The effect of an organisational model on the standard of care.
An Australian hospital was experiencing a long-term nursing staff shortage (in common with many hospitals throughout the world). The shortage led to concerns that patient care and supervision of less-experienced nursing staff was compromised. A survey was undertaken to ascertain which organisational models were used in the hospital, and how well these enabled nurses to provide a high standard of care. The findings suggest that the patient-allocation model should be maintained where practical and that team nursing should be trialled where poor numbers and skill-mix demand a greater degree of supervision and support.
Gullick
Janice
J
Royal Prince Alfred Hospital, Sydney.
Shepherd
Mark
M
Ronald
Tracey
T
D001291:Attitude of Health Personnel; D003266:Continuity of Patient Care; D006784:Hospitals, Teaching; D006801:Humans; D007588:Job Satisfaction; D016294:Models, Nursing; D017146:Models, Organizational; D020380:Needs Assessment; D009517:New South Wales; D015401:Nursing Administration Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D009746:Nursing, Team / Q000458:organization & administration*; D017060:Patient Satisfaction; D010561:Personnel Staffing and Scheduling; D011787:Quality of Health Care; D011795:Surveys and Questionnaires