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

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dc.contributor.author Drennan, Jonathan
dc.contributor.author Duffield, Christine
dc.contributor.author Scott, Anne Philomena
dc.contributor.author Ball, Jane
dc.contributor.author Brady, Noeleen M.
dc.contributor.author Murphy, Aileen
dc.contributor.author Dahly, Darren L.
dc.contributor.author Savage, Eileen
dc.contributor.author Corcoran, Paul
dc.contributor.author Hegarty, Josephine
dc.contributor.author Griffiths, Peter
dc.date.accessioned 2018-07-27T11:33:06Z
dc.date.available 2018-07-27T11:33:06Z
dc.date.issued 2018-07-17
dc.identifier.citation Drennan, J., Duffield, C., Scott, A. P., Ball, J., Brady, N. M., Murphy, A., Dahly, D., Savage, E., Corcoran, P., Hegarty, J. and Griffiths, P. (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 en
dc.identifier.issn 0309-2402
dc.identifier.issn 1365-2648
dc.identifier.uri http://hdl.handle.net/10468/6508
dc.identifier.doi 10.1111/jan.13796
dc.description.abstract Aim: The aim of this research is to measure the impact planned changes to nurse staffing and skill-mix have on patient, nurse and organisational 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 organisational 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, organisational 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
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher John Wiley & Sons, Inc. en
dc.rights © 2018, John Wiley & Sons Inc. This is the peer reviewed version of the following article: Drennan, J., Duffield, C., Scott, A. P., Ball, J., Brady, N. M., Murphy, A., Dahly, D., Savage, E., Corcoran, P., Hegarty, J. and Griffiths, P. (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, which has been published in final form at https://doi.org/10.1111/jan.13796. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. en
dc.subject Nursing en
dc.subject Nursing hours per patient day en
dc.subject Patient outcomes en
dc.subject Nurse staffing en
dc.subject Workload en
dc.subject Healthcare quality en
dc.subject Nursing sensitive outcomes en
dc.title A protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wards en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Jonathan Drennan, Nursing & Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: jonathan.drennan@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2019-07-17
dc.date.updated 2018-07-26T08:43:13Z
dc.description.version Accepted Version en
dc.internal.rssid 447107552
dc.contributor.funder Health Research Board en
dc.contributor.funder Department of Health en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Advanced Nursing en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress jonathan.drennan@ucc.ie en
dc.internal.IRISemailaddress aileen.murphy@ucc.ie en
dc.internal.IRISemailaddress ddahly@ucc.ie en
dc.internal.bibliocheck In press. Check for vol. / issue / page numbers. Amend citation as necessary.


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