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Matching Registered Nurse services with changing care demands (MatchRN ): study protocol of a natural experiment multi-centre study

Bachnick, Stefanie and Ausserhofer, Dietmar and Januel, Jean-Marie and Schubert, Maria and Schwendimann, René and De Geest, Sabina and Simon, Michael. (2017) Matching Registered Nurse services with changing care demands (MatchRN ): study protocol of a natural experiment multi-centre study. Journal of advanced nursing, 73 (7). pp. 1735-1746.

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Official URL: https://edoc.unibas.ch/59814/

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Abstract

The aim of this study was to examine how patient safety indicators and processes and structures of nursing care have changed since the 2012 introduction of Swiss Diagnosis-Related Groups.; Diagnosis-Related Groups have been implemented worldwide; yet, research findings regarding their impact on efficiency and quality of care remain inconsistent. The Matching Registered Nurse Services with Changing Care Demands study will assess how structures, processes and patient and nurse outcomes have changed in Swiss acute care hospitals since the introduction of Swiss Diagnosis-Related Groups.; A multi-centre observational study nested in a natural experiment.; To explore the effect of implementing Diagnosis-Related Groups in Switzerland we will compare nurse and patient survey data from 2010 with data from 2015 and eventually from 2017. Initially, we will match survey data from 78 medical and surgical units of 21 hospitals that participated in 2010 and 2015. Study variables related to structures and processes of nursing care (e.g. staffing/skill mix level, nurse work environment, rationing of nursing care), as well as patient and nurse outcomes, were assessed with well-established instruments. In 2017, a follow-up survey will be conducted to explore long-term implications. Furthermore, 6 years' medical and surgical patient discharge data (collected 2010-2015) will be analysed to assess changes in the severity of patient illness, length of stay and selected patient safety indicators.; This study's results will provide evidence regarding Diagnosis-Related Groups influences on Swiss nursing services and patient safety outcomes.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
UniBasel Contributors:Bachnick, Stefanie and Ausserhofer, Dietmar and Schubert, Maria and Schwendimann, René and De Geest, Sabina M. and Simon, Michael
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Wiley
ISSN:0309-2402
e-ISSN:1365-2648
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:29 Apr 2020 11:24
Deposited On:29 Apr 2020 11:24

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