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Benchmarking nurse staffing levels / Koen Van Den Heede in Journal of Advanced Nursing, 63(2008)6 ([09/01/2008])  

[article] Benchmarking nurse staffing levels : the development of a nationwide feedback tool [printed text] / Koen Van Den Heede , Author ; Luwis Diya, Author ; Emmanuel Lesaffre, Author ; Arthur Vleugels, Author ; Walter Sermeus, Author . - 2008 . - 607-618. Languages : English (eng) in Journal of Advanced Nursing > 63(2008)6 [09/01/2008] . - 607-618 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Benchmarking ; Feedback ; Great Britain ; Humans ; Journal Article ; Nursing Service, Hospital ; Nursing Staff ; Peer Review ; Personnel Staffing and Scheduling ; Program Development ; Workload Abstract: AIM: This paper is a report of a study to develop a methodology that corrects nurse staffing for nursing care intensity in a way that allows nationwide benchmarking of nurse staffing data. BACKGROUND: Although nurse workload measurement systems are recognized to be informative in nurse staffing decisions, they are rarely used. When these systems are used, however, it is only possible to compare units within hospitals, because currently available instruments are not standardized for comparisons beyond hospital boundaries. The Belgian Nursing Minimum Dataset (B-NMDS) contains uniformly measured data about the intensity of nursing care and nurse staffing levels for all hospitals in Belgium. METHOD: We conducted a retrospective multilevel analysis of the B-NMDS for the year 2003. The sample included 690,258 inpatient days for 298,691 patients, recorded from 1637 acute care nursing units in 115 hospitals. We corrected the number of nursing staff by using different covariates available in the B-NMDS: intensity of nursing care, type of day (week vs. weekend), service type (general vs. intensive) and hospital type (academic vs. general). FINDINGS: The multilevel approach allowed us to explain about 70% of the variability in the number of nursing staff per nursing unit using hospital type (P = 0.0053); intensity of nursing care (P < 0.0001) and service type (P < 0.0001) as the only covariates. CONCLUSION: The feedback tool we developed can inform nurse managers and policymakers about nursing intensity-adjusted nurse staffing levels according to different benchmarks. Our study demonstrates that investing in large nursing datasets is appropriate for the international nursing community. Link for e-copy: https://onlinelibrary-wiley-com.vdic.idm.oclc.org/doi/pdf/10.1111/j.1365-2648.20 [...] Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2277 [article]

Effective strategies for nurse retention in acute hospitals / Koen Van Den Heede in International journal of nursing studies, (2011) ([12/26/2011])  

[article] Effective strategies for nurse retention in acute hospitals : A mixed method study [printed text] / Koen Van Den Heede , Author ; M. Florquin, Author ; Luk Bruyneel, Author ; Linda Aiken, Author ; Luwis Diya, Author ; Emmanuel Lesaffre, Author ; Walter Sermeus, Author . - 2011 . - 10 p. Article in Press Languages : English (eng) in International journal of nursing studies > (2011) [12/26/2011] . - 10 p. Descriptors: Classification W 1 Serials. Periodicals Indexation manpower ; Nursing ; Research Design Abstract: Background: The realization of an organizational context that succeeds to retain nurses within their job is one of the most effective strategies of dealing with nursing shortages. Objectives: First, to examine the impact of nursing practice environments, nurse staffing and nurse education on nurse reported intention to leave the hospital. Second, to provide understanding of which best practices in the organization of nursing care are being implemented to provide sound practice environments and to retain nurses. Methods: 3186 bedside nurses of 272 randomly selected nursing units in 56 Belgian acute hospitals were surveyed. A GEE logistic regression analysis was used to estimate the impact of organization of nursing care on nurse reported intention to leave controlling for differences in region (Walloon, Flanders, and Brussels), hospital characteristics (technology level, teaching status, and size) and nurse characteristics (experience, gender, and age). For the second objective, in-depth semi-structured interviews with the chief nursing officers of the three high and three low performing hospitals on reported intention to leave were held. Results: 29.5% of Belgian nurses have an intention-to-leave the hospital. Patient-tonurse staffing ratios and nurse work environments are significantly (p < 0.05) associated with intention-to-leave. Interviews with Chief Nurse Officers revealed that high performing hospitals showing low nurse retention were – in contrast to the low performing hospitals – characterized by a flat organization structure with a participative management style, structured education programs and career opportunities for nurses. Conclusion: This study, together with the international body of evidence, suggests that investing in improved nursing work environments is a key strategy to retain nurses. Link for e-copy: http://vdic.idm.oclc.org/login?url=http://www.sciencedirect.com/science/journal/ [...] Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2899 [article]

Establishing the relationship between nurse staffing and hospital mortality using a clustered discrete-time logistic model / Luwis Diya in Statistics in medicine, 29(2010)7-8 ([03/30/2010])  

[article] Establishing the relationship between nurse staffing and hospital mortality using a clustered discrete-time logistic model [printed text] / Luwis Diya, Author ; Emmanuel Lesaffre, Author ; Walter Sermeus, Author ; Koen Van Den Heede , Author ; Arthur Vleugels, Author . - 2010 . - 778-85. Languages : English (eng) in Statistics in medicine > 29(2010)7-8 [03/30/2010] . - 778-85 Descriptors: Classification W 1 Serials. Periodicals Indexation Adult ; Aged ; Aged, 80 and over ; Belgium ; Cardiac Surgical Procedures ; Databases as Topic ; Epidemiology ; Female ; Hospital Mortality ; Humans ; Journal Article ; Logistic Models ; Male ; Middle Aged ; Nursing Staff, Hospital ; Peer Review ; Young Adult Abstract: Studies based on aggregated hospital outcome data have established that there is a relationship between nurse staffing and adverse events. However, this result could not be confirmed in Belgium where 96 per cent of the variability of nurse staffing levels over nursing units (belonging to different hospitals) is explained by within-hospital variability. To better appreciate the possible impact of nurse staffing levels on adverse events, we propose a multilevel approach reflecting the complex nature of the data. In particular we suggest a clustered discrete-time logistic model that captures the risks associated with a given unit in the patient's trajectory through the hospital. The model also allows for nurse staffing levels to affect the current and subsequent nursing unit (carry-over effect). In the model 'time' is represented by the sequential number of the nursing unit that the patient is passing through. The model incorporates hospital and nursing unit random effects to express that patients treated in the same hospital and taken care of by nurses of the same unit share a common environment. In this study we used Belgian national administrative databases for the year 2003 to assess the relationship between nurse staffing levels and nurse education variables with in-hospital mortality. The analysis was restricted to elective cardiac surgery patients. Lower nursing unit staffing levels in the general nursing units were associated with high in-hospital mortality in units past the traditional cardiac surgery nursing units. Link for e-copy: http://onlinelibrary.wiley.com/doi/10.1002/sim.3756/abstract Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2725 [article]

Factors associated with prevalence and severity of caries experience in preschool children / Dominique Declerck in Community Dentistry and Oral Epidemiology, 36(2008)02 ([04/01/2008])  

[article] Factors associated with prevalence and severity of caries experience in preschool children [printed text] / Dominique Declerck, Author ; Roos Leroy , Author ; L. Martens, Author ; Emmanuel Lesaffre, Author ; M.J. Garcia-Zattera, Author ; Stephan Van den Broucke, Author ; M. Debyser, Author ; K. Hoppenbrouwers, Author . - 2008 . - p. 168-178. Languages : English (eng) in Community Dentistry and Oral Epidemiology > 36(2008)02 [04/01/2008] . - p. 168-178 Descriptors: Classification W 1 Serials. Periodicals Indexation Belgium ; Dental Caries ; Diet ; Epidemiology ; Health Behavior ; Journal Article ; Logistic Models ; Peer Review ; Questionnaires ; Risk Factors Abstract: OBJECTIVES: The aim of the present study was to examine the prevalence and severity of caries experience in the primary dentition of preschool children and to assess the association of disease distribution with oral hygiene levels, reported oral health behaviours and socio-demographic factors. METHODS: Study samples comprised 1250 3-year-old and 1283 5-year-old pre-school children from four distinct geographical areas in Flanders. Information on oral hygiene and dietary habits, oral health behaviours and socio-demographic variables was collected using questionnaires completed by the parents. Clinical examinations were performed using standardized criteria. Caries experience was recorded at the level of cavitation (d(3) level). Simple as well as multivariable logistic regression analyses were performed in order to identify factors associated with prevalence and severity of caries experience. RESULTS: Visible plaque was present in 31% of 3-year-olds and 37% of 5-year-olds. In 3-year-olds, 7% presented with caries experience while this was the case in 31% of 5-year-olds. Multivariable logistic regression revealed significant associations, in 3-year-olds, of caries experience with presence of dental plaque (OR = 7.93; 95% CI: 2.56-24.55) and reported consumption of sugared drinks at night (OR = 7.96; 95% CI: 1.57-40.51). In 5-year-olds, significant associations were seen with age (OR = 7.79; 95% CI: 2.38-25.43), gender (OR = 0.37 with 95% CI: 0.19-0.71 for girls), presence of visible dental plaque (OR = 3.36; 95% CI: 1.64-6.89) and reported habit of having sugar-containing drinks in between meals (OR = 2.60 with 95% CI: 1.16-5.84 and OR = 3.18 with 95% CI: 1.39-7.28, respectively for 1x/day and > 1x/day versus not every day). In 5-year-olds with caries experience (30.8% of total sample), the severity of disease was further analysed (d(3)mft between 1 and 4 versus d(3)mft 5 or higher). Multivariable analyses showed a significant association with gender [girls more likely to have higher disease levels; OR = 4.67 (95% CI: 1.65-13.21)] and with presence of plaque (OR = 3.91 with 95% CI: 1.23-12.42). CONCLUSIONS: Presence of visible plaque accumulation and reported consumption of sugared drinks were associated with prevalence of caries experience in Flemish preschool children. Severity of disease was associated with gender and with presence of plaque. Results underline the importance of plaque control and diet management from very young age on. Link for e-copy: https://doi.org/10.1111/j.1600-0528.2007.00387.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4068 [article]

Impact of caries experience in the deciduous molars on the emergence of the successors / Roos Leroy in European Journal of Oral Sciences, 111(2003)02 ([04/01/2003])  

[article] Impact of caries experience in the deciduous molars on the emergence of the successors [printed text] / Roos Leroy , Author ; Kris Bogaerts, Author ; Emmanuel Lesaffre, Author ; Dominique Declerck, Author . - 2003 . - p. 106-110. Languages : English (eng) in European Journal of Oral Sciences > 111(2003)02 [04/01/2003] . - p. 106-110 Descriptors: Classification W 1 Serials. Periodicals Indexation Child ; Dental Caries ; Humans ; Journal Article ; Molar, Third ; Peer Review ; physiopathology [Subheading] ; Tooth extraction Abstract: The purpose of this study was to evaluate the effect of caries experience in a primary molar (decayed and/or restored vs. extracted) on the timing of emergence of its successor. Data were obtained from a longitudinal epidemiological study in a sample of 4468 Flemish children. Survival analyses with log-logistic distribution were performed to calculate median emergence ages and 95% confidence intervals (CI); caries experience was added as a covariate. The results indicate that the emergence of the maxillary and mandibular premolars was accelerated by 2-8 months when its predecessor had been decayed and or restored but had not been extracted. Premature loss of maxillary primary molars resulted in a significant acceleration of the emergence of the premolars; this was not observed in the mandible. In conclusion, when considering permanent tooth emergence ages, caries experience in the primary dentition should be taken into account. Link for e-copy: https://doi.org/10.1034/j.1600-0722.2003.00011.x Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4085 [article]

Increasing nurse staffing levels in Belgian cardiac surgery centres / Koen Van Den Heede in Journal of Advanced Nursing, 66(2010)6 ([06/01/2010])  

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Measuring oral health behaviour in Flemish health care workers / A. Defranc in Community Dental Health, 25(2008)02 ([06/01/2008])  

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Measuring the intensity of nursing care / Walter Sermeus in International journal of nursing studies, 45(2008)07 ([07/01/2008])  

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Modelling tooth emergence data based on multivariate interval-censored data / Kris Bogaerts in Statistics in medicine, 21(2002)24 ([12/30/2002])  

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Multivariate survival analysis for the identification of factors associated with cavity formation in permanent first molars / Roos Leroy in European Journal of Oral Sciences, 113(2005)02 ([04/01/2005])  

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Nurse staffing and patient outcomes in Belgian acute hospitals / Koen Van Den Heede in International journal of nursing studies, 46(2009)07 ([07/01/2009])  

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The effect of fluorides and caries in primary teeth on permanent tooth emergence / Roos Leroy in Community Dentistry and Oral Epidemiology, 31(2003)06 ([12/01/2003])  

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The emergence of permanent teeth in Flemish children / Roos Leroy in Community Dentistry and Oral Epidemiology, 31(2003)01 ([02/01/2003])  

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Variability in permanent tooth emergence sequences in Flemish children / Roos Leroy in European Journal of Oral Sciences, 116(2008)01 ([02/01/2008])  

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Variables associated with oral hygiene levels in 7-year-olds in Belgium / L. Martens in Community Dental Health, 21(2004)01 ([03/01/2004])  

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