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Introduction Decisions about nurse staffing models are a concern for health systems globally due to workforce retention and well-being challenges. Nurse staffing models range from all Registered Nurse workforce to a mix of differentially educated nurses and aides (regulated and unregulated), such as Licensed Practical or Vocational Nurses and Health Care Aides. Systematic reviews have examined relationships between specific nurse staffing models and client, staff and health system outcomes (eg, mortality, adverse events, retention, healthcare costs), with inconclusive or contradictory results. No evidence has been synthesised and consolidated on how, why and under what contexts certain staffing models produce different outcomes. We aim to describe how we will (1) conduct a realist review to determine how nurse staffing models produce different client, staff and health system outcomes, in which contexts and through what mechanisms and (2) coproduce recommendations with decision-makers to guide future research and implementation of nurse staffing models.Methods and analysis Using an integrated knowledge translation approach with researchers and decision-makers as partners, we are conducting a three-phase realist review. In this protocol, we report on the final two phases of this realist review. We will use Citation tracking, tracing Lead authors, identifying Unpublished materials, Google Scholar searching, Theory tracking, ancestry searching for Early examples, and follow-up of Related projects (CLUSTER) searching, specifically designed for realist searches as the review progresses. We will search empirical evidence to test identified programme theories and engage stakeholders to contextualise findings, finalise programme theories document our search processes as per established realist review methods.Ethics and dissemination Ethical approval for this study was provided by the Health Research Ethics Board of the University of Alberta (Study ID Pro00100425). We will disseminate the findings through peer-reviewed publications, national and international conference presentations, regional briefing sessions, webinars and lay summary.

Abstract  New U–Pb, Re–Os, and 40Ar/39Ar dates are presented for magmatic and hydrothermal mineral phases in skarn- and porphyry-related ores from the Nambija and Pangui districts of the Subandean zone, southeastern Ecuador. Nambija has been one of the main gold-producing centers of Ecuador since the 1980s due to exceptionally high-grade ores (average 15 g/t, but frequently up to 300 g/t Au). Pangui is a recently discovered porphyry Cu–Mo district. The geology of the Subandean zone in southeastern Ecuador is dominated by the I-type, subduction-related, Jurassic Zamora batholith, which intrudes Triassic volcanosedimentary rocks. The Zamora batholith is in turn cut by porphyritic stocks, which are commonly associated with skarn formation and/or porphyry-style mineralization. High precision U–Pb and Re–Os ages for porphyritic stocks (U–Pb, zircon), associated prograde skarn (U–Pb, hydrothermal titanite), and retrograde stage skarn (Re–Os, molybdenite from veins postdating gold deposition) of the Nambija district are all indistinguishable from each other within error (145 Ma) and indicate a Late Jurassic age for the gold mineralization. Previously, gold mineralization at Nambija was considered to be Early Tertiary based on K–Ar ages obtained on various hydrothermal minerals. The new Jurassic age for the Nambija district is slightly younger than the 40Ar/39Ar and Re–Os ages for magmatic–hydrothermal minerals from the Pangui district, which range between 157 and 152 Ma. Mineralization at Nambija and Pangui is associated with porphyritic stocks that represent the last known episodes of a long-lived Jurassic arc magmatism (∼190 to 145 Ma). A Jurassic age for mineralization at Nambija and Pangui suggests that the Northern Andean Jurassic metallogenic belt, which starts in Colombia at 3° N, extends down to 5° S in Ecuador. It also adds a new mineralization style (Au-skarn) to the metal endowment of this belt. [ABSTRACT FROM AUTHOR]