Factors affecting staffing ratios

Ball, Jean A.; Bennett, Beverley; Washbrook, Marie; Webster, Frances

doi:10.12968/bjom.2003.11.6.11389

Cited by 12 publications

(8 citation statements)

References 0 publications

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“…Eleven sources were co-authored by Ball, who developed Birthrate Plus. Of these, six provided some descriptive empirical data arising from the use of the tool[1] [19] [26] [28–30]. We found no prospective intervention studies using Birthrate Plus.…”

Section: Resultsmentioning

confidence: 99%

“…Nine sources were judged to offer some evidence of reliability and validity of the tool, although none compared results of the Birthrate Plus assessment with others. [1–3] [19] [26–28] [31, 32] Claims for reliability were based on reference to accuracy of midwives recording of the time women were on delivery suite compared to that recorded in clinical notes (94% correct)[1] and classifications (80-90% accuracy for selection of intrapartum complexities)[19] but without details of the methods used for this assessment. Several sources offer support for the validity of the Birthrate Plus classifications by showing increasing midwifery time was required to provide care to women with labour complexities.…”

Section: Resultsmentioning

confidence: 99%

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Evidence on the use of Birthrate Plus® to guide safe staffing in maternity services – a systematic scoping review

Griffiths,

Turner,

Lown

et al. 2023

Preprint

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Background : Birthrate Plus® is a widely used tool that informs decisions about the number of midwifery staff needed to provide safe and high quality care in maternity services. Evidence about the effectiveness, validity, reliability, and feasibility of tools such as this is needed. Objective : To identify, describe and analyse the available evidence supporting the use of Birthrate Plus. Methods: We searched PubMed, Medline, CINAHL, Google Scholar, Scopus, Academic Search, British Library Ethos, Directory of Open Access Journals and Science Direct. Studies were eligible if they reported empirical data relevant to the validity, reliability, or useability of Birthrate Plus or if they measured the impact on staffing levels, outcomes, costs or provided a comparison with other methods. Results: 23 sources of evidence were identified and reviewed. We found no prospective intervention studies on the use of Birthrate Plus to demonstrate outcomes for mothers, babies or staff wellbeing. Nor did we find studies comparing the tool to other methods or addressing resource use. Most of the evidence was descriptive, focussing on the use of the tool or the results of Birthrate Plus assessments. There is some evidence of the reliability of application of categories within the tool, the ability of the tool to detect variation in demand and to highlight staff shortages. Conclusions: In terms of traditional hierarchies of evidence, the evidence for Birthrate Plus is weak. There is a need for more independent research or simulation using real world data to understand how the tool performs in the current context of midwifery practice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Evidence on the use of Birthrate Plus® to guide safe staffing in maternity services – a systematic scoping review

Griffiths,

Turner,

Lown

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Wagner (1998) noted that there is much ignorance and misunderstanding among the public and health professionals about the value of midwives in modern maternity services. Lack of reward is an increasing source of frustration in other countries (Ball et al, 2003) and contributes to role disengagement (Demerouti et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

Barriers to developing midwifery as a primary health-care strategy: A Jordanian study

Shaban¹,

Barclay²,

Lock³

et al. 2012

Midwifery

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“…24 This manner of mathematical modeling is widespread in nursing and has been around for some time. 25 However, validated PAMTs specifically for use in MSP are less common 26,27 and, to our knowledge, staffing levels in maternity units in the Netherlands have not been studied. In this paper, we identify and examine the evidence relating to PAMTs designed for use in MSP and assess the suitability of identified PAMTs for use in maternity hospital settings in the Netherlands.…”

Section: Lacking a National Evaluation It Is Impossible To Know If Ms...mentioning

confidence: 99%

Measure to improve: Is there a patient‐acuity measurement tool suitable for use in maternity service provision in the Netherlands? A systematic review

Cronie

Rosman

Vries

2022

Health Science Reports

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Background and Aims It is difficult to overestimate the importance of safe staffing levels within the context of effective, quality healthcare. Poor staffing has been cited as a contributory factor in the number of unnecessary hospital deaths. This is particularly so in maternity care, where poor staffing has been inexorably linked to avoidable perinatal and maternal mortality. In the Netherlands, maternity service provision (MSP) is stratified into primary (community)‐ and secondary (hospital)‐based care. While most midwives (71%) work in primary care, the majority are self‐employed or work in small group practices. Where women birth at home, one‐to‐one care during labor is the norm. However, despite the existence of a national standard for birth‐related care, which states unequivocally that women birthing in hospitals should (also) receive one‐to‐one care, while in labor this is not always the case. The extent of compliance with the national care standard has until now not been the subject of scrutiny. We aim to identify evidence for the use of patient‐acuity measurement tools (PAMTs) in MSP to explore the extent of one‐to‐one care for women birthing in hospitals in the Netherlands and select and/or modify a valid PAMT suitable for use in maternity units in hospitals in the Netherlands to assess to what extent the quality standard of one‐to‐one care for birthing women is being met. Methods In this systematic literature review, all citations are first screened for title and abstract, then full text for suitability of inclusion. Results Three studies were identified for inclusion in the review. One PAMT is recommended. Conclusion One PAMT suitable for use in maternity service was identified. However, the evidence level for use is low. Nevertheless, in view of the unique nature of midwifery service provision, a PAMT specifically developed for use in maternity service is preferable.

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Factors affecting staffing ratios

Cited by 12 publications

References 0 publications

Evidence on the use of Birthrate Plus® to guide safe staffing in maternity services – a systematic scoping review

Evidence on the use of Birthrate Plus® to guide safe staffing in maternity services – a systematic scoping review

Barriers to developing midwifery as a primary health-care strategy: A Jordanian study

Measure to improve: Is there a patient‐acuity measurement tool suitable for use in maternity service provision in the Netherlands? A systematic review

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