“Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals” by Dubois, et al. (2013), investigates the patient safety outcomes in four different nursing care models. Despite the existence of evidence explaining how nursing care organization impacts patients’ outcomes, existing literature is inconclusive on the best model for patient safety under the nursing environment. Thus, the researchers aimed to find the best model under the suboptimal conditions that the nurses work.
The study was conducted in 11 hospitals in Canada. Both professional and innovative models were utilized. Innovative professional models and basic professional model require the hiring of more academically qualified nursing workers (Dubois, et al., 2013). Adaptive functional nursing and basic functional nursing models have less academically qualified nursing workers (Dubois, et al., 2013). The outcome of this study showed that patient safety outcomes are a result of various combined factors. The innovative professional nursing model had the best patient safety outcomes in an environment where other factors like staffing and skill mix were also desirable (Dubois, et al., 2013). Professional models were found to perform better in patient safety outcomes when compared to the functional models, mainly due to the skills of the nursing workers (Dubois, et al., 2013). Thus, skills of nursing workers have a significant influence on patient outcomes.
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This study was explicitly selected due to the importance of improving patient safety in nursing care. The findings in this study provide further evidence on the previous results that education is vital to improving patient safety (Steven, Magnusson, Smith, & Pearson, 2014). This study is essential in informing my decisions during practice to strive in improving my skills to provide the best quality care to patients and minimize negative patient outcomes. Due to the importance of avoiding exposure of patients to hazards (Tella, et al., 2013), this research also provides crucial knowledge on keeping other factors such as skill mix in balance in the nursing environment.
References
Dubois, C. A., D'amour, D., Tchouaket, E., Clarke, S., Rivard, M., & Blais, R. (2013). Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. International Journal for Quality in Health Care, 25(2) , 110-117.
Steven, A., Magnusson, C., Smith, P., & Pearson, P. H. (2014). Patient safety in nursing education: contexts, tensions and feeling safe to learn. Nurse education today, 34(2) , 277-284.
Tella, S., Liukka, M., Jamookeeah, D., Smith, N. J., Partanen, P., & Turunen, H. (2013). What do nursing students learn about patient safety? An integrative literature review. Journal of Nursing Education, 53(1) , 7-13.
