Objective: To study the association between pulmonary thromboembolism as nursing outcome and some factors linked to nursingstaffi ng.Method: It was carried out a literature’ systematic review with a narrative summary. Literature research have been performed by:MEDLINE, CINAHL, WEB OF KNOWLEDGE and SCOPUS, and the following keywords were used: nursing sensitive outcomes, nursing staffi ng, skillmix, nursing outcomes. English and Italian articles published from 2000 to 2015 were included. Selection was performed by using inclusion andexclusion criteria. Studies’ quality assessment was done by the Newcastle and Ottawa Quality Assessment Scale (NOS).Results: 10824 articles were found, 47 of them follow inclusion criteria. 11 different outcomes were identifi ed. Among these, the pulmonarythromboembolism studied in 14 articles was chosen to be investigated, in relation to organic measures of Nursing Hours Per Patient Day (NHPPD)and of skill mix.Articles’ review gave the opportunity to identify some intervention’ alternative strategies to be able to positively infl uence the studied outcome:skill mix, recruitment, empowerment, education, supervision, outcome measurement, nursing research, work organization, and nursing workload.Conclusions: Additional researches should be done in order to fi nd empirical evidences related to principle underlined intervention areas,specifi cally the skill mix, in order to act effi ciently on pulmonary thromboembolism, and consequentially to reduce managing cost of patients inthis condition.
Obiettivo: studiare l ’associazione tra il tromboembolismo polmonare in quanto esito dell’assistenza e alcuni fattori riferibili all’organicoinfermieristico.Metodo: è stata condotta una revisione sistematica della letteratura con una sintesi narrativa. La ricerca è stata effettuata attraverso:MEDLINE, CINAHL, WEB OF KNOWLEDGE e SCOPUS, utilizzando le seguenti parole chiave: nursing sensitive outcomes, nursing staffi ng, skillmix, nursing outcomes. Sono stati inclusi gli articoli pubblicati dal 2000 al 2015 in lingua inglese e italiana. La selezione è stata eseguita utilizzandocriteri di inclusione ed esclusione. La valutazione della qualità degli studi è stata fatta tramite la Newcastle and Ottawa Quality Assessment Scale(NOS).Risultati: sono stati ritrovati 10824 articoli, di questi 47 hanno risposto ai criteri di inclusione. Sono stati identifi cati 11 diversi tipi di outcome. Traquesti è stato indagato, in relazione alle misure di organico infermieristico del Nursing Hours Per Patient Day (NHPPD) e dello skill mix, il tromboembolismopolmonare esaminato in 14 articoli. La revisione degli articoli ha consentito di individuare alcuni campi di intervento per poter infl uenzarepositivamente l’outcome studiato: skill mix, reclutamento, empowerment, formazione, sorveglianza infermieristica, misurazione degli esiti, ricercainfermieristica, organizzazione del lavoro e carico di lavoro.Conclusioni: ulteriori ricerche devono essere svolte per trovare evidenze empiriche circa i principali campi di intervento evidenziati, in particolarmodo lo Skill Mix, così da poter incidere in modo effi cace sulla riduzione del tromboembolismo polmonare abbattendone i costi.
Quantità di cure infermieristiche e tromboembolismo polmonare. Risultati empirici da una revisione sistematica della letteratura
Galletti C
2016-01-01
Abstract
Objective: To study the association between pulmonary thromboembolism as nursing outcome and some factors linked to nursingstaffi ng.Method: It was carried out a literature’ systematic review with a narrative summary. Literature research have been performed by:MEDLINE, CINAHL, WEB OF KNOWLEDGE and SCOPUS, and the following keywords were used: nursing sensitive outcomes, nursing staffi ng, skillmix, nursing outcomes. English and Italian articles published from 2000 to 2015 were included. Selection was performed by using inclusion andexclusion criteria. Studies’ quality assessment was done by the Newcastle and Ottawa Quality Assessment Scale (NOS).Results: 10824 articles were found, 47 of them follow inclusion criteria. 11 different outcomes were identifi ed. Among these, the pulmonarythromboembolism studied in 14 articles was chosen to be investigated, in relation to organic measures of Nursing Hours Per Patient Day (NHPPD)and of skill mix.Articles’ review gave the opportunity to identify some intervention’ alternative strategies to be able to positively infl uence the studied outcome:skill mix, recruitment, empowerment, education, supervision, outcome measurement, nursing research, work organization, and nursing workload.Conclusions: Additional researches should be done in order to fi nd empirical evidences related to principle underlined intervention areas,specifi cally the skill mix, in order to act effi ciently on pulmonary thromboembolism, and consequentially to reduce managing cost of patients inthis condition.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
