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The Association between the Mental Health Nurse-to-Registered Nurse Ratio and Patient Outcomes in Psychiatric Inpatient Wards: A Systematic Review

Author

Listed:
  • Nompilo Moyo

    (School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia)

  • Martin Jones

    (Department of Rural Health, University of South Australia, North Terrace, Adelaide, SA 5000, Australia)

  • Diana Kushemererwa

    (School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia)

  • Sandesh Pantha

    (School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia)

  • Sue Gilbert

    (School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia)

  • Lorena Romero

    (Alfred Hospital, 55 Commercial Road, Melbourne, VIC 300, Australia)

  • Richard Gray

    (School of Nursing and Midwifery, La Trobe University, Bundoora, VIC 3086, Australia)

Abstract

Nursing skill mix in inpatient mental health wards varies considerably between countries. Some countries have an all-registered mental health nurse workforce; others have a mix of registered mental health and registered nurses. Understanding the optimal nursing skill mix in mental health inpatient units would inform service planning. This report aims to examine the association between the registered mental health nurse-to-registered nurse ratio and psychiatric readmission (or referral to community crisis services) in adult mental health inpatients. A systematic review was performed. We searched key databases for observational and experimental studies. Two researchers completed title-and-abstract and full-text screening. Our search identified 7956 citations. A full-text review of four papers was undertaken. No studies met our inclusion criteria. We report an empty review. Despite the obvious importance of the research question for the safe staffing of inpatient mental health services, there are no studies that have tested this association.

Suggested Citation

  • Nompilo Moyo & Martin Jones & Diana Kushemererwa & Sandesh Pantha & Sue Gilbert & Lorena Romero & Richard Gray, 2020. "The Association between the Mental Health Nurse-to-Registered Nurse Ratio and Patient Outcomes in Psychiatric Inpatient Wards: A Systematic Review," IJERPH, MDPI, vol. 17(18), pages 1-12, September.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:18:p:6890-:d:416696
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    References listed on IDEAS

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    1. Robert J Lucero & Eileen T Lake & Linda H Aiken, 2010. "Nursing care quality and adverse events in US hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(15‐16), pages 2185-2195, August.
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    Cited by:

    1. Nompilo Moyo & Martin Jones & Shaun Dennis & Karan Sharma & Richard Gray, 2022. "The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: Protocol for an Observational Feasibility Study," IJERPH, MDPI, vol. 19(7), pages 1-10, April.
    2. Nompilo Moyo & Martin Jones & Shaun Dennis & Karan Sharma & Michael McKeown & Richard Gray, 2023. "The Association between Nursing Skill Mix and Patient Outcomes in a Mental Health Setting: An Observational Feasibility Study," IJERPH, MDPI, vol. 20(3), pages 1-11, February.

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