School of Public Health, Bielefeld University, Bielefeld, Germany
John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alberta, Canada.
BMJ Open. 2022 Jun 22;12(6):e061073. doi: 10.1136/bmjopen-2022-061073.
Especially in acute care, evidence points to an association between care staffing and resident outcomes. However, this evidence is more limited in residential long-term care (LTC). Due to fundamental differences in the population of care recipients, organisational processes and staffing models, studies in acute care may not be applicable to LTC settings. We especially lack evidence on the complex interplay among nurse staffing and organisational context factors such as leadership, work culture or communication, and how these complex interactions influence resident outcomes. Our systematic review will identify and synthesise the available evidence on how nurse staffing and organisational context in residential LTC interact and how this impacts resident outcomes.
We will systematically search the databases MEDLINE, EMBASE, CINAHL, Scopus and PsycINFO from inception for quantitative research studies and systematically conducted reviews that statistically modelled interactions among nurse staffing and organisational context variables. We will include original studies that included nurse staffing and organisational context in LTC as independent variables, modelled interactions between these variables and described associations of these interactions with resident outcomes. Two reviewers will independently screen titles/abstracts and full texts for inclusion. They will also screen contents of key journals, publications of key authors and reference lists of all included studies. Discrepancies at any stage of the process will be resolved by consensus. Data extraction will be performed by one research team member and checked by a second team member. Two reviewers will independently assess the methodological quality of included studies using four validated checklists appropriate for different research designs. We will conduct a meta-analysis if pooling is possible. Otherwise, we will synthesise results using thematic analysis and vote counting.
Ethical approval is not required as this project does not involve primary data collection. The results of this study will be disseminated via peer-reviewed publications and conference presentation.
CRD42021272671.
特别是在急症护理中，有证据表明护理人员配备与居民结果之间存在关联。然而，在长期居住护理（LTC）中，这方面的证据更为有限。由于护理接受者人群、组织流程和人员配备模式存在根本差异，因此急性护理中的研究可能不适用于 LTC 环境。我们特别缺乏关于护士人员配备与领导、工作文化或沟通等组织背景因素之间复杂相互作用的证据，以及这些复杂相互作用如何影响居民结果。我们的系统审查将确定并综合现有证据，说明居住在长期护理中的护士人员配备和组织背景如何相互作用，以及这如何影响居民的结果。
我们将从创建以来系统地搜索数据库 MEDLINE、EMBASE、CINAHL、Scopus 和 PsycINFO，以查找有关护士人员配备和组织背景的定量研究，并系统地进行了审查，这些审查对护士人员配备和组织背景变量之间的相互作用进行了统计学建模。我们将纳入包括护士人员配备和 LTC 组织背景作为自变量的原始研究，对这些变量之间的相互作用进行建模，并描述这些相互作用与居民结果的关联。两名审查员将独立筛选标题/摘要和全文以进行纳入。他们还将筛选主要期刊的内容、主要作者的出版物和所有纳入研究的参考文献列表。在流程的任何阶段，如果存在分歧，将通过协商解决。数据提取将由一名研究团队成员进行，由第二名团队成员进行检查。两名审查员将独立使用适用于不同研究设计的四个经过验证的清单评估纳入研究的方法学质量。如果可以进行汇总，我们将进行荟萃分析；否则，我们将使用主题分析和投票计数来综合结果。
由于本项目不涉及原始数据收集，因此不需要伦理批准。本研究的结果将通过同行评审出版物和会议报告进行传播。
PROSPERO 注册号：CRD42021272671。
