A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards
A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards
Aim
The aim of this research is to measure the impact that planned changes to nurse staffing and skill‐mix have on patient, nurse, and organizational outcomes.
Background
It has been highlighted that there are several design limitations in studies that explore the relationship between nurse staffing and patient, nurse and organizational outcomes; not least that the vast majority of research in this area emanates from studies that are predominantly observational in design. There are limited studies that measure nurse, patient, organizational, and economic outcomes using a longitudinal design following a planned change in nurse staffing.
Design
The research will employ a longitudinal, multimethod approach to evaluate the impact that planned changes in nurse staffing and skill‐mix have on wards in three pilot hospitals.
Methods
Administrative data collection will take place on a shift‐by‐shift basis prospectively over a three‐year period including the measurement of nursing sensitive outcomes: cross‐sectional patient experience data and nurse outcomes (nursing work, job satisfaction, burnout, missed care) will be collected at intervals prior to, during and after the implementation of planned changes in nurse staffing and skill‐mix. Data will be analysed using interrupted time‐series models, adjusted for key hospital, ward and patient‐level factors. An economic costing of the changes will further investigate the resources required for the intervention that can then be aggregated to a national level for future roll‐out plans.
Discussion
The study aims to provide evidence on the impact of planned changes to nurse staffing and skill‐mix based on a systematic approach using a longitudinal design and to determine the extent to which the approach can be implemented at a national level.
healthcare quality, nurse staffing, nursing, nursing hours per patient day, nursing-sensitive outcomes, patient outcomes, workload
Drennan, Jonathan
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Duffield, Christine
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Scott, Anne Philomena
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Ball, Jane
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Brady, Noeleen M.
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Murphy, Aileen
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Dahly, Darren
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Savage, Eileen
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Corcoran, Paul
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Hegarty, Josephine
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Griffiths, Peter
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29 August 2018
Drennan, Jonathan
dad7b3ad-8b7d-428b-8dea-ccb1d50819eb
Duffield, Christine
61eb8ec8-09ea-4a45-a5bf-1660cf58ab1c
Scott, Anne Philomena
11ccbec5-860a-47c9-9753-6fe00cc5ec7a
Ball, Jane
85ac7d7a-b21e-42fd-858b-78d263c559c1
Brady, Noeleen M.
6c107dc2-e528-40ca-9f33-1c08589f5954
Murphy, Aileen
b40ad605-5935-45cf-a04c-0c63cc6d04b2
Dahly, Darren
198287fe-09cf-409f-9225-e5f69d307800
Savage, Eileen
1f0c66a3-24e4-4e5f-b883-ee0245fec46e
Corcoran, Paul
29278b28-a9fe-4df0-accc-84024732d265
Hegarty, Josephine
c3e6227c-e1d5-48af-b2d4-d05d56c56aac
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Drennan, Jonathan, Duffield, Christine, Scott, Anne Philomena, Ball, Jane, Brady, Noeleen M., Murphy, Aileen, Dahly, Darren, Savage, Eileen, Corcoran, Paul, Hegarty, Josephine and Griffiths, Peter
(2018)
A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards.
Journal of Advanced Nursing.
(doi:10.1111/jan.13796).
Abstract
Aim
The aim of this research is to measure the impact that planned changes to nurse staffing and skill‐mix have on patient, nurse, and organizational outcomes.
Background
It has been highlighted that there are several design limitations in studies that explore the relationship between nurse staffing and patient, nurse and organizational outcomes; not least that the vast majority of research in this area emanates from studies that are predominantly observational in design. There are limited studies that measure nurse, patient, organizational, and economic outcomes using a longitudinal design following a planned change in nurse staffing.
Design
The research will employ a longitudinal, multimethod approach to evaluate the impact that planned changes in nurse staffing and skill‐mix have on wards in three pilot hospitals.
Methods
Administrative data collection will take place on a shift‐by‐shift basis prospectively over a three‐year period including the measurement of nursing sensitive outcomes: cross‐sectional patient experience data and nurse outcomes (nursing work, job satisfaction, burnout, missed care) will be collected at intervals prior to, during and after the implementation of planned changes in nurse staffing and skill‐mix. Data will be analysed using interrupted time‐series models, adjusted for key hospital, ward and patient‐level factors. An economic costing of the changes will further investigate the resources required for the intervention that can then be aggregated to a national level for future roll‐out plans.
Discussion
The study aims to provide evidence on the impact of planned changes to nurse staffing and skill‐mix based on a systematic approach using a longitudinal design and to determine the extent to which the approach can be implemented at a national level.
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Accepted/In Press date: 1 June 2018
e-pub ahead of print date: 17 July 2018
Published date: 29 August 2018
Keywords:
healthcare quality, nurse staffing, nursing, nursing hours per patient day, nursing-sensitive outcomes, patient outcomes, workload
Identifiers
Local EPrints ID: 425321
URI: http://eprints.soton.ac.uk/id/eprint/425321
ISSN: 0309-2402
PURE UUID: d31a6615-4b4c-4a1d-93cc-5e69d864c41a
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Date deposited: 12 Oct 2018 16:30
Last modified: 16 Mar 2024 07:07
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Contributors
Author:
Christine Duffield
Author:
Anne Philomena Scott
Author:
Jane Ball
Author:
Noeleen M. Brady
Author:
Aileen Murphy
Author:
Darren Dahly
Author:
Eileen Savage
Author:
Paul Corcoran
Author:
Josephine Hegarty
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