r\n way at a local level, including the use of quality dashboards.\r\n • There is considerable overlap between approaches to quality measurement but\r\n little standardisation of indicators.\r\n • As a result, many current systems of measurement do not permit benchmarking\r\n between organisations at the ward/unit level.\r\n • There is some degree of standardisation around specific nursing quality\r\n indicators for patient safety, including measures for falls and pressure sores\r\n (the NHS Safety Thermometer, and through the North West Transparency\r\n project).\r\n • We do not have good risk adjustment for measures such as falls and pressure\r\n ulcers to ensure valid comparisons between organisations.\r\n • Few if any UK systems appear to have the sophistication of the ‘state of the art’\r\n represented by the United States and Canadian systems, although we have not\r\n been able to review them in depth here.\r\n High quality care metrics for nursing\r\n 3\r\n Lessons from international systems are that:\r\n • Systems that collect patient level data can be risk adjusted, to ensure\r\n meaningful comparison across the system (i.e. benchmarking between matched\r\n comparators, or for specific specialties).\r\n • Systems and infrastructure need to be put in place and tested to enable\r\n consistent definition, collection and interpretation of information.\r\n • Commitment and investment is needed to develop and secure the required\r\n infrastructure\r\n • It is essential to have sufficient resourcing including for example the right\r\n informatics systems, information technology and expertise in place.\r\n • Professional learning networks specifically focusing on the contribution of\r\n nursing to achieving high quality care can support implementation.\r\n Whilst there has been considerable interest and some notable successes in\r\n measuring nursing quality in the UK, further work is needed to:\r\n • Coordinate a consistent and standardised approach to the collection, analysis,\r\n and interpretation of a core minimum dataset.\r\n • Identify a wider range of metrics and indicators that relate to effective and\r\n compassionate care, not just safety.\r\n • Develop metrics and systems that reflect the wider structural factors that\r\n underpin nursing quality, such as staffing, skill mix and staff experiences and\r\n link to other care quality metrics such as patient experience.\r\n • Create or adapt local infrastructure (e.g. information systems and technologies)\r\n to minimise the burden of measurement on staff.\r\n • Gain an informed understanding of what aspects of nursing quality are being\r\n measured by any new system, and what is not - or cannot - be measured (but is\r\n still important) and how this fits with the ‘whole picture’ of nursing quality.\r\n • Explore the potential for patient level data to be risk adjusted, to ensure\r\n meaningful comparison across the system (i.e. benchmarking between matched\r\n comparators, or for specific specialties).\r\n • Develop and secure support from national and regional leads for a national\r\n system of measurement and reporting before rolling-out any future\r\n measurement initiative to healthcare provider organisations.\r\n • Support professional learning networks which focus on the contribution of\r\n nursing to achieving high quality care.","internal_url":"https://www.academia.edu/2252385/High_Quality_Care_Metrics_for_Nursing","translated_internal_url":"","created_at":"2012-12-06T23:12:50.212-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[],"downloadable_attachments":[{"id":30304112,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://a.academia-assets.com/images/blank-paper.jpg","file_name":"High-Quality-Care-Metrics-for-Nursing----Nov-2012.pdf","download_url":"https://www.academia.edu/attachments/30304112/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"High_Quality_Care_Metrics_for_Nursing.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/30304112/High-Quality-Care-Metrics-for-Nursing----Nov-2012-libre.pdf?1390883652=\u0026response-content-disposition=attachment%3B+filename%3DHigh_Quality_Care_Metrics_for_Nursing.pdf\u0026Expires=1731455214\u0026Signature=XfcWDge6SbQYwFtkcAa-CRs-2YNQhyTWqU7kz9z5f2ICTiZ4Z1f77KGDsQw3vAzupZvgs7h0VSc5djXUuX2rvKOf4mDOTAiEUylS6PT4hSVEC86dIZ4dmUxZuF9pcaZIv0XdVQ4TgjaBYpQMb0gdqAyeodtgS5h6aNEwqjtdZKUP-1UP0aKN6GhNvwuOBP~B~QyqqEnV1R3-I2VmcjSGEN16l6BbSqSsjIVFDoqUK9U8NYKFDZXfDUpun2qDfj~OICFH56UflLzlv~-M0uLnEOcGMGctL7~RkUhmum2oBoWkgSC2EtDXR3r4FwpVyxOyBS6D0Vxj0R3xyulHgBSIXg__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"High_Quality_Care_Metrics_for_Nursing","translated_slug":"","page_count":69,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter 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Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":17973,"name":"Quality of Healthcare Services","url":"https://www.academia.edu/Documents/in/Quality_of_Healthcare_Services"},{"id":99191,"name":"Nursing Outcomes","url":"https://www.academia.edu/Documents/in/Nursing_Outcomes"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="1005970"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/1005970/An_assessment_of_failure_to_rescue_derived_from_routine_NHS_data_as_a_nursing_sensitive_patient_safety_indicator_for_surgical_inpatient_care"><img alt="Research paper thumbnail of An assessment of “failure to rescue” derived from routine NHS data as a nursing sensitive patient safety indicator for surgical inpatient care" class="work-thumbnail" src="https://attachments.academia-assets.com/6155640/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/1005970/An_assessment_of_failure_to_rescue_derived_from_routine_NHS_data_as_a_nursing_sensitive_patient_safety_indicator_for_surgical_inpatient_care">An assessment of “failure to rescue” derived from routine NHS data as a nursing sensitive patient safety indicator for surgical inpatient care</a></div><div class="wp-workCard_item wp-workCard--coauthors"><span>by </span><span><a class="" data-click-track="profile-work-strip-authors" href="https://soton.academia.edu/PeterGriffiths">Peter Griffiths</a> and <a class="" data-click-track="profile-work-strip-authors" href="https://imperial.academia.edu/ABottle">Alex Bottle</a></span></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Abstract Objectives: This study aims to assess the potential for deriving 2 mortality based failu...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Abstract<br />Objectives: This study aims to assess the potential for deriving 2 mortality based failure to rescue indicators and a proxy measure, based on exceptionally 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 which would suggest indicators derived from these data are valid.<br />Design:  Cross sectional observational study of routinely collected administrative data.<br />Setting: 146 general acute hospital trusts in England<br />Participants: Discharge data from 66,100,672 surgical admissions (1997 to 2009)<br />Results:  Median percentage of surgical admissions with at least one secondary diagnosis recorded increased from 26% in 1997/8 to 40% in 2008/9. The failure to rescue rate for a hospital appears to be relatively stable over time: inter-year correlations between 2007/8 and 2008/9 were r=0.92 to r=0.94. No failure to rescue indicator was significantly correlated with average number of secondary diagnoses coded per hospital. Regression analyses showed that failure to rescue was significantly associated (p<0.05) with several hospital characteristics previously associated with quality including staffing levels. Higher medical staffing (doctors + nurses) per bed and more doctors relative to the number of nurses were associated with lower failure to rescue. <br />Conclusion:  Coding practice has improved, and failure to rescue can be derived from English administrative data. The suggestion that it is particularly sensitive to nursing is not clearly supported. Although the patient population is more homogenous than for other mortality measures, risk adjustment is still required.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="ea6da8f3e13b3985093bb2c9734865e7" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":6155640,"asset_id":1005970,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/6155640/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="1005970"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="1005970"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 1005970; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=1005970]").text(description); $(".js-view-count[data-work-id=1005970]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 1005970; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='1005970']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 1005970, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "ea6da8f3e13b3985093bb2c9734865e7" } } $('.js-work-strip[data-work-id=1005970]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":1005970,"title":"An assessment of “failure to rescue” derived from routine NHS data as a nursing sensitive patient safety indicator for surgical inpatient care","translated_title":"","metadata":{"abstract":"Abstract\nObjectives: This study aims to assess the potential for deriving 2 mortality based failure to rescue indicators and a proxy measure, based on exceptionally 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 which would suggest indicators derived from these data are valid.\nDesign: Cross sectional observational study of routinely collected administrative data.\nSetting: 146 general acute hospital trusts in England\nParticipants: Discharge data from 66,100,672 surgical admissions (1997 to 2009)\nResults: Median percentage of surgical admissions with at least one secondary diagnosis recorded increased from 26% in 1997/8 to 40% in 2008/9. The failure to rescue rate for a hospital appears to be relatively stable over time: inter-year correlations between 2007/8 and 2008/9 were r=0.92 to r=0.94. No failure to rescue indicator was significantly correlated with average number of secondary diagnoses coded per hospital. Regression analyses showed that failure to rescue was significantly associated (p\u003c0.05) with several hospital characteristics previously associated with quality including staffing levels. Higher medical staffing (doctors + nurses) per bed and more doctors relative to the number of nurses were associated with lower failure to rescue. \nConclusion: Coding practice has improved, and failure to rescue can be derived from English administrative data. The suggestion that it is particularly sensitive to nursing is not clearly supported. Although the patient population is more homogenous than for other mortality measures, risk adjustment is still required. \n","more_info":"Jones S., Griffiths P. \u0026 Bottle A. (2011) An assessment of failure to rescue derived from routine NHS data as a nursing sensitive patient safety indicator National Nursing Research Unit report to funder.\n"},"translated_abstract":"Abstract\nObjectives: This study aims to assess the potential for deriving 2 mortality based failure to rescue indicators and a proxy measure, based on exceptionally 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 which would suggest indicators derived from these data are valid.\nDesign: Cross sectional observational study of routinely collected administrative data.\nSetting: 146 general acute hospital trusts in England\nParticipants: Discharge data from 66,100,672 surgical admissions (1997 to 2009)\nResults: Median percentage of surgical admissions with at least one secondary diagnosis recorded increased from 26% in 1997/8 to 40% in 2008/9. The failure to rescue rate for a hospital appears to be relatively stable over time: inter-year correlations between 2007/8 and 2008/9 were r=0.92 to r=0.94. No failure to rescue indicator was significantly correlated with average number of secondary diagnoses coded per hospital. Regression analyses showed that failure to rescue was significantly associated (p\u003c0.05) with several hospital characteristics previously associated with quality including staffing levels. Higher medical staffing (doctors + nurses) per bed and more doctors relative to the number of nurses were associated with lower failure to rescue. \nConclusion: Coding practice has improved, and failure to rescue can be derived from English administrative data. The suggestion that it is particularly sensitive to nursing is not clearly supported. Although the patient population is more homogenous than for other mortality measures, risk adjustment is still required. \n","internal_url":"https://www.academia.edu/1005970/An_assessment_of_failure_to_rescue_derived_from_routine_NHS_data_as_a_nursing_sensitive_patient_safety_indicator_for_surgical_inpatient_care","translated_internal_url":"","created_at":"2011-10-13T01:18:09.963-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[{"id":11756531,"work_id":1005970,"tagging_user_id":346304,"tagged_user_id":40516436,"co_author_invite_id":2756389,"email":"r***e@imperial.ac.uk","affiliation":"Imperial College London","display_order":0,"name":"Alex Bottle","title":"An assessment of “failure to rescue” derived from routine NHS data as a nursing sensitive patient safety indicator for surgical inpatient 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class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/526542/Impact_of_organisation_and_management_factors_ion_infection_control_in_hospitals"><img alt="Research paper thumbnail of Impact of organisation and management factors ion infection control in hospitals" class="work-thumbnail" src="https://attachments.academia-assets.com/2563110/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/526542/Impact_of_organisation_and_management_factors_ion_infection_control_in_hospitals">Impact of organisation and management factors ion infection control in hospitals</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This scoping review sought evidence about organisational and management factors affecting infecti...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This scoping review sought evidence about organisational and management factors affecting infection control in general hospital settings. A literature search yielded a wide range of studies, systematic reviews and reports, but high quality direct evidence was scant. The majority of studies were observational and the standard of reporting was not always good. <br /> <br />Positive leadership at ward level and above appears to be a prerequisite for effective action to control infection, although the benefits of good clinical leadership are diffused by supervision of large numbers of staff.  Senior clinical leaders need a highly visible presence and clear role boundaries and responsibilities. Team stability and morale are linked to improved patient outcomes. Organisational mechanisms for supporting training, appraisal and clinical governance are important determinants of effective practice and successful change.  Rates of infection have been linked to workload, in terms of nurse staffing, bed occupancy and patient turnover. <br /> <br />The organisational characteristics identified in the review should be considered risk factors for infection. They cannot always be eliminated or avoided completely, but appropriate assessment will enable targeted action to protect patients.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="cea2071b0b37c38b6380b6f376699573" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":2563110,"asset_id":526542,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/2563110/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="526542"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="526542"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 526542; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=526542]").text(description); $(".js-view-count[data-work-id=526542]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 526542; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='526542']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 526542, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "cea2071b0b37c38b6380b6f376699573" } } $('.js-work-strip[data-work-id=526542]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":526542,"title":"Impact of organisation and management factors ion infection control in hospitals","translated_title":"","metadata":{"abstract":"This scoping review sought evidence about organisational and management factors affecting infection control in general hospital settings. A literature search yielded a wide range of studies, systematic reviews and reports, but high quality direct evidence was scant. The majority of studies were observational and the standard of reporting was not always good. \r\n\r\nPositive leadership at ward level and above appears to be a prerequisite for effective action to control infection, although the benefits of good clinical leadership are diffused by supervision of large numbers of staff. Senior clinical leaders need a highly visible presence and clear role boundaries and responsibilities. Team stability and morale are linked to improved patient outcomes. Organisational mechanisms for supporting training, appraisal and clinical governance are important determinants of effective practice and successful change. Rates of infection have been linked to workload, in terms of nurse staffing, bed occupancy and patient turnover. \r\n\r\nThe organisational characteristics identified in the review should be considered risk factors for infection. They cannot always be eliminated or avoided completely, but appropriate assessment will enable targeted action to protect patients.\r\n","more_info":"co-authored with Anna Renz and Anne Marie Rafferty"},"translated_abstract":"This scoping review sought evidence about organisational and management factors affecting infection control in general hospital settings. A literature search yielded a wide range of studies, systematic reviews and reports, but high quality direct evidence was scant. The majority of studies were observational and the standard of reporting was not always good. \r\n\r\nPositive leadership at ward level and above appears to be a prerequisite for effective action to control infection, although the benefits of good clinical leadership are diffused by supervision of large numbers of staff. Senior clinical leaders need a highly visible presence and clear role boundaries and responsibilities. Team stability and morale are linked to improved patient outcomes. Organisational mechanisms for supporting training, appraisal and clinical governance are important determinants of effective practice and successful change. Rates of infection have been linked to workload, in terms of nurse staffing, bed occupancy and patient turnover. \r\n\r\nThe organisational characteristics identified in the review should be considered risk factors for infection. They cannot always be eliminated or avoided completely, but appropriate assessment will enable targeted action to protect patients.\r\n","internal_url":"https://www.academia.edu/526542/Impact_of_organisation_and_management_factors_ion_infection_control_in_hospitals","translated_internal_url":"","created_at":"2011-04-12T21:12:31.072-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[{"id":23162391,"work_id":526542,"tagging_user_id":346304,"tagged_user_id":32587582,"co_author_invite_id":null,"email":"a***y@kcl.ac.uk","display_order":0,"name":"Anne Rafferty","title":"Impact of organisation and management factors ion infection control in hospitals"},{"id":23162392,"work_id":526542,"tagging_user_id":346304,"tagged_user_id":42150906,"co_author_invite_id":null,"email":"j***s@mailbox.gu.edu.au","display_order":4194304,"name":"J. Hughes","title":"Impact of organisation and management factors ion infection control in hospitals"}],"downloadable_attachments":[{"id":2563110,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/2563110/thumbnails/1.jpg","file_name":"Infectioncontrolreport.pdf","download_url":"https://www.academia.edu/attachments/2563110/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Impact_of_organisation_and_management_fa.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/2563110/Infectioncontrolreport-libre.pdf?1390828280=\u0026response-content-disposition=attachment%3B+filename%3DImpact_of_organisation_and_management_fa.pdf\u0026Expires=1731455214\u0026Signature=O-GkCE8xqpbdOFdKzS4FUtvfwqnGbTnlOZLZcqjayiP3V1oGZY8zw8eFpjtuI-5ab1c2USOA~Tz~NVSz83ghbcYo37bR5Nn~UlGnS2gmXsBjHf8jHTedFF3nZltrYKr5TweBbXQaPUYxrv9jQXKyQcWuMg1pTVtFAvbOMJ7OG0dS5tt0nv5xr4u6-16fvrzi~xygz3Q-Pw2ck1NKSKT45zOD3NuSWGRKKJ0ZSYDPfJ2hO0BwSiztNDQqELai8XWtD8~ZSVtGXmz9mKiwopEmUNHyBGvmEJWpmwFWbRSH6KM9Sr0FTHXxhXx-04tcAP0tY4~K59gIZAAGEZHqomtgTw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Impact_of_organisation_and_management_factors_ion_infection_control_in_hospitals","translated_slug":"","page_count":42,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":2563110,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/2563110/thumbnails/1.jpg","file_name":"Infectioncontrolreport.pdf","download_url":"https://www.academia.edu/attachments/2563110/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Impact_of_organisation_and_management_fa.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/2563110/Infectioncontrolreport-libre.pdf?1390828280=\u0026response-content-disposition=attachment%3B+filename%3DImpact_of_organisation_and_management_fa.pdf\u0026Expires=1731455214\u0026Signature=O-GkCE8xqpbdOFdKzS4FUtvfwqnGbTnlOZLZcqjayiP3V1oGZY8zw8eFpjtuI-5ab1c2USOA~Tz~NVSz83ghbcYo37bR5Nn~UlGnS2gmXsBjHf8jHTedFF3nZltrYKr5TweBbXQaPUYxrv9jQXKyQcWuMg1pTVtFAvbOMJ7OG0dS5tt0nv5xr4u6-16fvrzi~xygz3Q-Pw2ck1NKSKT45zOD3NuSWGRKKJ0ZSYDPfJ2hO0BwSiztNDQqELai8XWtD8~ZSVtGXmz9mKiwopEmUNHyBGvmEJWpmwFWbRSH6KM9Sr0FTHXxhXx-04tcAP0tY4~K59gIZAAGEZHqomtgTw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":586,"name":"Health Sciences","url":"https://www.academia.edu/Documents/in/Health_Sciences"},{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":3416,"name":"Organisational Change","url":"https://www.academia.edu/Documents/in/Organisational_Change"},{"id":5409,"name":"Health Outcomes","url":"https://www.academia.edu/Documents/in/Health_Outcomes"},{"id":7746,"name":"Organisational Development","url":"https://www.academia.edu/Documents/in/Organisational_Development"},{"id":10431,"name":"Organizational Leadership","url":"https://www.academia.edu/Documents/in/Organizational_Leadership"},{"id":11628,"name":"Hospital Infection","url":"https://www.academia.edu/Documents/in/Hospital_Infection"},{"id":16635,"name":"Health Services Research","url":"https://www.academia.edu/Documents/in/Health_Services_Research"},{"id":17973,"name":"Quality of Healthcare Services","url":"https://www.academia.edu/Documents/in/Quality_of_Healthcare_Services"},{"id":29393,"name":"Healthcare","url":"https://www.academia.edu/Documents/in/Healthcare"},{"id":35245,"name":"Hospital Acquired infection","url":"https://www.academia.edu/Documents/in/Hospital_Acquired_infection"},{"id":35248,"name":"Infection control (Preventive medicine)","url":"https://www.academia.edu/Documents/in/Infection_control_Preventive_medicine_"},{"id":73637,"name":"Outcomes Measurement","url":"https://www.academia.edu/Documents/in/Outcomes_Measurement"},{"id":87236,"name":"Healthcare workforce","url":"https://www.academia.edu/Documents/in/Healthcare_workforce"},{"id":87276,"name":"Health Care Workforrce","url":"https://www.academia.edu/Documents/in/Health_Care_Workforrce"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="495335"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/495335/Nurse_Sensitive_Outcomes_and_indicators_in_Ambulatory_Chemotherapy"><img alt="Research paper thumbnail of Nurse Sensitive Outcomes & indicators in Ambulatory Chemotherapy" class="work-thumbnail" src="https://attachments.academia-assets.com/2296799/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/495335/Nurse_Sensitive_Outcomes_and_indicators_in_Ambulatory_Chemotherapy">Nurse Sensitive Outcomes & indicators in Ambulatory Chemotherapy</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Background: There is long standing interest in identifying patient outcomes that are sensitive to...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Background: There is long standing interest in identifying patient outcomes that are sensitive to nursing care and an increasing number of systems that include outcomes in order to demonstrate or monitor the quality of nursing care.<br />Objective: We undertook scoping reviews of the literature in order to identify patient outcomes sensitive to the quality of nursing services in ambulatory cancer chemotherapy settings to guide the development of an outcomes based quality measurement system.<br />Methods: A 2 stage scoping review to identify potential outcome areas which were subsequently assessed for their sensitivity to nursing. Data sources included the Cochrane Library, Medline, Embase, the British Nursing Index, Google and Google scholar<br />Results: We identified a broad range of outcomes potentially sensitive to nursing. Individual trials support many nursing interventions but we found relatively little clear evidence of effect on outcomes derived from a systematic reviews and no evidence associating characteristics of nursing services with outcomes. <br />Conclusion: The purpose of identifying a set of outcomes as specifically nurse-sensitive for quality measurement is to give clear responsibility and create an expectation of strong clinical leadership by nurses in terms of monitoring and acting on results. It is important to select those outcomes that nurses have most impact upon. .Patient experience, nausea and vomiting, mucositis and safe medication administration were outcome areas most likely to yield sensitive measures of nursing service quality in ambulatory cancer chemotherapy.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="04b3a602e14b725cf069d7d98bfc35e1" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":2296799,"asset_id":495335,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/2296799/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="495335"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="495335"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 495335; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=495335]").text(description); $(".js-view-count[data-work-id=495335]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 495335; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='495335']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 495335, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "04b3a602e14b725cf069d7d98bfc35e1" } } $('.js-work-strip[data-work-id=495335]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":495335,"title":"Nurse Sensitive Outcomes \u0026 indicators in Ambulatory Chemotherapy","translated_title":"","metadata":{"abstract":"Background: There is long standing interest in identifying patient outcomes that are sensitive to nursing care and an increasing number of systems that include outcomes in order to demonstrate or monitor the quality of nursing care.\nObjective: We undertook scoping reviews of the literature in order to identify patient outcomes sensitive to the quality of nursing services in ambulatory cancer chemotherapy settings to guide the development of an outcomes based quality measurement system.\nMethods: A 2 stage scoping review to identify potential outcome areas which were subsequently assessed for their sensitivity to nursing. Data sources included the Cochrane Library, Medline, Embase, the British Nursing Index, Google and Google scholar\nResults: We identified a broad range of outcomes potentially sensitive to nursing. Individual trials support many nursing interventions but we found relatively little clear evidence of effect on outcomes derived from a systematic reviews and no evidence associating characteristics of nursing services with outcomes. \nConclusion: The purpose of identifying a set of outcomes as specifically nurse-sensitive for quality measurement is to give clear responsibility and create an expectation of strong clinical leadership by nurses in terms of monitoring and acting on results. It is important to select those outcomes that nurses have most impact upon. .Patient experience, nausea and vomiting, mucositis and safe medication administration were outcome areas most likely to yield sensitive measures of nursing service quality in ambulatory cancer chemotherapy.","more_info":"with Alison Richardson and Rebecca Blackwell"},"translated_abstract":"Background: There is long standing interest in identifying patient outcomes that are sensitive to nursing care and an increasing number of systems that include outcomes in order to demonstrate or monitor the quality of nursing care.\nObjective: We undertook scoping reviews of the literature in order to identify patient outcomes sensitive to the quality of nursing services in ambulatory cancer chemotherapy settings to guide the development of an outcomes based quality measurement system.\nMethods: A 2 stage scoping review to identify potential outcome areas which were subsequently assessed for their sensitivity to nursing. Data sources included the Cochrane Library, Medline, Embase, the British Nursing Index, Google and Google scholar\nResults: We identified a broad range of outcomes potentially sensitive to nursing. Individual trials support many nursing interventions but we found relatively little clear evidence of effect on outcomes derived from a systematic reviews and no evidence associating characteristics of nursing services with outcomes. \nConclusion: The purpose of identifying a set of outcomes as specifically nurse-sensitive for quality measurement is to give clear responsibility and create an expectation of strong clinical leadership by nurses in terms of monitoring and acting on results. It is important to select those outcomes that nurses have most impact upon. .Patient experience, nausea and vomiting, mucositis and safe medication administration were outcome areas most likely to yield sensitive measures of nursing service quality in ambulatory cancer chemotherapy.","internal_url":"https://www.academia.edu/495335/Nurse_Sensitive_Outcomes_and_indicators_in_Ambulatory_Chemotherapy","translated_internal_url":"","created_at":"2011-03-27T20:39:23.610-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[{"id":23162390,"work_id":495335,"tagging_user_id":346304,"tagged_user_id":1092700,"co_author_invite_id":null,"email":"a***n@soton.ac.uk","affiliation":"University of Southampton","display_order":0,"name":"Alison Richardson","title":"Nurse Sensitive Outcomes \u0026 indicators in Ambulatory Chemotherapy"},{"id":23162428,"work_id":495335,"tagging_user_id":346304,"tagged_user_id":null,"co_author_invite_id":5165588,"email":"n***u@kcl.ac.uk","display_order":4194304,"name":"K. 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="462711"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/462711/Nursing_Research_Methods_3_vols_Fundamentals_of_Applied_Research"><img alt="Research paper thumbnail of Nursing Research Methods (3 vols) Fundamentals of Applied Research" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/462711/Nursing_Research_Methods_3_vols_Fundamentals_of_Applied_Research">Nursing Research Methods (3 vols) Fundamentals of Applied Research</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Nursing research is a diverse discipline which draws on methods and methodologies from across the...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Nursing research is a diverse discipline which draws on methods and methodologies from across the social, behavioural and biomedical sciences. Few if any of the approaches to research used within nursing are unique; however, their application within the complex milieu of nursing care has frequently raised distinctive challenges and generated novel applications. Nursing Research Methods brings together seminal sources that illustrate both the origins and the state of the art of research in nursing. The editors draw on methodological sources from outside the discipline that are influential and have shaped nursing research as well as discussions and debates about the application of particular methods within the field.<br /><br />The text is organised around a selection of 8-10 seminal studies which have been selected based on their significance and ability to represent the broad scope of the discipline. Studies are selected to provide a vehicle to cover key methods for nursing research and to represent some of the diversity of the research topics that constitute the discipline. Because of the wide international audience, the editors take a broad view of the 'family' of nursing to include health visiting, public health nursing and midwifery and nurse midwifery.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="462711"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="462711"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 462711; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=462711]").text(description); $(".js-view-count[data-work-id=462711]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 462711; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='462711']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 462711, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (false){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "-1" } } $('.js-work-strip[data-work-id=462711]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":462711,"title":"Nursing Research Methods (3 vols) Fundamentals of Applied Research","translated_title":"","metadata":{"abstract":"Nursing research is a diverse discipline which draws on methods and methodologies from across the social, behavioural and biomedical sciences. Few if any of the approaches to research used within nursing are unique; however, their application within the complex milieu of nursing care has frequently raised distinctive challenges and generated novel applications. Nursing Research Methods brings together seminal sources that illustrate both the origins and the state of the art of research in nursing. The editors draw on methodological sources from outside the discipline that are influential and have shaped nursing research as well as discussions and debates about the application of particular methods within the field.\n\nThe text is organised around a selection of 8-10 seminal studies which have been selected based on their significance and ability to represent the broad scope of the discipline. Studies are selected to provide a vehicle to cover key methods for nursing research and to represent some of the diversity of the research topics that constitute the discipline. Because of the wide international audience, the editors take a broad view of the 'family' of nursing to include health visiting, public health nursing and midwifery and nurse midwifery.","more_info":"With Jackie Bridges. London, Sage 2010"},"translated_abstract":"Nursing research is a diverse discipline which draws on methods and methodologies from across the social, behavioural and biomedical sciences. Few if any of the approaches to research used within nursing are unique; however, their application within the complex milieu of nursing care has frequently raised distinctive challenges and generated novel applications. Nursing Research Methods brings together seminal sources that illustrate both the origins and the state of the art of research in nursing. The editors draw on methodological sources from outside the discipline that are influential and have shaped nursing research as well as discussions and debates about the application of particular methods within the field.\n\nThe text is organised around a selection of 8-10 seminal studies which have been selected based on their significance and ability to represent the broad scope of the discipline. Studies are selected to provide a vehicle to cover key methods for nursing research and to represent some of the diversity of the research topics that constitute the discipline. Because of the wide international audience, the editors take a broad view of the 'family' of nursing to include health visiting, public health nursing and midwifery and nurse midwifery.","internal_url":"https://www.academia.edu/462711/Nursing_Research_Methods_3_vols_Fundamentals_of_Applied_Research","translated_internal_url":"","created_at":"2011-03-03T21:18:37.065-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[],"downloadable_attachments":[],"slug":"Nursing_Research_Methods_3_vols_Fundamentals_of_Applied_Research","translated_slug":"","page_count":null,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[],"research_interests":[{"id":1558,"name":"Research Methods and Methodology","url":"https://www.academia.edu/Documents/in/Research_Methods_and_Methodology"},{"id":1716,"name":"Action Research","url":"https://www.academia.edu/Documents/in/Action_Research"},{"id":2065,"name":"Research Methodology","url":"https://www.academia.edu/Documents/in/Research_Methodology"},{"id":2066,"name":"Research Design","url":"https://www.academia.edu/Documents/in/Research_Design"},{"id":9697,"name":"Applied Research","url":"https://www.academia.edu/Documents/in/Applied_Research"},{"id":12135,"name":"Qualitative Research","url":"https://www.academia.edu/Documents/in/Qualitative_Research"},{"id":57294,"name":"Nursing Research","url":"https://www.academia.edu/Documents/in/Nursing_Research"}],"urls":[{"id":44973,"url":"https://www.amazon.co.uk/dp/1847879462/ref=as_li_tf_til?tag=petergriffith-21\u0026camp=1406\u0026creative=6394\u0026linkCode=as1\u0026creativeASIN=1847879462\u0026adid=12164E3DF7FM02BGANZX\u0026"}]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="489427"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/489427/Moving_forward_with_healthcare_support_workforce_regulation_A_scoping_review_evidence_questions_risks_and_options"><img alt="Research paper thumbnail of Moving forward with healthcare support workforce regulation A scoping review: evidence, questions, risks and options" class="work-thumbnail" src="https://attachments.academia-assets.com/2246573/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/489427/Moving_forward_with_healthcare_support_workforce_regulation_A_scoping_review_evidence_questions_risks_and_options">Moving forward with healthcare support workforce regulation A scoping review: evidence, questions, risks and options</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This scoping review was commissioned by the Nursing and Midwifery Council of the United Kingdom i...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This scoping review was commissioned by the Nursing and Midwifery Council of the United Kingdom in view of growing concerns that healthcare support workers are increasingly extending their role to undertake tasks previously undertaken by registered professionals but remain an unregulated workforce. <br /><br />Lack of regulation has meant that there is little control over entry to employment and little standardization of roles, competencies and education. A wide range of proposals currently exists for taking regulation of this workforce forwards, but with diverse approaches to choice of regulator and level of regulation required.<br /><br /><br />The review had three objectives:<br /><br />Assess the evidence of risks presented to public protection from an unregulated healthcare support workforce and the evidence of benefits of regulation.<br /><br />Identify and consider key questions to be addressed in developing models of regulation.<br /><br />Make recommendations for further work required in taking healthcare support worker regulation forwards.</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="b4a5b268d3007cb1e0057f16c7f77fbb" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":2246573,"asset_id":489427,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/2246573/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="489427"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="489427"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 489427; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=489427]").text(description); $(".js-view-count[data-work-id=489427]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 489427; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='489427']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 489427, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "b4a5b268d3007cb1e0057f16c7f77fbb" } } $('.js-work-strip[data-work-id=489427]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":489427,"title":"Moving forward with healthcare support workforce regulation A scoping review: evidence, questions, risks and options","translated_title":"","metadata":{"abstract":"This scoping review was commissioned by the Nursing and Midwifery Council of the United Kingdom in view of growing concerns that healthcare support workers are increasingly extending their role to undertake tasks previously undertaken by registered professionals but remain an unregulated workforce. \n\nLack of regulation has meant that there is little control over entry to employment and little standardization of roles, competencies and education. A wide range of proposals currently exists for taking regulation of this workforce forwards, but with diverse approaches to choice of regulator and level of regulation required.\n\n\nThe review had three objectives:\n\nAssess the evidence of risks presented to public protection from an unregulated healthcare support workforce and the evidence of benefits of regulation.\n\nIdentify and consider key questions to be addressed in developing models of regulation.\n\nMake recommendations for further work required in taking healthcare support worker regulation forwards.","more_info":"Co-authored with Sarah Robinson - an independant report commissioned by the Nursing and Midwifery Council (NMC)"},"translated_abstract":"This scoping review was commissioned by the Nursing and Midwifery Council of the United Kingdom in view of growing concerns that healthcare support workers are increasingly extending their role to undertake tasks previously undertaken by registered professionals but remain an unregulated workforce. \n\nLack of regulation has meant that there is little control over entry to employment and little standardization of roles, competencies and education. A wide range of proposals currently exists for taking regulation of this workforce forwards, but with diverse approaches to choice of regulator and level of regulation required.\n\n\nThe review had three objectives:\n\nAssess the evidence of risks presented to public protection from an unregulated healthcare support workforce and the evidence of benefits of regulation.\n\nIdentify and consider key questions to be addressed in developing models of regulation.\n\nMake recommendations for further work required in taking healthcare support worker regulation forwards.","internal_url":"https://www.academia.edu/489427/Moving_forward_with_healthcare_support_workforce_regulation_A_scoping_review_evidence_questions_risks_and_options","translated_internal_url":"","created_at":"2011-03-24T19:28:30.262-07:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[{"id":11756594,"work_id":489427,"tagging_user_id":346304,"tagged_user_id":34994832,"co_author_invite_id":null,"email":"s***n@mcmaster.ca","display_order":0,"name":"Sarah Robinson","title":"Moving forward with healthcare support workforce regulation A scoping review: evidence, questions, risks and options"},{"id":11756595,"work_id":489427,"tagging_user_id":346304,"tagged_user_id":null,"co_author_invite_id":2762941,"email":"s***n@kcl.ac.uk","display_order":4194304,"name":"Sarah Robinson","title":"Moving forward with healthcare support workforce regulation A scoping review: evidence, questions, risks and options"},{"id":23162427,"work_id":489427,"tagging_user_id":346304,"tagged_user_id":null,"co_author_invite_id":5165588,"email":"n***u@kcl.ac.uk","display_order":6291456,"name":"K. Nnru","title":"Moving forward with healthcare support workforce regulation A scoping review: evidence, questions, risks and options"}],"downloadable_attachments":[{"id":2246573,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/2246573/thumbnails/1.jpg","file_name":"100723_NMC_report.pdf","download_url":"https://www.academia.edu/attachments/2246573/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Moving_forward_with_healthcare_support_w.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/2246573/100723_NMC_report-libre.pdf?1390827325=\u0026response-content-disposition=attachment%3B+filename%3DMoving_forward_with_healthcare_support_w.pdf\u0026Expires=1731455214\u0026Signature=A1cvTGDAtL4T8Nma11R4X9d39W9jMmifEEdNgxu6kQKeAtgt3RQpoYJFqZFYSXSLzftxELhcoJgEwRkAyhavRV6o8yOXMx1pmKucxP5oA3VUqRkTNxTZznBdeEr4VatcbkqFJDyBKc6dbGxmn2ZMwb7FKwQp~uUDXf8aK-hq0riebMxD~anB97mZGquamVMz21sZoO94fNzLbmL6uChz3zDZuuQnaNTtl1Spo~7Ph1EhOhI4cF74TIkUief-nsS0dWJPrHVlrPkNv9GX~iEDlk63qDgdBTcfER1toxHkeCGmxeR8rNcglj9~bBT-j4szrxGbyFLjyCuwzlDzga8XOw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"slug":"Moving_forward_with_healthcare_support_workforce_regulation_A_scoping_review_evidence_questions_risks_and_options","translated_slug":"","page_count":49,"language":"en","content_type":"Work","owner":{"id":346304,"first_name":"Peter","middle_initials":null,"last_name":"Griffiths","page_name":"PeterGriffiths","domain_name":"soton","created_at":"2011-02-28T19:04:15.003-08:00","display_name":"Peter Griffiths","url":"https://soton.academia.edu/PeterGriffiths"},"attachments":[{"id":2246573,"title":"","file_type":"pdf","scribd_thumbnail_url":"https://attachments.academia-assets.com/2246573/thumbnails/1.jpg","file_name":"100723_NMC_report.pdf","download_url":"https://www.academia.edu/attachments/2246573/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&","bulk_download_file_name":"Moving_forward_with_healthcare_support_w.pdf","bulk_download_url":"https://d1wqtxts1xzle7.cloudfront.net/2246573/100723_NMC_report-libre.pdf?1390827325=\u0026response-content-disposition=attachment%3B+filename%3DMoving_forward_with_healthcare_support_w.pdf\u0026Expires=1731455214\u0026Signature=A1cvTGDAtL4T8Nma11R4X9d39W9jMmifEEdNgxu6kQKeAtgt3RQpoYJFqZFYSXSLzftxELhcoJgEwRkAyhavRV6o8yOXMx1pmKucxP5oA3VUqRkTNxTZznBdeEr4VatcbkqFJDyBKc6dbGxmn2ZMwb7FKwQp~uUDXf8aK-hq0riebMxD~anB97mZGquamVMz21sZoO94fNzLbmL6uChz3zDZuuQnaNTtl1Spo~7Ph1EhOhI4cF74TIkUief-nsS0dWJPrHVlrPkNv9GX~iEDlk63qDgdBTcfER1toxHkeCGmxeR8rNcglj9~bBT-j4szrxGbyFLjyCuwzlDzga8XOw__\u0026Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA"}],"research_interests":[{"id":588,"name":"Nursing","url":"https://www.academia.edu/Documents/in/Nursing"},{"id":11035,"name":"Regulation","url":"https://www.academia.edu/Documents/in/Regulation"},{"id":42589,"name":"Professional regulation in healthcare","url":"https://www.academia.edu/Documents/in/Professional_regulation_in_healthcare"},{"id":85484,"name":"Role of Assistant","url":"https://www.academia.edu/Documents/in/Role_of_Assistant"},{"id":97779,"name":"Assistant Practitioners","url":"https://www.academia.edu/Documents/in/Assistant_Practitioners"},{"id":97781,"name":"Professional Regulation","url":"https://www.academia.edu/Documents/in/Professional_Regulation"}],"urls":[]}, dispatcherData: dispatcherData }); $(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="461331"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/461331/State_of_the_art_metrics_for_nursing_a_rapid_appraisal"><img alt="Research paper thumbnail of State of the art metrics for nursing: a rapid appraisal" class="work-thumbnail" src="https://attachments.academia-assets.com/2037472/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/461331/State_of_the_art_metrics_for_nursing_a_rapid_appraisal">State of the art metrics for nursing: a rapid appraisal</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Increasingly, public services are asked to explicitly demonstrate performance, in order to improv...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Increasingly, public services are asked to explicitly demonstrate performance, in order to improve public accountability and increase quality. The recent Next Stage Review of the NHS outlined a number of initiatives designed to improve the measurement and monitoring of quality within the NHS. Public concern about the quality of nursing care, coupled with a professional desire to demonstrate contributions and improve quality, have led to an increased interest in measures of nursing. By making the contribution of nursing explicit in performance measures it is hoped that quality can be maintained and enhanced rather than neglected in the drive to meet other performance targets2. <br /><br />However, developing indicators to properly represent the functioning of such a complex service is not without its pitfalls.  <br /><br />The evidence<br /><br />We populated a list of possible indicators for nursing from a number of sources: Doran’s review of the “State of the Science” of nurse sensitive indicators3, recent systematic reviews of the link between the ward environment, nurse staffing and patient outcomes4-7 and a number of indicator systems8-10. Most sources focussed on acute care and we concentrate on these here.<br />There is a degree of consistency in identifying failure to rescue (death among patients with treatable complications); healthcare associated infection (HCAI); pressure sores and staffing variables as outcome indicators of nursing quality. A systematic review found that falls and pressure sores are not consistently associated with nurse staffing. The amount of variation in the other outcomes associated with nurse staffing is  relatively low4. The invisibility of some nursing indicators in the research may be because they are often not recorded in administrative databases4 Staffing variables, such as workforce planning, staff satisfaction, perceived quality of the practice environment and staffing levels are also supported as structural indicators of nursing quality based on reviews and individual studies which link these factors with mortality and other outcomes in countries including the UK4-7 ,11. Positive contributions of nursing to patient experience and patient outcomes such as measures of wellbeing function or recovery do not consistently appear in the sources we used although they are clearly important.<br />There is a danger in focussing on a few narrowly defined indicators  in that perverse incentives may be created12 resulting in gaming, whereby maximising performance on the indicators detracts from overall performance or changes performance in relation to the indicator in a way that invalidates it13. The selection of indicators must consider the potential for gaming and seek to minimise the potential. Experience of gaming in relation to NHS targets suggests that process type indicators (where completion of activities is recorded) seem particularly vulnerable. One notable example was the 48 hour target for GP appointments leading to practices refusing to offer appointments more than 48 hours in advance13.<br />Indicators must be important, scientifically sound, useable and feasible14 ,15. Risk adjustment, to adjust for differences in patient groups and their relative vulnerability, is necessary if comparisons are made between institutions on outcomes. Indicators adopted must fall in the sphere of responsibility of nursing and be recognised as doing so by nurses, other professionals, and hospital managers in order for them to facilitate positive change and accountability. Minimising the burden of data collection is important but this consideration must be balanced with known problems in the quality of data in administrative data sets.<br /><br /><br />Summary & conclusions<br />• There are several proposed ‘nurse sensitive’ indicator sets aiming to demonstrate and measure the quality of nursing care. Work so far is dominated by indicators and research related to acute hospital care, primarily in North America.<br />• There is considerable disagreement between the different sources as to the key indicators for nursing<br />• Evidence from systematic reviews of the association between nurse staffing and patient outcomes consistently supports, “failure to rescue” and healthcare associated infection (especially pneumonia) as nurse sensitive outcomes.  <br />• Evidence for other widely advocated outcomes such as falls and pressure sores an association with nurse staffing variables is less consistent but these are strongly supported by the profession and by theoretical links.<br />• Staffing variables such as workforce planning, staff satisfaction, perceived quality of the practice environment and staffing levels are also supported as structural indicators of nursing quality.<br />• Positive contributions of nursing to patient experience and patient outcomes such as measures of wellbeing function or recovery do not consistently appear in the sources we used, but need to be considered if indicators sets are to be properly representative of the goals of nursing.<br />• Measures of care structure and processes are particularly vulnerable to ’gaming’ and token compliance. Patient and staff reported measures are less vulnerable.<br />• The scope for using administrative data to generate indicators is limited and the ‘audit’ burden may be high.  Areas to prioritise are those where most benefit can be derived and data can be collected efficiently<br />• Failure to rescue, hospital acquired pneumonia, pressure sores, falls and workforce planning and patient and staff experience seem the most promising areas for indicator development in acute care</span></div><div class="wp-workCard_item wp-workCard--actions"><span class="work-strip-bookmark-button-container"></span><a id="fbe00df5b70506e93539fa5d3b02dbef" class="wp-workCard--action" rel="nofollow" data-click-track="profile-work-strip-download" data-download="{"attachment_id":2037472,"asset_id":461331,"asset_type":"Work","button_location":"profile"}" href="https://www.academia.edu/attachments/2037472/download_file?st=MTczMjcxOTU2MSw4LjIyMi4yMDguMTQ2&s=profile"><span><i class="fa fa-arrow-down"></i></span><span>Download</span></a><span class="wp-workCard--action visible-if-viewed-by-owner inline-block" style="display: none;"><span class="js-profile-work-strip-edit-button-wrapper profile-work-strip-edit-button-wrapper" data-work-id="461331"><a class="js-profile-work-strip-edit-button" tabindex="0"><span><i class="fa fa-pencil"></i></span><span>Edit</span></a></span></span><span id="work-strip-rankings-button-container"></span></div><div class="wp-workCard_item wp-workCard--stats"><span><span><span class="js-view-count view-count u-mr2x" data-work-id="461331"><i class="fa fa-spinner fa-spin"></i></span><script>$(function () { var workId = 461331; window.Academia.workViewCountsFetcher.queue(workId, function (count) { var description = window.$h.commaizeInt(count) + " " + window.$h.pluralize(count, 'View'); $(".js-view-count[data-work-id=461331]").text(description); $(".js-view-count[data-work-id=461331]").attr('title', description).tooltip(); }); });</script></span></span><span><span class="percentile-widget hidden"><span class="u-mr2x work-percentile"></span></span><script>$(function () { var workId = 461331; window.Academia.workPercentilesFetcher.queue(workId, function (percentileText) { var container = $(".js-work-strip[data-work-id='461331']"); container.find('.work-percentile').text(percentileText.charAt(0).toUpperCase() + percentileText.slice(1)); container.find('.percentile-widget').show(); container.find('.percentile-widget').removeClass('hidden'); }); });</script></span><span><script>$(function() { new Works.PaperRankView({ workId: 461331, container: "", }); });</script></span></div><div id="work-strip-premium-row-container"></div></div></div><script> require.config({ waitSeconds: 90 })(["https://a.academia-assets.com/assets/wow_profile-f77ea15d77ce96025a6048a514272ad8becbad23c641fc2b3bd6e24ca6ff1932.js","https://a.academia-assets.com/assets/work_edit-ad038b8c047c1a8d4fa01b402d530ff93c45fee2137a149a4a5398bc8ad67560.js"], function() { // from javascript_helper.rb var dispatcherData = {} if (true){ window.WowProfile.dispatcher = window.WowProfile.dispatcher || _.clone(Backbone.Events); dispatcherData = { dispatcher: window.WowProfile.dispatcher, downloadLinkId: "fbe00df5b70506e93539fa5d3b02dbef" } } $('.js-work-strip[data-work-id=461331]').each(function() { if (!$(this).data('initialized')) { new WowProfile.WorkStripView({ el: this, workJSON: {"id":461331,"title":"State of the art metrics for nursing: a rapid appraisal","translated_title":"","metadata":{"abstract":"Increasingly, public services are asked to explicitly demonstrate performance, in order to improve public accountability and increase quality. The recent Next Stage Review of the NHS outlined a number of initiatives designed to improve the measurement and monitoring of quality within the NHS. Public concern about the quality of nursing care, coupled with a professional desire to demonstrate contributions and improve quality, have led to an increased interest in measures of nursing. By making the contribution of nursing explicit in performance measures it is hoped that quality can be maintained and enhanced rather than neglected in the drive to meet other performance targets2. \n\nHowever, developing indicators to properly represent the functioning of such a complex service is not without its pitfalls. \n\nThe evidence\n\nWe populated a list of possible indicators for nursing from a number of sources: Doran’s review of the “State of the Science” of nurse sensitive indicators3, recent systematic reviews of the link between the ward environment, nurse staffing and patient outcomes4-7 and a number of indicator systems8-10. Most sources focussed on acute care and we concentrate on these here.\nThere is a degree of consistency in identifying failure to rescue (death among patients with treatable complications); healthcare associated infection (HCAI); pressure sores and staffing variables as outcome indicators of nursing quality. A systematic review found that falls and pressure sores are not consistently associated with nurse staffing. The amount of variation in the other outcomes associated with nurse staffing is relatively low4. The invisibility of some nursing indicators in the research may be because they are often not recorded in administrative databases4 Staffing variables, such as workforce planning, staff satisfaction, perceived quality of the practice environment and staffing levels are also supported as structural indicators of nursing quality based on reviews and individual studies which link these factors with mortality and other outcomes in countries including the UK4-7 ,11. Positive contributions of nursing to patient experience and patient outcomes such as measures of wellbeing function or recovery do not consistently appear in the sources we used although they are clearly important.\nThere is a danger in focussing on a few narrowly defined indicators in that perverse incentives may be created12 resulting in gaming, whereby maximising performance on the indicators detracts from overall performance or changes performance in relation to the indicator in a way that invalidates it13. The selection of indicators must consider the potential for gaming and seek to minimise the potential. Experience of gaming in relation to NHS targets suggests that process type indicators (where completion of activities is recorded) seem particularly vulnerable. One notable example was the 48 hour target for GP appointments leading to practices refusing to offer appointments more than 48 hours in advance13.\nIndicators must be important, scientifically sound, useable and feasible14 ,15. Risk adjustment, to adjust for differences in patient groups and their relative vulnerability, is necessary if comparisons are made between institutions on outcomes. Indicators adopted must fall in the sphere of responsibility of nursing and be recognised as doing so by nurses, other professionals, and hospital managers in order for them to facilitate positive change and accountability. Minimising the burden of data collection is important but this consideration must be balanced with known problems in the quality of data in administrative data sets.\n\n\nSummary \u0026 conclusions\n•\tThere are several proposed ‘nurse sensitive’ indicator sets aiming to demonstrate and measure the quality of nursing care. Work so far is dominated by indicators and research related to acute hospital care, primarily in North America.\n•\tThere is considerable disagreement between the different sources as to the key indicators for nursing\n•\tEvidence from systematic reviews of the association between nurse staffing and patient outcomes consistently supports, “failure to rescue” and healthcare associated infection (especially pneumonia) as nurse sensitive outcomes. \n•\tEvidence for other widely advocated outcomes such as falls and pressure sores an association with nurse staffing variables is less consistent but these are strongly supported by the profession and by theoretical links.\n•\tStaffing variables such as workforce planning, staff satisfaction, perceived quality of the practice environment and staffing levels are also supported as structural indicators of nursing quality.\n•\tPositive contributions of nursing to patient experience and patient outcomes such as measures of wellbeing function or recovery do not consistently appear in the sources we used, but need to be considered if indicators sets are to be properly representative of the goals of nursing.\n•\tMeasures of care structure and processes are particularly vulnerable to ’gaming’ and token compliance. Patient and staff reported measures are less vulnerable.\n•\tThe scope for using administrative data to generate indicators is limited and the ‘audit’ burden may be high. Areas to prioritise are those where most benefit can be derived and data can be collected efficiently\n•\tFailure to rescue, hospital acquired pneumonia, pressure sores, falls and workforce planning and patient and staff experience seem the most promising areas for indicator development in acute care\n","more_info":"This report was commissioned from England's National Nursing Research Unit by the department of health to support the nursing contribution to Lord Darzi's next stage review of the NHS. It considers possible outcome indicators for nursing, the criteria for good metrics and the evidence base for currently proposed / implemented indicators. It concludes by making a number of recommendations including identifying 'best bets' for future development of metrics based on nurse sensitive outcome indicators and a call for the RCN and others to facilitate a nursing quality coalition."},"translated_abstract":"Increasingly, public services are asked to explicitly demonstrate performance, in order to improve public accountability and increase quality. The recent Next Stage Review of the NHS outlined a number of initiatives designed to improve the measurement and monitoring of quality within the NHS. Public concern about the quality of nursing care, coupled with a professional desire to demonstrate contributions and improve quality, have led to an increased interest in measures of nursing. By making the contribution of nursing explicit in performance measures it is hoped that quality can be maintained and enhanced rather than neglected in the drive to meet other performance targets2. \n\nHowever, developing indicators to properly represent the functioning of such a complex service is not without its pitfalls. \n\nThe evidence\n\nWe populated a list of possible indicators for nursing from a number of sources: Doran’s review of the “State of the Science” of nurse sensitive indicators3, recent systematic reviews of the link between the ward environment, nurse staffing and patient outcomes4-7 and a number of indicator systems8-10. Most sources focussed on acute care and we concentrate on these here.\nThere is a degree of consistency in identifying failure to rescue (death among patients with treatable complications); healthcare associated infection (HCAI); pressure sores and staffing variables as outcome indicators of nursing quality. A systematic review found that falls and pressure sores are not consistently associated with nurse staffing. The amount of variation in the other outcomes associated with nurse staffing is relatively low4. The invisibility of some nursing indicators in the research may be because they are often not recorded in administrative databases4 Staffing variables, such as workforce planning, staff satisfaction, perceived quality of the practice environment and staffing levels are also supported as structural indicators of nursing quality based on reviews and individual studies which link these factors with mortality and other outcomes in countries including the UK4-7 ,11. Positive contributions of nursing to patient experience and patient outcomes such as measures of wellbeing function or recovery do not consistently appear in the sources we used although they are clearly important.\nThere is a danger in focussing on a few narrowly defined indicators in that perverse incentives may be created12 resulting in gaming, whereby maximising performance on the indicators detracts from overall performance or changes performance in relation to the indicator in a way that invalidates it13. The selection of indicators must consider the potential for gaming and seek to minimise the potential. Experience of gaming in relation to NHS targets suggests that process type indicators (where completion of activities is recorded) seem particularly vulnerable. One notable example was the 48 hour target for GP appointments leading to practices refusing to offer appointments more than 48 hours in advance13.\nIndicators must be important, scientifically sound, useable and feasible14 ,15. Risk adjustment, to adjust for differences in patient groups and their relative vulnerability, is necessary if comparisons are made between institutions on outcomes. Indicators adopted must fall in the sphere of responsibility of nursing and be recognised as doing so by nurses, other professionals, and hospital managers in order for them to facilitate positive change and accountability. Minimising the burden of data collection is important but this consideration must be balanced with known problems in the quality of data in administrative data sets.\n\n\nSummary \u0026 conclusions\n•\tThere are several proposed ‘nurse sensitive’ indicator sets aiming to demonstrate and measure the quality of nursing care. Work so far is dominated by indicators and research related to acute hospital care, primarily in North America.\n•\tThere is considerable disagreement between the different sources as to the key indicators for nursing\n•\tEvidence from systematic reviews of the association between nurse staffing and patient outcomes consistently supports, “failure to rescue” and healthcare associated infection (especially pneumonia) as nurse sensitive outcomes. \n•\tEvidence for other widely advocated outcomes such as falls and pressure sores an association with nurse staffing variables is less consistent but these are strongly supported by the profession and by theoretical links.\n•\tStaffing variables such as workforce planning, staff satisfaction, perceived quality of the practice environment and staffing levels are also supported as structural indicators of nursing quality.\n•\tPositive contributions of nursing to patient experience and patient outcomes such as measures of wellbeing function or recovery do not consistently appear in the sources we used, but need to be considered if indicators sets are to be properly representative of the goals of nursing.\n•\tMeasures of care structure and processes are particularly vulnerable to ’gaming’ and token compliance. Patient and staff reported measures are less vulnerable.\n•\tThe scope for using administrative data to generate indicators is limited and the ‘audit’ burden may be high. Areas to prioritise are those where most benefit can be derived and data can be collected efficiently\n•\tFailure to rescue, hospital acquired pneumonia, pressure sores, falls and workforce planning and patient and staff experience seem the most promising areas for indicator development in acute care\n","internal_url":"https://www.academia.edu/461331/State_of_the_art_metrics_for_nursing_a_rapid_appraisal","translated_internal_url":"","created_at":"2011-03-02T17:00:21.352-08:00","preview_url":null,"current_user_can_edit":null,"current_user_is_owner":null,"owner_id":346304,"coauthors_can_edit":true,"document_type":"book","co_author_tags":[{"id":23162416,"work_id":461331,"tagging_user_id":346304,"tagged_user_id":null,"co_author_invite_id":1086126,"email":"s***s@sheffield.ac.uk","display_order":4194304,"name":"François-Moana Gautier","title":"State of the art metrics for nursing: a rapid 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of Nurses in Society: starting the debate" class="work-thumbnail" src="https://attachments.academia-assets.com/2042934/thumbnails/1.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/462655/Nurses_in_Society_starting_the_debate">Nurses in Society: starting the debate</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">This report was commissioned by the Chief Nursing Officer for England and was undertaken in the s...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">This report was commissioned by the Chief Nursing Officer for 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$(this).data('initialized', true); } }); $a.trackClickSource(".js-work-strip-work-link", "profile_work_strip") }); </script> <div class="js-work-strip profile--work_container" data-work-id="1688401"><div class="profile--work_thumbnail hidden-xs"><a class="js-work-strip-work-link" data-click-track="profile-work-strip-thumbnail" href="https://www.academia.edu/1688401/Nurse_staffing_matters_first_findings_from_research_addressing_the_associations_between_nurse_staffing_and_patient_safety_and_quality_of_care"><img alt="Research paper thumbnail of Nurse staffing matters: first findings from research addressing the associations between nurse staffing and patient safety and quality of care" class="work-thumbnail" src="https://a.academia-assets.com/images/blank-paper.jpg" /></a></div><div class="wp-workCard wp-workCard_itemContainer"><div class="wp-workCard_item wp-workCard--title"><a class="js-work-strip-work-link text-gray-darker" data-click-track="profile-work-strip-title" href="https://www.academia.edu/1688401/Nurse_staffing_matters_first_findings_from_research_addressing_the_associations_between_nurse_staffing_and_patient_safety_and_quality_of_care">Nurse staffing matters: first findings from research addressing the associations between nurse staffing and patient safety and quality of care</a></div><div class="wp-workCard_item"><span class="js-work-more-abstract-truncated">Nurse staffing matters: first findings from research addressing the associations between nurse st...</span><a class="js-work-more-abstract" data-broccoli-component="work_strip.more_abstract" data-click-track="profile-work-strip-more-abstract" href="javascript:;"><span> more </span><span><i class="fa fa-caret-down"></i></span></a><span class="js-work-more-abstract-untruncated hidden">Nurse staffing matters: first findings from research addressing the associations between nurse staffing and patient safety and quality of care with guest speakers<br /><br />Professor Anne Marie Rafferty, Head of the Florence Nightingale School of Nursing & Midwifery, King’s College London and <br /><br />Professor Peter Griffiths, Chair of Health Services Research, University of Southampton.<br /><br />RN4cast is the largest ever research study to explore the associations between nurse staffing and patient outcomes. 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