Cargando…

The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study

Higher levels of educational preparation for nurses are associated with lower mortality rates in both medical and surgical wards. In mental health inpatient wards, few studies have examined whether specialist mental health nurse training has any impact on patient outcomes. The aim of this retrospect...

Descripción completa

Detalles Bibliográficos
Autores principales: Moyo, Nompilo, Jones, Martin, Dennis, Shaun, Sharma, Karan, McKeown, Michael, Gray, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915260/
https://www.ncbi.nlm.nih.gov/pubmed/36768081
http://dx.doi.org/10.3390/ijerph20032715
_version_ 1784885861283790848
author Moyo, Nompilo
Jones, Martin
Dennis, Shaun
Sharma, Karan
McKeown, Michael
Gray, Richard
author_facet Moyo, Nompilo
Jones, Martin
Dennis, Shaun
Sharma, Karan
McKeown, Michael
Gray, Richard
author_sort Moyo, Nompilo
collection PubMed
description Higher levels of educational preparation for nurses are associated with lower mortality rates in both medical and surgical wards. In mental health inpatient wards, few studies have examined whether specialist mental health nurse training has any impact on patient outcomes. The aim of this retrospective observational study was to establish the feasibility of extracting and linking nurse education and inpatient outcome data from hospital administrative sources to inform the design of future mental health nursing skill mix studies. Study participants were people experiencing mental ill-health and admitted to psychiatric inpatient care for at least 24 h. The exposure was the ratio of mental health nurses to comprehensive nurses for each patient for each day of their admission. The outcome was readmission for psychiatric inpatient care within 12 months of discharge from the index admission. Confounders were patient demographic (age, gender) and clinical characteristics (diagnosis, legal status, community follow-up). Forty-four patients included in the study were inpatients for a total of 595 days. The median hospital stay was 12 days (IQR = 7–17). In total, 11 (25%) patients were readmitted. In the readmitted and not readmitted groups, the median skill mix ratio was 5 (IQR = 5–7) and 5 (1–6), respectively. It was feasible to extract and code patient and nurse data from hospital databases and link them together. However, a substantial amount of manual post hoc recoding was required to enable us to calculate the exposure (mental health to comprehensive nurse ratio) in a precise way. It may be realistic to automate our methodology in an appropriately powered mental health nursing skill mix study. Australian and New Zealand clinical trial registry: ACTRN12619001337167p.
format Online
Article
Text
id pubmed-9915260
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-99152602023-02-11 The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study Moyo, Nompilo Jones, Martin Dennis, Shaun Sharma, Karan McKeown, Michael Gray, Richard Int J Environ Res Public Health Article Higher levels of educational preparation for nurses are associated with lower mortality rates in both medical and surgical wards. In mental health inpatient wards, few studies have examined whether specialist mental health nurse training has any impact on patient outcomes. The aim of this retrospective observational study was to establish the feasibility of extracting and linking nurse education and inpatient outcome data from hospital administrative sources to inform the design of future mental health nursing skill mix studies. Study participants were people experiencing mental ill-health and admitted to psychiatric inpatient care for at least 24 h. The exposure was the ratio of mental health nurses to comprehensive nurses for each patient for each day of their admission. The outcome was readmission for psychiatric inpatient care within 12 months of discharge from the index admission. Confounders were patient demographic (age, gender) and clinical characteristics (diagnosis, legal status, community follow-up). Forty-four patients included in the study were inpatients for a total of 595 days. The median hospital stay was 12 days (IQR = 7–17). In total, 11 (25%) patients were readmitted. In the readmitted and not readmitted groups, the median skill mix ratio was 5 (IQR = 5–7) and 5 (1–6), respectively. It was feasible to extract and code patient and nurse data from hospital databases and link them together. However, a substantial amount of manual post hoc recoding was required to enable us to calculate the exposure (mental health to comprehensive nurse ratio) in a precise way. It may be realistic to automate our methodology in an appropriately powered mental health nursing skill mix study. Australian and New Zealand clinical trial registry: ACTRN12619001337167p. MDPI 2023-02-03 /pmc/articles/PMC9915260/ /pubmed/36768081 http://dx.doi.org/10.3390/ijerph20032715 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Moyo, Nompilo
Jones, Martin
Dennis, Shaun
Sharma, Karan
McKeown, Michael
Gray, Richard
The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study
title The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study
title_full The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study
title_fullStr The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study
title_full_unstemmed The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study
title_short The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study
title_sort association between nursing skill mix and patient outcomes in a mental health setting: an observational feasibility study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9915260/
https://www.ncbi.nlm.nih.gov/pubmed/36768081
http://dx.doi.org/10.3390/ijerph20032715
work_keys_str_mv AT moyonompilo theassociationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT jonesmartin theassociationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT dennisshaun theassociationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT sharmakaran theassociationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT mckeownmichael theassociationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT grayrichard theassociationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT moyonompilo associationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT jonesmartin associationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT dennisshaun associationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT sharmakaran associationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT mckeownmichael associationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy
AT grayrichard associationbetweennursingskillmixandpatientoutcomesinamentalhealthsettinganobservationalfeasibilitystudy