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.authorDrennan, Jonathan
dc.contributor.authorDuffield, Christine
dc.contributor.authorScott, Anne Philomena
dc.contributor.authorBall, Jane
dc.contributor.authorBrady, Noeleen M.
dc.contributor.authorMurphy, Aileen
dc.contributor.authorDahly, Darren L.
dc.contributor.authorSavage, Eileen
dc.contributor.authorCorcoran, Paul
dc.contributor.authorHegarty, Josephine
dc.contributor.authorGriffiths, Peter
dc.contributor.funderHealth Research Boarden
dc.contributor.funderDepartment of Healthen
dc.date.accessioned2018-07-27T11:33:06Z
dc.date.available2018-07-27T11:33:06Z
dc.date.issued2018-07-17
dc.date.updated2018-07-26T08:43:13Z
dc.description.abstractAim: 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDrennan, 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.13796en
dc.identifier.doi10.1111/jan.13796
dc.identifier.issn0309-2402
dc.identifier.issn1365-2648
dc.identifier.journaltitleJournal of Advanced Nursingen
dc.identifier.urihttps://hdl.handle.net/10468/6508
dc.language.isoenen
dc.publisherJohn 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.subjectNursingen
dc.subjectNursing hours per patient dayen
dc.subjectPatient outcomesen
dc.subjectNurse staffingen
dc.subjectWorkloaden
dc.subjectHealthcare qualityen
dc.subjectNursing sensitive outcomesen
dc.titleA protocol to measure the impact of intentional changes to nurse staffing and skill-mix in medical and surgical wardsen
dc.typeArticle (peer-reviewed)en
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