OBJECTIVES To determine the association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care. DESIGN Cross-sectional patient discharge data, hospital characteristics and nurse and patient survey data were merged and analysed using generalised estimating equations (GEE) and logistic regression models. SETTING Adult acute care h...

BACKGROUND Enhancing competency in patient safety at entry to practice requires introduction and integration of patient safety into health professional education. As efforts to include patient safety in health professional education increase, it is important to capture new health professionals' perspectives of their own patient safety competence at entry to practice. Existing instruments to mea...

This paper illustrates negotiations around risk between lay people and clinicians in relation to gastrostomy interventions for disabled children. These negotiations centre on differing interpretations of what constitutes risk in relation to the safety of oral feeding and a child’s need for a feeding tube between parents, carers and clinical specialties. Drawing on Heyman’s distinction between r...

Through the 1990s most hospitals were involved in restructuring. As a result, maintaining professional nursing practice is challenging in these cost-constrained hospital environments. In new models of care, professional nursing practice expectations are often reconceptualized into multidisciplinary care team structures in which the team is empowered and becomes the focus rather than the individ...

A judgement is an assertion made with evidence or good reason in a context of uncertainty. In psychiatry the uncertainty is inherent in the professional context, and the evidence derives from the academic literature and scientific studies as they are applied to a specific patient. The nature of the uncertainty and the factors which should inform professional judgement are explored. Professional...

professional attitudes of employees in organizations are associated with costumer perception to organization. these characteristics are consequences of positive image of the customers of society to organization. thus, employees’ skills, attitudes and behaviors are important in this field. high reputation of iran khodro company among people and its costumers always prompt many staffs to emerge p...

Patient education is essential in assisting patients to live with illness and to have improved health outcomes. Patient education is also one of the most satisfying aspects of care provided by professional nurses. Additionally, patient education is a qualifier in professional and accreditation standards. The teaching-learning process, how culture influences learning and teaching strategies, and...

OBJECTIVE This study investigated the current state of health sciences libraries' provision of culturally competent services to support health professions education and patient care and examined factors associated with cultural competency in relation to library services and professional development. METHODS This was a cross-sectional study. Data were collected with a survey questionnaire that...