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. 2007 Apr 18;2007(2):CD002214. doi: 10.1002/14651858.CD002214.pub3

Davies 1994.

Methods Controlled before and after study comparing NL pre / post implementation with 2 control wards 
 Baseline Comparability: Not clear ‐ length of stay and quality of care reported for 2 (1) control wards. Lengths of stay differs markedly 
 Blinded assessment: done for length of stay, not done for quality. 
 Reliable assessment: done for length of stay unclear for quality, satisfaction 
 Contamination: Unclear 
 Follow up: sample size and follow up are unclear.
Participants Elderly care 'rehabilitation'. Patients over 75 with a range of diagnoses (examples given CVA, MI, pneumonia and hip fracture). Sample size not specified but pre and post length of stay data presented from 6 month periods. Data is presented from 53 nurses relating to job satisfaction.
Interventions Unit / setting: 18 bed unit in a satellite (non acute) hospital linked to (2 miles) a District General Hospital (UK). 
 Care management: Care managed in a single weekly interdisciplinary meeting chaired by a senior nurse. No routine medical assessment with primary nurse planning care and initiating medical involvement / referring to other disciplines. 
 Nursing Team: No detail given. 
 MD team: Included 'therapists' (Occupational Therapy and Physio) Social work and medics. No registrar / senior registrar input onto ward. 
 Education / preparation for staff: None described although the process of implementation is described as developing from within the unit (i.e. bottom up) 
 Other: Attempts to create less formal atmosphere (e.g. nurses did not wear uniforms).
Control: .Two 'similar' wards with routine medical care management.
Outcomes Length of stay 
 quality of care 
 nurse job satisfaction 
 Process of interdisciplinary care
Notes Quality score: N/A
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used