To the editor,The effect on adherence of a self-administration medication programme was tested in a randomized controlled trial involving 60 cardiac inpatients by Hajialibeigloo et al. (2021) and published in Nursing Open. In the trial treatment, adherence was determined using the Morisky Medication Adherence Scale (MMAS). According to the acknowledgement section of the paper, the trial was part of a master's degree thesis.
BackgroundThe level of nurse-doctor interprofessional collaboration may influence patient outcomes, including mortality. To date, no systematic reviews have investigated the association between the amount of nurse-doctor collaboration and inpatient mortality.MethodsA systematic review. We included studies that measured the amount of nurse-doctor interprofessional collaboration and in-patient mortality. Five databases (MEDLINE, EMBASE, PsycInfo, CINAHL and the Cochrane register) were searched in June 2019 and February 2021. Two researchers undertook title and abstract and full-text screening. Risk of bias was determined using the Effective Public Health Practice Project (EPHPP) measure. ResultsSix documents from three observational studies met the inclusion criteria for the review. Participants included 191 doctors, 29591 nurses, and 1.32 million patients. Included studies had a high risk of bias. Of the three included studies, one reported a significant association and one no association between nurses’ reports of the amount of interprofessional collaboration. Although meeting inclusion criteria the third study did not test this association.ConclusionWe found no high-quality evidence to suggest the amount of nurse-doctor interprofessional collaboration was associated with mortality in medical and surgical inpatients. There is a need for further high-quality research to evaluate the association between the amount of nurse-doctor interaction and patient outcomes.Systematic review registrationPROSPERO CRD42019133543
Background
Accessibility and availability of health care services/providers is an increasing concern for many regional communities, particularly regional South Australia. However, in order to ascertain the health service/workforce requirements of this community, it is important to understand the health care needs of the population. Assessing the level of health service/provider utilisation within the region (i.e. expressed demand) can be useful in determining both health care need, and health service/workforce demand. This can be helpful for informing future health workforce and health services planning.
Methods
The regional South Australia health (RESONATE) survey aimed to determine the expressed demand for health care services and the health workforce in a regional South Australian population. The study was open to adults living in regional South Australia and was promoted using a comprehensive multi-modal recruitment campaign. Data were collected between April 2017 and March 2018 using the consumer utilization, expectations and experiences of healthcare instrument, which was administered online and in print.
Results
3,926 adults completed the questionnaire. Participants reported using 47 different health care providers in the previous 12 months. Whilst almost all (92.9%) participants had seen a general practitioner in the past 12 months, yoga instructors, chiropractors, pharmacists and physiotherapists were visited most frequently. Services/treatments most frequently received/recommended by a conventional health care provider were prescribed medication (71.9%) and dental procedures (50.4%); and by a complementary medicine provider, massage (26.1%) and vitamin/mineral supplementation (23.0%). Proportionally fewer participants in more remote locations received conventional services/treatments, though a significantly greater proportion of those in more remote locations had received complementary medicine services/treatments (relative to inner regional areas).
Conclusions
The findings of the RESONATE survey point to a high level of expressed demand for conventional and complementary health care services among study participants. Examining the extent to which the health needs of this and other regional populations are met should be the focus of further research to better inform future health workforce/services planning.
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