ABSTRACT
The aim of the study was to investigate the correlation between complexity of nursing care and the level of competence of the nurse. In the study the actual level of competence and the desired level of competence has been distinguished. In total, 105 patients participated in the study. Complexity of care correlates with desired level of competence, but hardly with the actual level of competence. The correlation between complexity and level of competence is higher for new patients than for patients who were receiving care already.
Subject(s)
Nursing Care/methods , Nursing Care/standards , Workload , Clinical Competence , HumansABSTRACT
Sensitivity analysis in most medical problems is a complex process involving repeated calculations that can be computationally cumbersome, and its results are only approximate. The authors present a linear program-based approach that reveals the optimum strategies in a decision problem when event probabilities are not known exactly but their value ranges are available. Its application in a clinical decision-making situation is demonstrated. The approach promises to provide a flexible, precise, and computationally efficient technique for sensitivity analysis in medical decision making.
Subject(s)
Decision Making, Computer-Assisted , Operations Research , Programming, Linear , Sensitivity and Specificity , Aged , Decision Trees , Humans , Liver Neoplasms/mortality , Liver Neoplasms/therapy , Male , Prostatic Neoplasms/mortality , Prostatic Neoplasms/therapyABSTRACT
Quality assurance developments in The Netherlands among physical therapists, speech-therapists, dietitians and occupational therapists in The Netherlands are discussed emphasising profession-dependent characteristics. A general introduction will precede a short outline of "the state of the art" of each discipline. Some experiences with the implementation of peer review among speech-therapists and a proposal to integrate quality of care concepts in educational curricula, will conclude this review.
