| Records |
| Author |
Horsburgh, M.; Merry, A.; Seddon, M.; Baker, H.; Poole, P.; Shaw, J.; Wade, J. |
| Title |
Educating for healthcare quality improvement in an interprofessional learning environment: A New Zealand initiative |
Type |
Journal Article |
| Year |
2006 |
Publication |
Journal of Interprofessional Care |
Abbreviated Journal |
|
| Volume |
20 |
Issue |
5 |
Pages  |
555-557 |
| Keywords |
Quality of health care; Multidisciplinary care teams; Nursing; Education; Maori; Patient safety |
| Abstract |
This article describes two interprofessional learning modules offered by the Faculty of Medical and Health Sciences at the University of Auckland to undergraduate medicine, nursing and pharmacy students. The modules, 'Maori Health“ and ”Patient Safety", have a focus on quality improvement in healthcare and are used to bring together students for a shared learning programme.The specific dimensions of healthcare quality covered in the programme are: patient safety, equity, access, effectiveness, efficacy and patient-centeredness. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1042 |
| Permanent link to this record |
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| |
| Author |
McCloskey, B.A.; Diers, D. |
| Title |
Effects of New Zealand's health reengineering on nursing and patient outcomes |
Type |
Journal Article |
| Year |
2005 |
Publication |
Medical Care |
Abbreviated Journal |
|
| Volume |
43 |
Issue |
11 |
Pages |
1140-1146 |
| Keywords |
Patient safety; Organisational change; Nursing; Hospitals |
| Abstract |
This study sought to examine the effects that hospital re-engineering may have on adverse patient outcomes and the nursing workforce. In 1993, New Zealand implemented policies aimed at controlling costs in the country's public health care system through market competition, generic management, and managerialism. The study was a retrospective, longitudinal analysis of administrative data. Relationships between adverse outcome rates and nursing workforce characteristics were examined using autoregression analysis. All medical and surgical discharges from New Zealand's public hospitals (n=3.3 million inpatient discharges) from 1989 through 2000 and survey data from the corresponding nursing workforce (n=65,221 nurse responses) from 1993 through 2000 were examined. Measures included the frequency of 11 nurse sensitive patient outcomes, average length of stay, and mortality along with the number of nursing full time equivalents (FTEs), hours worked, and skill mix. After 1993, nursing FTEs and hours decreased 36% and skill mix increased 18%. Average length of stay decreased approximately 20%. Adverse clinical outcome rates increased substantially. Mortality decreased among medical patients and remained stable among surgical patients. The relationship between changes in nursing and adverse outcomes rates over time were consistently statistically significant. The authors conclude that in the chaotic environment created by re-engineering policy, patient care quality declined as nursing FTEs and hours decreased. The study provides insight into the role organisational change plays in patient outcomes, the unintended consequences of health care re-engineering and market approaches in health care, and nursing's unique contribution to quality of care. |
| Call Number |
NRSNZNO @ research @ |
Serial |
1052 |
| Permanent link to this record |
