Impact of a high proportion of unskilled personnel on quality of care and patient safety in the healthcare services : a systematic review

In Norway around 25% of personnel working in the municipal health and care services lack a relevant health-related education (i.e. are unskilled), while at the same time the care need of patients in the community is increasing. We know little about how this affects the quality of services and the sa...

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Main Authors: Flodgren, Gerd M., Bidonde, Julia (Author), Berg, Rigmor C. (Author)
Corporate Author: Folkehelseinstituttet (Norway) Område for helsetjenester
Format: eBook
Language:English
Published: Oslo National Institute of Public Health, Division of Health Services 2017, March 2017
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Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
Summary:In Norway around 25% of personnel working in the municipal health and care services lack a relevant health-related education (i.e. are unskilled), while at the same time the care need of patients in the community is increasing. We know little about how this affects the quality of services and the safety of patients. In addition, we know little about the consequences of changes in skill mix, e.g. when higher qualified personnel are replaced with personnel with lower qualifications. With skill mix we mean the composition of the various categories of nursing staff providing direct patient care. With the aim to summarise the evidence in the field in a systematic review, we searched for studies that evaluate the effects on quality of care and patient safety of a high proportion of unskilled personnel working directly with patients and the effects of changes in skill mix.1. We found no studies that evaluated the impact on quality of care and patient safety of a high proportion of unskilled personnel working in direct patient care.2. Nor did we find any eligible studies that evaluated the impact on quality of care and patient safety of a change in skill mix. This review highlights the lack of high quality evidence from studies with robust study designs, on this important and current research topic
Item Description:English summary excerpted from full report in Norwegian: Konsekvenser av en høy andel ufaglærte på kvalitet og pasientsikkerhet i helse- og omsorgstjenestene. - Excerpt from Rapport 2017-11
Physical Description:1 PDF file (pages 10-12)
ISBN:9788280828293