Evaluation of the pilot implementation of the Framework for Safe Nurse Staffing and Skill-Mix in Emergency Care Settings - Report 2

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dc.contributor.authorDrennan, Jonathan
dc.contributor.authorSavage, Eileen
dc.contributor.authorHegarty, Josephine
dc.contributor.authorMurphy, Aileen
dc.contributor.authorBrady, Noeleen
dc.contributor.authorMurphy, Ashling
dc.contributor.authorMcCarthy, Vera
dc.contributor.authorLoughnane, Croia
dc.contributor.authorKelly, Gearóid
dc.contributor.authorDahly, Darren
dc.contributor.authorGriffiths, Peter
dc.contributor.authorBall, Jane
dc.contributor.authorCrouch, Rob
dc.contributor.authorDuffield, Christine
dc.contributor.authorScott, Anne
dc.contributor.funderHealth Research Boarden
dc.contributor.funderDepartment of Health, Irelanden
dc.date.accessioned2021-09-01T15:56:49Z
dc.date.available2021-09-01T15:56:49Z
dc.date.issued2021-05
dc.date.updated2021-09-01T15:47:20Z
dc.description.abstractArising from efforts to introduce a systematic approach to the determination of safe and appropriate nurse staffing levels in the Irish healthcare system, where historical need and legacy issues were often key determinants in staffing decisions, the Department of Health published a policy document titled: A Framework for Safe Nurse Staffing and Skill Mix in General and Specialist Medical and Surgical Care Settings in Ireland (Department of Health 2018) (henceforth referred to as the Framework). Based on the research undertaken by a research team from University College Cork, the University of Southampton, University of Technology Sydney, and National University of Ireland Galway (Drennan at al. 2018), this report outlined a number of recommendations to ensure staffing levels in medical and surgical wards in acute hospitals were safe and effective in the delivery of care. In a continuation of this evidence-based approach, the Department of Health made the decision to extend the model to develop a framework for emergency care settings; this resulted in the publication of a draft document titled: A Pilot to Implement the Framework for Safe Nurse Staffing and Skill Mix in Emergency Care Settings (Department of Health, 2018). This document outlined a number of recommendations to ensure the safe staffing of emergency care settings. Central among these recommendations was the introduction of a systematic approach to the determination of staffing levels, the adjustment of skill mix to ensure that care was delivered by 85% RN and 15% HCA, and to ensure that the CNM 2 role was 100% supervisory. The research in this report provides data on the implementation of the recommendations of the Draft Framework in three emergency departments (EDs) and one injury unit (IU). Exploring the extent to which changes in staffing within the selected departments have had an impact on patientsâ experience within the emergency care setting, as well as on the experience of the nursing and healthcare assistant workforce and on organisational factors, this report outlines the methods and results of the programme of research examining the impact of introducing a pilot safe staffing framework to emergency care settings.en
dc.description.statusNot peer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDrennan, J., Savage, E., Hegarty, J., Murphy, A., Brady, N., Murphy, A., McCarthy, V., Loughnane, C., Kelly, G., Dahly, D., Griffiths, P., Ball, J., Crouch, R., Duffield, C. and Scott, A. (2021) ‘Evaluation of the pilot implementation of the Framework for Safe Nurse Staffing and Skill-Mix in Emergency Care Settings - Report 2’. Cork: University College Cork, pp. 1-119.en
dc.identifier.endpage119en
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/11820
dc.language.isoenen
dc.publisherUniversity College Corken
dc.relation.urihttps://www.lenus.ie/bitstream/handle/10147/629498/135001_538eaf16-e721-458f-8cb2-46b5c5afea7c.pdf?sequence=1
dc.rights© 2021, the Authors.en
dc.subjectStaffingen
dc.subjectEmergency careen
dc.titleEvaluation of the pilot implementation of the Framework for Safe Nurse Staffing and Skill-Mix in Emergency Care Settings - Report 2en
dc.typeReporten
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