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Hospital staff’s experiences of unsafe staffing levels and employers’ responses to their concerns: a survey

Hospital staff’s experiences of unsafe staffing levels and employers’ responses to their concerns: a survey
Hospital staff’s experiences of unsafe staffing levels and employers’ responses to their concerns: a survey
There is a wealth of evidence that demonstrates a link between inadequate nurse staffing levels and suboptimal patient care. Over the last decade, policies and legislation on safe nurse staffing levels have been developed for specific settings and countries in the UK, all of which emphasise employers’ responsibility in responding to staff’s concerns about unsafe staffing. However, the effectiveness of mechanisms for monitoring and responding to such concerns is unclear. This article provides an overview of some of the results of a union-led pilot survey of acute hospital staff that aimed to explore the prevalence of unsafe staffing levels and employers’ responses to concerns raised by staff about staffing levels. Overall, the results demonstrate that hospital staff working in clinical roles often regarded staffing levels as unsafe and that the delivery of nursing interventions was often disrupted on shifts reported as unsafe. In addition, most staff who had raised concerns about staffing levels perceived their employer’s response as unsatisfactory. Employers appeared to rely on staff redeployment or temporary staff to address staffing shortfalls, but these are not always effective or viable options. Employers need to explore alternative means of alleviating staffing shortfalls and of supporting their staff.
1354-5760
Tuckwood, Stuart James
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Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Prince, Andrea
c8a5f7a7-643e-48d9-a3ae-d9c19f81d3ee
Ward, Dawn
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Tuckwood, Stuart James
b05f8f41-a756-445b-b74e-34d16061a536
Griffiths, Peter
ac7afec1-7d72-4b83-b016-3a43e245265b
Prince, Andrea
c8a5f7a7-643e-48d9-a3ae-d9c19f81d3ee
Ward, Dawn
e0438ca6-fa78-4e6a-b2ab-91796cb9bffa

Tuckwood, Stuart James, Griffiths, Peter, Prince, Andrea and Ward, Dawn (2025) Hospital staff’s experiences of unsafe staffing levels and employers’ responses to their concerns: a survey. Nursing Management, 31 (6). (doi:10.7748/nm.2024.e2143).

Record type: Article

Abstract

There is a wealth of evidence that demonstrates a link between inadequate nurse staffing levels and suboptimal patient care. Over the last decade, policies and legislation on safe nurse staffing levels have been developed for specific settings and countries in the UK, all of which emphasise employers’ responsibility in responding to staff’s concerns about unsafe staffing. However, the effectiveness of mechanisms for monitoring and responding to such concerns is unclear. This article provides an overview of some of the results of a union-led pilot survey of acute hospital staff that aimed to explore the prevalence of unsafe staffing levels and employers’ responses to concerns raised by staff about staffing levels. Overall, the results demonstrate that hospital staff working in clinical roles often regarded staffing levels as unsafe and that the delivery of nursing interventions was often disrupted on shifts reported as unsafe. In addition, most staff who had raised concerns about staffing levels perceived their employer’s response as unsatisfactory. Employers appeared to rely on staff redeployment or temporary staff to address staffing shortfalls, but these are not always effective or viable options. Employers need to explore alternative means of alleviating staffing shortfalls and of supporting their staff.

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Accepted/In Press date: 26 September 2024
e-pub ahead of print date: 10 December 2024
Published date: 3 April 2025

Identifiers

Local EPrints ID: 496861
URI: http://eprints.soton.ac.uk/id/eprint/496861
ISSN: 1354-5760
PURE UUID: c129380e-3e8d-4846-ace2-e966b2a01d1d
ORCID for Peter Griffiths: ORCID iD orcid.org/0000-0003-2439-2857

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Date deposited: 08 Jan 2025 11:19
Last modified: 09 May 2025 01:44

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Contributors

Author: Stuart James Tuckwood
Author: Peter Griffiths ORCID iD
Author: Andrea Prince
Author: Dawn Ward

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