Most popular Papers From International Journal of Nursing Studies: Episode 4
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Most popular Papers From International Journal of Nursing Studies: Episode 4
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International Journal of Nursing Studies
Volume 126, February 2022, 104135
Palliative care organization and staffing models in residential hospices: Which makes the difference?
This study analyzed data from nearly a thousand adult patients across thirteen Italian residential hospices to determine the most effective organizational framework for managing symptoms in palliative care. Utilizing predictive modeling, the researchers identified an "optimal" staffing modelwith specific patient-to-professional ratios and staff compositions—notably, a high percentage of registered nurses—that significantly improved the likelihood of controlling six key symptoms over time. Furthermore, the analysis concluded that the educational level of physicians and registered nurses, specifically those with palliative care qualifications, was crucial for achieving the best patient outcomes. These results offer evidence-based information for policymakers and hospice managers regarding ideal staffing and organizational structures, including a suggested range of 12 to 25 beds and a minimum 12-day patient length of stay, all aimed at enhancing quality care.