The Association between Nursing Skill Mix and Mortality for Adult Medical and Surgical Patients: Protocol for a Systematic Review
Abstract
:1. Introduction
1.1. Nursing Skill Mix
1.2. Definition of Skill Mix
2. Materials and Methods
2.1. Research Objectives
2.2. Review Question
2.3. Design
2.4. Eligibility Criteria
- Adult medical and surgical inpatients aged at least 18 years of age;
- The exposure or intervention is a nursing skill mix that includes, but is not limited to, nurse-to-patient ratio, nursing hours per patient per day, and nurse education level;
- Report patient mortality (any definition) as an outcome;
- Published in English.
2.5. Searching the Grey Literature
2.6. Search Strategy
2.7. Study Selection
2.8. Managing Multiple Reports from the Same Study
2.9. Data Extraction
2.10. Risk of Bias
2.11. Assessing Clinical and Methodological Heterogeneity
2.12. Statistical Heterogeneity
2.13. Meta-Analyses
2.14. Subgroup Analyses (Planned)
2.15. Sensitivity Analysis
3. Discussion
Study Limitations
4. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Search ID | Search Terms | Search Notes |
---|---|---|
Concept 1: Context or population (hospital inpatient) | ||
S1 | Exp hospital/ | |
S2 | Exp hospitalization/ | |
S3 | Exp Female/or exp Male/or exp Adult/ | |
S4 | Exp hospital patient/ | |
S5 | (hospital or hospitali?ation or inpatient* or hospital patient) | |
S6 | S1 or S2 or S3 or S4 | |
Concept 2: Nursing skill mix terminology | ||
S7 | Exp skill mix/ | |
S8 | Exp nursing staff/ | |
S9 | Grade mix or hours per patient day or hppd or nurse-patient ratio or nurs* staff or nurs*staff mix or nursing grades or registered nurs* or unregistered nurs* or personnel staffing or licensed nurs* or trained nurs* or staffing levels or clinical competence | |
S10 | Exp nurse-patient ratio | |
S11 | S7 or S8 or S9 or S10 | |
Concept 3: Mortality outcome | ||
S12 | Exp hospital mortality/ | |
S13 | S6 AND S10 AND S12 |
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Kushemererwa, D.; Davis, J.; Moyo, N.; Gilbert, S.; Gray, R. The Association between Nursing Skill Mix and Mortality for Adult Medical and Surgical Patients: Protocol for a Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 8604. https://doi.org/10.3390/ijerph17228604
Kushemererwa D, Davis J, Moyo N, Gilbert S, Gray R. The Association between Nursing Skill Mix and Mortality for Adult Medical and Surgical Patients: Protocol for a Systematic Review. International Journal of Environmental Research and Public Health. 2020; 17(22):8604. https://doi.org/10.3390/ijerph17228604
Chicago/Turabian StyleKushemererwa, Diana, Jenny Davis, Nompilo Moyo, Sue Gilbert, and Richard Gray. 2020. "The Association between Nursing Skill Mix and Mortality for Adult Medical and Surgical Patients: Protocol for a Systematic Review" International Journal of Environmental Research and Public Health 17, no. 22: 8604. https://doi.org/10.3390/ijerph17228604