scholarly journals Nursing stress and satisfaction outcomes resulting from implementing a team nursing model of care in a rural setting

2017 ◽  
Vol 6 (1) ◽  
pp. 60 ◽  
Author(s):  
Linda Deravin ◽  
Karen Francis ◽  
Sharon Nielsen ◽  
Judith Anderson
Keyword(s):  
Nursing Staff ◽  
Rural Setting ◽  
Model Of Care ◽  
New Model ◽  
Safety Issues ◽  
Nursing Stress ◽  
Significant Difference ◽  
Cost Efficient ◽  
Team Nursing ◽  
Fiscal Considerations

Objective: With increasing demands to provide a cost efficient nursing service, changes to nursing skill mix are being implemented globally. Team nursing as a model of care is seen as a way to address both patient care and safety issues. The aim of this study was to explore job satisfaction (JS) and stress outcomes of nursing staff when introducing team nursing as model of care within the Australian healthcare environment.Methods: An experimental study was utilised. Nursing staff (n = 63) were surveyed, using the Person Centred Nursing Index (PCNI) tool, prior to the implementation of a team nursing model of care and then again six months post implementation of the model (n = 64). Data was analysed to determine if there was a statistically significant difference in the average theme between pre and post surveys.Results: Nursing stress (NS) was reduced and JS was increased post implementation of the new model of care. JS and organisational traits, JS and work stress (WS), were positively related and increased post implementation. WS and nursing care (NC), organisational traits and NC were positively related but showed no statistically significant change after the implementation. This study demonstrated that in introducing a new model of care, levels of stress staff increased yet unexpectedly JS also improved.Conclusions: Decisions to adopt team nursing as the model of care should be based on a broad range of considerations not simply on fiscal considerations and should include staff readiness, staff mix and supportive measures to introduce a changed model of care.

scholarly journals Modification and Validation of the Phosphate Removal Model: A Multicenter Study

2021 ◽  
pp. 1-10
Author(s):  
Weichen Zhang ◽  
Qiuna Du ◽  
Jing Xiao ◽  
Zhaori Bi ◽  
Chen Yu ◽  
...  
Keyword(s):  
Polynomial Regression ◽  
External Validation ◽  
Original Model ◽  
Phosphate Concentration ◽  
Phosphate Removal ◽  
Internal Validation ◽  
Modified Model ◽  
New Model ◽  
Significant Difference ◽  
Removal Model

<b><i>Background:</i></b> Our research group has previously reported a noninvasive model that estimates phosphate removal within a 4-h hemodialysis (HD) treatment. The aim of this study was to modify the original model and validate the accuracy of the new model of phosphate removal for HD and hemodiafiltration (HDF) treatment. <b><i>Methods:</i></b> A total of 109 HD patients from 3 HD centers were enrolled. The actual phosphate removal amount was calculated using the area under the dialysate phosphate concentration time curve. Model modification was executed using second-order multivariable polynomial regression analysis to obtain a new parameter for dialyzer phosphate clearance. Bias, precision, and accuracy were measured in the internal and external validation to determine the performance of the modified model. <b><i>Results:</i></b> Mean age of the enrolled patients was 63 ± 12 years, and 67 (61.5%) were male. Phosphate removal was 19.06 ± 8.12 mmol and 17.38 ± 6.75 mmol in 4-h HD and HDF treatments, respectively, with no significant difference. The modified phosphate removal model was expressed as Tpo<sub>4</sub> = 80.3 × <i>C</i><sub>45</sub> − 0.024 × age + 0.07 × weight + β × clearance − 8.14 (β = 6.231 × 10<sup>−3</sup> × clearance − 1.886 × 10<sup>−5</sup> × clearance<sup>2</sup> – 0.467), where <i>C</i><sub>45</sub> was the phosphate concentration in the spent dialysate measured at the 45th minute of HD and clearance was the phosphate clearance of the dialyzer. Internal validation indicated that the new model was superior to the original model with a significantly smaller bias and higher accuracy. External validation showed that <i>R</i><sup>2</sup>, bias, and accuracy were not significantly different than those of internal validation. <b><i>Conclusions:</i></b> A new model was generated to quantify phosphate removal by 4-h HD and HDF with a dialyzer surface area of 1.3–1.8 m<sup>2</sup>. This modified model would contribute to the evaluation of phosphate balance and individualized therapy of hyperphosphatemia.

341 Interdisciplinary counseling service for renal malignancies: Patients and physicians view of a new model of care

2013 ◽  
Vol 12 (1) ◽  
pp. e341
Author(s):  
J. Huber ◽  
A. Ihrig ◽  
E. Winkler ◽  
C. Gruellich ◽  
P. Hallscheidt ◽  
...  
Keyword(s):  
Counseling Service ◽  
Model Of Care ◽  
New Model ◽  
Renal Malignancies

Book review: Mithu Alur, A Birth that Changed a Nation: A New Model of Care and Inclusion

2018 ◽  
Vol 67 (3) ◽  
pp. 363-365
Author(s):  
Bibhuti Bhushan Malik
Keyword(s):  
New Delhi ◽  
Model Of Care ◽  
New Model

Mithu Alur, A Birth That Changed a Nation: A New Model of Care and Inclusion. New Delhi: SAGE Publications, 2017, xxx + 243 pp., ₹725 (paperback). ISBN: 978-93-860-6221-5.

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