Related Experiment Video
Updated: Jul 9, 2025
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Evaluating Skill-Mix Models of Care: A Rapid Scoping Review of Measures and Outcomes
Carly A Cermak1, Frances Bruno, Lianne Jeffs
1Author Affiliations: Postdoctoral Fellow (Dr Cermak), Doctoral Candidate (Bruno), and Scientific Director (Dr Jeffs), Science of Care Institute, and Senior Clinician Scientist (Dr Jeffs), Lunenfeld Tanenbaum Research Institute, Sinai Health; and Doctoral Candidate (Bruno) and Associate Professor (Dr Jeffs), Institute of Health Policy, Management and Evaluation, and Associate Professor (Dr Jeffs), Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Ontario, Canada.
Objective:
To synthesize the literature on measures and outcomes for skill-mix models of care.
Background:
To address the human health resource crisis, changes to skill mix within models of care are being implemented emphasizing the need to synthesize evaluation methods for skill-mix models in the future.
Methods:
A scoping review of the literature using a rigorous search strategy and selection process was completed to identify articles that examined skill-mix models in an effort to identify related concepts.
Results:
Ten studies examined skill-mix models. Areas of measurement in assessing the impact of skill-mix models included patient outcomes, patient satisfaction, nurse satisfaction, cost, and nurse perceptions of role changes, model effectiveness, and quality of care. Studies examining nurse satisfaction, patient satisfaction, and/or cost generally reported improvements upon skill-mix model implementation. Studies examining patient outcomes related to skill mix were inconsistent.
Conclusions:
Factors for consideration upon implementation of a skill-mix change include education of role clarity, the number of unregulated staff who require supervision, and professional practice support.
Related Concept Videos
01:15Nursing Evaluation
01:29Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
01:11Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
01:29Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
Introduction
The initial evaluation of a patient's respiratory system...