Effectiveness of management approaches and organisational factors on nurse sensitive outcomes

Abstract

This review is the second of two reviews to inform the safe staffing guideline. The first
review investigated three broad questions 1) which patient safety outcomes are associated
with nurse and healthcare assistant staffing levels and skill mix 2) how the ward
environment, including physical layout and diversity of clinical disciplines, affect safe staffing
requirements and 3) what patient factors affect nurse and healthcare assistant staffing
requirements at different times during the day.
The second review aims to explore evidence to inform guidance related to the following two
sets of questions, as set out in the scope (NICE, 2013).
1. What management approaches affect nurse and healthcare assistant staffing
requirements?
a. What nursing staff supervisory approaches and/or team management
approaches are required? As supervisory approaches the following are
considered:
i. Supervisory ward staff
ii. Leadership approaches
iii. Systems of organising nursing work
b. What approaches for identifying required nurse staffing levels and skills
mix are effective, and how frequently should they be used?
2. What organisational factors influence staffing at a ward level? This includes:
a. Management structures and approaches
b. Organisational culture

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Identifiers

ORCID for Jonathan Drennan: orcid.org/0000-0001-7365-4345

ORCID for Alejandra Recio: orcid.org/0000-0003-2823-4573

ORCID for Peter Griffiths: orcid.org/0000-0003-2439-2857

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