ORCID Profile
0000-0003-1108-4492
Current Organisation
Hamad Medical Corporation
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Publisher: Wiley
Date: 09-06-2017
DOI: 10.1111/INR.12380
Abstract: To test the effect on patient mortality of implementing a nursing systems framework across a national health system. There have been five previous observational studies that have tested the effect of a nursing systems framework on clinical outcomes for patients. Implementation of a nursing systems framework in the health system of a developing country has not been evaluated. Quasi-experimental (before and after) study. A nursing systems framework consisting of six themes: (i) Professionalisation (ii) Education (iii) Structure (iv) Quality of nursing care (v) An academic health system and (vi) Communication (Professional), was implemented across the national health system of Qatar in March 2015. Routine administrative data were extracted (March 2014-February 2016) for elective admissions. Our primary and secondary outcomes were, respectively, all cause mortality at discharge and readmission to hospital (within 28 days of discharge). We split the data into two time periods: before (March 2014-February 2015) and after (March 2015-February 2016) the implementation of the nursing systems framework. Multivariable regression modelling was used to examine the effect of the framework on patient mortality, after adjusting for key confounding variables (patient age, episode acuity, intensive care admission and length of stay). Data were extracted for 318 548 patients (year 1 = 130 829 year 2 = 187 725). After adjusting for confounding, there was a significant association between the implementation of the nursing systems framework, mortality and readmission. Our observations suggest that the implementation of a nursing systems framework may be important in improving outcomes for patients in emerging health systems.
Publisher: Wiley
Date: 27-07-2016
DOI: 10.1111/JAN.13059
Abstract: To investigate the relationship between patient mortality and the educational preparation (graduateness) of the nurses who cared for them. There have been 18 studies over the last two decades examining the effect of nurses' educational qualifications on mortality. All but three have used mortality data aggregated at the hospital level that has been combined with surveys of nurses to estimate the level of graduateness in the population. Data collection and extraction generally has been done at different points in time. A retrospective, cross-sectional study. Routine administrative patient data were extracted (May-August 2015). The primary outcome was all-cause patient mortality at discharge. We were able to identify the in idual nurses who provided care during patients inpatient stay using an identification number. We were then able to calculate the 'graduateness' of the nursing care patients received by iding the number of recorded episodes of care provided by baccalaureate prepared nurses with the total number of care episodes. After adjusting for confounding, we observed a significant association between patient mortality and nurse graduateness. Our observations suggest an optimum level of baccalaureate prepared nurses of approximately 70%. Above this level, there appears to be no additional decrease in mortality rates. This study represents an important methodological step forward over previous approaches. Our observations are generally consistent with existing literature and confirm the importance of baccalaureate nurse education.
Location: Saudi Arabia
No related grants have been discovered for Brent Foreman.