Measuring perceived adequacy of staffing to incorporate nurses’ judgement into hospital capacity management: a scoping review

Mark, Carmen J E M van der; Vermeulen, Hester; Hendriks, Paul; Oostveen, Catharina van

doi:10.1136/bmjopen-2020-045245

Cited by 9 publications

(23 citation statements)

References 104 publications

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“…Moreover, our results contribute to the literature dealing with methods for determining staffing requirements (Griffiths et al, 2020 ), confirming that nurse‐to‐patient ratio is not a sufficiently accurate indicator for decision‐making with regards to staffing. A recent scoping review (van der Mark et al, 2021 ) reports that perceived adequacy of staffing by nurses could potentially be an available measure for staffing requirements. Our findings support this study.…”

Section: Discussionmentioning

confidence: 99%

Defining nursing workload predictors: A pilot study

Ivziku

Ferramosca

Filomeno

et al. 2021

J Nursing Management

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Aim: To explore predictors of perceived nursing workload in relation to patients, nurses and workflow.Background: Nursing workload is important to health care organisations. It determines nurses' well-being and quality of care. Nevertheless, its predictors are barely studied.Methods: A cross-sectional prospective design based on the complex adaptive systems theory was used. An online survey asked nurses to describe perceived workload at the end of every shift. Data were gathered from five medical-surgical wards over three consecutive weeks. We received 205 completed surveys and tested multivariate regression models.Results: Patient acuity, staffing resources, patient transfers, documentation, patient isolation, unscheduled activities and patient specialties were significant in predicting perceived workload. Nurse-to-patient ratio proved not to be a predictor of workload.Conclusions: This study significantly contributed to literature by identifying some workload predictors. Complexity of patient care, staffing adequacy and some workflow aspects were prominent in determining the shift workload among nurses.Implications for nursing management: Our findings provide valuable information for top and middle hospital management, as well as for policymakers. Identification of predictors and measurement of workload are essential for optimizing staff resources, workflow processes and work environment. Future research should focus on the appraisal of more determinants.

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Section: Discussionmentioning

confidence: 99%

Defining nursing workload predictors: A pilot study

Ivziku

Ferramosca

Filomeno

et al. 2021

J Nursing Management

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“…However, overstaffing reduced mortality even further, suggesting that these tools cannot identify optimum staffing. Nurses’ perceptions have been the gold standard measure of staffing adequacy;26 27 however, these measures are not completely reliable or valid 28. Most measures of perceived adequacy of staffing (PAS) are single items that directly ask for adequacy of staffing 28.…”

Section: Introductionmentioning

confidence: 99%

“…Nurses’ perceptions have been the gold standard measure of staffing adequacy;26 27 however, these measures are not completely reliable or valid 28. Most measures of perceived adequacy of staffing (PAS) are single items that directly ask for adequacy of staffing 28. These measures do not provide an underlying definition, which is insufficient for such a complex construct 29 30.…”

Section: Introductionmentioning

confidence: 99%

“…According to Kramer and Schmalenberg, multiple items are needed to completely define the meaning of the construct to the rater and to facilitate the perceptual process 31. However, these items are currently undefined for daily staffing,28 and mainly address other purposes such as measuring the work environment 32…”

Section: Introductionmentioning

confidence: 99%

“…To develop a reliable and valid instrument for measuring adequacy of staffing and to support nurse staffing decision making, we need an unambiguous definition of adequate nurse staffing 3 28. The purpose of this study is to identify which items determine adequacy of shift staffing.…”

Section: Introductionmentioning

confidence: 99%

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Defining adequacy of staffing in general hospital wards: a Delphi study

et al. 2022

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ObjectivesTo gain consensus on the items that determine adequacy of shift staffing.DesignThis was a three-round Delphi study to establish consensus on what defines adequacy of shift staffing in a general hospital ward. A literature review, focus group and five semistructured expert interviews were used to generate items for the Delphi study.SettingMulticentre study in The Netherlands.ParticipantsNurses, head nurses, nursing managers, and capacity consultants and managers working for Dutch hospitals.ResultsTwenty-six items were included in the Delphi study. One hundred and sixty-eight, 123 and 93 participants were included in the first, second and third round, respectively. After three rounds, six items were included (mostly related to direct patient care) and nine items were excluded. No consensus was reached on 12 items, including one item that was added after the first round.ConclusionsThis is the first study to specify items that determine adequacy of staffing. These items can be used to measure adequacy of staffing, which is crucial for enhancing nurse staffing methods. Further research is needed to refine the items of staffing adequacy and to further develop and psychometrically test an instrument for measuring staffing adequacy.

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