Association between nurse aide staffing and patient mortality after major cancer surgeries in acute care settings: A retrospective cohort study

Hirose, Naoki; Morita, Kojiro; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo

doi:10.1111/nhs.12924

Cited by 3 publications

(3 citation statements)

References 30 publications

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“…In addition, enhancement of nursing care services for patients contributes to the improvement of patient outcomes (Aiken et al, 2002;Needleman et al, 2002). A previous study conducted in Japan (Hirose et al, 2022) found that the use of nurse aides may not be associated with a decrease in patient mortality rate, although this requires further investigation because of some study limitations. Therefore, if nurses can concentrate on their work by assigning non-nursing work to nursing assistants, etc., more efficient transfer can be achieved.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the condition of inpatients in acute care hospitals in Japan

Hayashida

Moriwaki

Murakami

2022

Nursing & Health Sciences

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This retrospective, multicenter, descriptive study aimed to evaluate the conditions of inpatients in acute care hospitals using the Severity of a Patient's Condition and Extent of a Patient's Need for Medical/Nursing Care tool. The study included 4 234 253 patients admitted to acute care hospitals in Japan between April 2019 and March 2020. Electrocardiographic monitoring, provision of respiratory care, and administration of antiarrhythmic agent injections and treatment were performed in a sterile room for >20%, >10%, and <1% of patient-days, respectively. More than 40% of inpatients needed support with performing activities of daily living, such as dressing and undressing, turning over, and oral care. The proportion of patients requiring daily medical/nursing care was generally high at the beginning of hospitalization, gradually decreased, and subsequently increased. Patients in acute care hospitals in Japan were not hospitalized unnecessarily early or for inappropriately long periods, and the efficiency of medical care improved over time. The Severity of a Patient's Condition and Extent of a Patient's Need for Medical/Nursing Care tool is useful for evaluating patient conditions in acute care hospitals.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the condition of inpatients in acute care hospitals in Japan

Hayashida

Moriwaki

Murakami

2022

Nursing & Health Sciences

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“…3a Regulatory and clinical governance mechanisms Only 33 (45%) of the records mentioned some form of an organisational regulatory or clinical governance mechanism for the CAs -8 in the UK(26, 27, 39, 41, 42, 54, 73, 81, 82, 83, 84), 6 in the USA(26, 51, 65, 70, 85, 86, 87, 88), 3 were from Taiwan China(75, 89), 2 from Canada (24,40), and 2 from Australia(26, 51), and 1 each from Japan (72), Brazil(68), Sweden(76), Kenya (90), Malawi(66), and Uganda (91). Moreover, Brazil, Kenya, Malawi, and Uganda are the only LMICs reporting some form of clinical governance mechanism.…”

Section: Characterising Casmentioning

confidence: 99%

“…With the aid of NVIVO, a sentiment analysis approach was used to code and curate themes related to nurses' experiences of working with CAs at the individual level. The emergent themes were grouped into either positive, neutral, or negative sentiments as illustrated in [26,51], and 1 each from Japan [72], Brazil [68], Sweden [76], Kenya [89], Malawi [66], and Uganda [90]. Moreover, Brazil, Kenya, Malawi, and Uganda are the only LMICs reporting some form of clinical governance mechanism.…”

Section: Objective 2b: Nurses' Perception and Experiences Towards Casmentioning

confidence: 99%

Characterising Support and Care Assistants in Formal Hospital Settings: A Scoping Review

Kagonya,

Onyango,

Maina

et al. 2023

Preprint

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Background: A 15 million health workforce shortage is still experienced globally leading to a sub-optimal healthcare worker-to-population ratio in most countries. The use of low-skilled care assistants has been suggested as a cost-saving human resource for health strategy that can significantly reduce the risks of rationed, delayed, or missed care. However, the characterisation, role assignment, regulation, and clinical governance mechanisms for unlicensed assistive workforce remain unclear or inconsistent. The purpose of this study was to map and collate evidence of how care assistants are labelled, utilised, regulated, and managed in formal hospital settings as well as their impact on patient care. Methods: We conducted a scoping review of literature from PUBMED, CINAHL, PsychINFO, EMBASE, Web of Science, Scopus, and Google Scholar. Searches and eligibility screening were conducted using the Participants-Context-Concepts framework. Thematic content analysis guided the synthesis of the findings. Results: 73 records from a total of 15 countries were included in the final full-text review and synthesis. A majority (78%) of these sources were from high-income countries. Many titles are used to describe care assistants, and these vary within and across countries. On ascribed roles, care assistants perform direct patient care, housekeeping, clerical and documentation, portering, patient flow management, ordering of laboratory tests, emergency response and first aid duties. Additional extended roles that require higher competency levels exist in the United States, Australia, and Canada. There is a mixture of both positive and negative sentiments on their impact on patient care or nurses’ perception and experiences. Clinical and organisational governance mechanisms vary substantially across the 15 countries. Licensure, regulatory mechanisms, and task-shifting policies are largely absent or not reported in these countries. Conclusion: The nomenclature used to describe care assistants and the tasks they perform vary substantially within countries and across healthcare systems. There is, therefore, a needto review and update the international and national classification of occupations for clarity and more meaningful nomenclature for care assistants. Also, the association between care assistants and care outcomes or nurses’ experience remains unclear. Further, there is a dearth of empirical evidence on this topic from low and middle-income countries.

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Characterising support and care assistants in formal hospital settings: a scoping review

Kagonya,

Onyango,

Maina

et al. 2023

Hum Resour Health

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Background A 15 million health workforce shortage is still experienced globally leading to a sub-optimal healthcare worker-to-population ratio in most countries. The use of low-skilled care assistants has been suggested as a cost-saving human resource for health strategy that can significantly reduce the risks of rationed, delayed, or missed care. However, the characterisation, role assignment, regulation, and clinical governance mechanisms for unlicensed assistive workforce remain unclear or inconsistent. The purpose of this study was to map and collate evidence of how care assistants are labelled, utilised, regulated, and managed in formal hospital settings as well as their impact on patient care. Methods We conducted a scoping review of literature from PUBMED, CINAHL, PsychINFO, EMBASE, Web of Science, Scopus, and Google Scholar. Searches and eligibility screening were conducted using the Participants–Context–Concepts framework. Thematic content analysis guided the synthesis of the findings. Results 73 records from a total of 15 countries were included in the final full-text review and synthesis. A majority (78%) of these sources were from high-income countries. Many titles are used to describe care assistants, and these vary within and across countries. On ascribed roles, care assistants perform direct patient care, housekeeping, clerical and documentation, portering, patient flow management, ordering of laboratory tests, emergency response and first aid duties. Additional extended roles that require higher competency levels exist in the United States, Australia, and Canada. There is a mixture of both positive and negative sentiments on their impact on patient care or nurses’ perception and experiences. Clinical and organisational governance mechanisms vary substantially across the 15 countries. Licensure, regulatory mechanisms, and task-shifting policies are largely absent or not reported in these countries. Conclusions The nomenclature used to describe care assistants and the tasks they perform vary substantially within countries and across healthcare systems. There is, therefore, a need to review and update the international and national classification of occupations for clarity and more meaningful nomenclature for care assistants. In addition, the association between care assistants and care outcomes or nurses’ experience remains unclear. Furthermore, there is a dearth of empirical evidence on this topic from low- and middle-income countries.

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Association between nurse aide staffing and patient mortality after major cancer surgeries in acute care settings: A retrospective cohort study

Cited by 3 publications

References 30 publications

Evaluation of the condition of inpatients in acute care hospitals in Japan

Evaluation of the condition of inpatients in acute care hospitals in Japan

Characterising Support and Care Assistants in Formal Hospital Settings: A Scoping Review

Characterising support and care assistants in formal hospital settings: a scoping review

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