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Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals

Objective To examine the associations of four distinct nursing care organizational models with patient safety outcomes.
Design Cross-sectional correlational study. Using a standardized protocol, patients' records were screened retrospectively to detect occurrences of patient safety-related events. Binary logistic regression was used to assess the associations of those events with four nursing care organizational models.
Setting Twenty-two medical units in 11 hospitals in Quebec, Canada, were clustered into 4 nursing care organizational models: 2 professional models and 2 functional models.
Conclusions Data suggest that nursing care organizational models characterized by contrasting staffing, work environment and innovation characteristics may be associated with differential risk for hospitalized patients. The two professional models, which draw mainly on registered nurses (RNs) to deliver nursing services and reflect stronger support for nurses' professional practice, were associated with lower risks than are the two functional models.

Four nursing care organization models


Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals Reviewed by Juan C on 9:42 PM Rating: 5
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