A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards

Drennan, J; Duffield, C; Scott, AP; Ball, J; Brady, NM; Murphy, A; Dahly, D; Savage, E; Corcoran, P; Hegarty, J; Griffiths, P

A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards

Drennan, J Duffield, C

Scott, AP Ball, J Brady, NM Murphy, A Dahly, D Savage, E Corcoran, P Hegarty, J Griffiths, P

Permalink

Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2018, 74 (12), pp. 2912 - 2921
Issue Date:: 2018-12-01

Closed Access

	Filename	Description	Size
	A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards.pdf	Published Version	350.56 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Drennan, J	en_US
dc.contributor.author	Duffield, C https://orcid.org/0000-0001-6534-8743	en_US
dc.contributor.author	Scott, AP	en_US
dc.contributor.author	Ball, J	en_US
dc.contributor.author	Brady, NM	en_US
dc.contributor.author	Murphy, A	en_US
dc.contributor.author	Dahly, D	en_US
dc.contributor.author	Savage, E	en_US
dc.contributor.author	Corcoran, P	en_US
dc.contributor.author	Hegarty, J	en_US
dc.contributor.author	Griffiths, P	en_US
dc.date.available	2018-06-01	en_US
dc.date.issued	2018-12-01	en_US
dc.identifier.citation	Journal of Advanced Nursing, 2018, 74 (12), pp. 2912 - 2921	en_US
dc.identifier.issn	0309-2402	en_US
dc.identifier.uri	http://hdl.handle.net/10453/133958
dc.description.abstract	© 2018 John Wiley & Sons Ltd 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.	en_US
dc.relation.ispartof	Journal of Advanced Nursing	en_US
dc.relation.isbasedon	10.1111/jan.13796	en_US
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Clinical Protocols	en_US
dc.subject.mesh	Nursing Methodology Research	en_US
dc.subject.mesh	Clinical Competence	en_US
dc.subject.mesh	Ethics, Research	en_US
dc.subject.mesh	Nursing Staff, Hospital	en_US
dc.subject.mesh	Personnel Staffing and Scheduling	en_US
dc.subject.mesh	Workload	en_US
dc.subject.mesh	Patient Care Team	en_US
dc.subject.mesh	Outcome Assessment (Health Care)	en_US
dc.subject.mesh	Outcome Assessment, Health Care	en_US
dc.title	A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards	en_US
dc.type	Journal Article
utslib.citation.volume	12	en_US
utslib.citation.volume	74	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
pubs.issue	12	en_US
pubs.publication-status	Published	en_US
pubs.volume	74	en_US

Abstract:

© 2018 John Wiley & Sons Ltd 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.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/133958