Nurse staffing levels revisited: a consideration of key issues in nurse staffing levels and skill mix research

Flynn, Maria; McKeown, Mick

doi:10.1111/j.1365-2834.2009.01023.x

Cited by 36 publications

(35 citation statements)

References 42 publications

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“…Delivery attended by skilled personnel with appropriate supplies and equipment has been found to be strongly associated with reduction of child and maternal mortality [23,24]. Taking measures to increase access to human resources is of great importance to improving patient care.…”

Section: Discussionmentioning

confidence: 99%

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Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania

Bremnes

Wiig

Abeid³

et al. 2018

Global Health Action

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Background: Maternal and infant mortality rates in Tanzania have decreased over the past decades, but remain high. One of the challenges the country faces, is the lack of skilled health care workers. High fertility rates make midwives and their patients particularly susceptible to stress as a result of understaffing. Objective: This paper explores the challenges midwives face in their day-to-day practice at a regional referral hospital in Tanzania, and investigates which measures the midwives themselves find necessary to implement to improve their situation. Methods: A qualitative study design with focus group discussions (FGDs) was employed to explore which challenges the midwives experienced. Each focus group consisted of five to six midwives. A FGD topic guide covering challenges, consequences, motivation, ideal situation and possible solutions was used. These data were analyzed using Systematic Text Condensation. Results: A total of 28 Midwives, six men and 22 women, participated in five FGDs. Four categories emerged from the collected material: Feelings of demoralization, shortage of resources, societal challenges and personal struggles. A feeling of demoralization was especially prevalent and was caused by a lack of support from the leaders and little appreciation from the patients. Shortage of resources, and shortage of personnel in particular, was also highlighted as it led to an excessive workload resulting in difficulties with providing adequate care. These difficulties were intensified by lack of equipment, facilities and a non-optimal organization of the healthcare system. Conclusion: The challenges revealed during the FGDs prevent the midwives from providing sufficient midwifery care. To improve the situation, measures such as supportive leadership, reduction of workload, increasing availability of equipment and increasing knowledge of reproductive health in society, should be taken.

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Section: Discussionmentioning

confidence: 99%

“…Increasing the amount of staff would be helpful since this will give the midwives more time to care for each patient. The same is true for obtaining the necessary equipment and facilities, as these are integral factors in providing quality healthcare [24]. …”

Section: Discussionmentioning

confidence: 99%

Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania

Bremnes

Wiig

Abeid³

et al. 2018

Global Health Action

View full text Add to dashboard Cite

show abstract

“…As Yoder-Wise (2007) describes, perfect storms are the result of the amalgamation of coexisting factors having a much greater impact together than would be the case if the same factors were to occur by chance. From a global perspective, events contributing to a perfect storm in nursing include workforce shortages (Flynn & McKeown, 2009), multi-generational workforce issues (Carver & Candela, 2008;Sherman, 2006;Wilson, Squires, Widger, Cranley, & Tourangeau, 2008), an ageing workforce (Gabrielle, Jackson, & Mannix, 2008), clinical education challenges for nursing student placements (Williams, French, & Brown, 2009), increasing patient acuity levels (Ekwall, Gerdtz, & Manias, 2008), staff skill mix problems (Parker, Giles, & Higgins, 2009), diminishing resources (Johnstone & Kanitsaki, 2009), and evidence of poor quality of work life including escalation of workplace violence (Jackson, Clare, & Mannix, 2002).…”

mentioning

confidence: 99%

Attributes of clinical leadership in contemporary nursing: An integrative review

2013

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Effective clinical leadership is offered as the key to healthy, functional and supportive work environments for nurses and other health professionals. However, as a concept it lacks a standard definition and is poorly understood. This paper reports on an integrative review undertaken to uncover current understandings of defining attributes of contemporary clinical leadership in nursing. Data collection involved a search of relevant electronic databases for a 10-year period. Keywords for the search were 'clinical leadership' and 'nursing'. Ten research papers met the inclusion criteria for the integrative review. Analysis of these studies indicated clinical leadership attributes had a clinical focus, a follower/team focus or a personal qualities focus; attributes necessary to sustain supportive workplaces and build the capacity and resilience of nursing workforces. The small number of research-based studies yielded for the review indicates the need for further research in the area of clinical leadership.

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“…The subcategories are International application/sharing of nurse staffing research findings, 32-35 measurement/instrumentation challenges (patient outcomes/quality of care, 36-38 nurse outcomes, 39,40 staffing/assigning patients, 41,42 and need to connect individual nurse data with patient data 1,43,44 ).…”

Section: Methodological Considerations For Studying Nurse Staffing Anmentioning

confidence: 99%

Off-Peak Nurse Staffing

Eschiti¹,

Hamilton

2011

Dimensions of Critical Care Nursing

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The off-peak work environment is important to understand because the risk for mortality increases for patients at night and on the weekend in hospitals. Because critical-care nurses are on duty in hospitals 24 hours a day, 7 days a week, they are excellent sources of information regarding what happens on a unit during off-peak times. Inadequate nurse staffing on off-peak shifts was described as a major problem by the nurses we interviewed. The study reported here contributes the type of information needed to better understand the organization of nursing units and nurse staffing on outcomes.

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Nurse staffing levels revisited: a consideration of key issues in nurse staffing levels and skill mix research

Cited by 36 publications

References 42 publications

Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania

Challenges in day-to-day midwifery practice; a qualitative study from a regional referral hospital in Dar es Salaam, Tanzania

Attributes of clinical leadership in contemporary nursing: An integrative review

Off-Peak Nurse Staffing

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