• Define your question using PICO:
Narrative form: In hospitals and nursing homes, will the implementation of optimal nurse staffing model improve quality of care and patient outcomes compared to fixed and flexible nurse staffing models?
P (Population): Hospitals and nursing homes
I (Intervention): Optimal nurse staffing model
C (Comparison): Fixed and flexible nurse staffing model
O (Outcome): Quality of care and patient outcomes
• Type of Research Question:
Other: Quality Improvement
• Type of Study: …show more content…
Then, I added a subheading “patient outcomes” and the total number of citations were still 19. Among these citations, there were 18 trials and 1 review. After reading the title, zero article was identified that was relevant to my PICO questions.
PubMed: The initial searches with “optimal nurse staffing” resulted in a total of 127 citations, which reduced to 39 citations after adding “patient outcomes” as a subheading. Among these articles, there were six systematic reviews and a literature review. Among six systematic review only three were relevant to the topic of interest. There were not any clinical trial, consensus development conference article with or without NIH, meta-analysis, observational study, practice guideline, randomized controlled trial, and systematic review.
Google Scholar: The initial search with “optimal nurse staffing” and “patient outcome” yielded 61, 300 citations. The number decline to 18, 500 after limiting the publication dates in 2005 to