Evaluating Skill-Mix Models of Care: A Rapid Scoping Review of Measures and Outcomes.
J Nurs Adm
; 54(1): 25-34, 2024 Jan 01.
Article
em En
| MEDLINE
| ID: mdl-38051826
ABSTRACT
OBJECTIVE:
To synthesize the literature on measures and outcomes for skill-mix models of care.BACKGROUND:
To address the human health resource crisis, changes to skill mix within models of care are being implemented emphasizing the need to synthesize evaluation methods for skill-mix models in the future.METHODS:
A scoping review of the literature using a rigorous search strategy and selection process was completed to identify articles that examined skill-mix models in an effort to identify related concepts.RESULTS:
Ten studies examined skill-mix models. Areas of measurement in assessing the impact of skill-mix models included patient outcomes, patient satisfaction, nurse satisfaction, cost, and nurse perceptions of role changes, model effectiveness, and quality of care. Studies examining nurse satisfaction, patient satisfaction, and/or cost generally reported improvements upon skill-mix model implementation. Studies examining patient outcomes related to skill mix were inconsistent.CONCLUSIONS:
Factors for consideration upon implementation of a skill-mix change include education of role clarity, the number of unregulated staff who require supervision, and professional practice support.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Admissão e Escalonamento de Pessoal
/
Competência Clínica
Tipo de estudo:
Systematic_reviews
Limite:
Humans
Idioma:
En
Revista:
J Nurs Adm
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Canadá