A5039904954- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Hospital Admissions and Outcomes
- Global Health Workforce Issues
- Workplace Health and Well-being
- Healthcare Policy and Management
- Nursing Roles and Practices
- Healthcare Operations and Scheduling Optimization
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare professionals’ stress and burnout
- Nursing education and management
- Global Health Care Issues
- Biomedical Text Mining and Ontologies
- Semantic Web and Ontologies
- Family and Patient Care in Intensive Care Units
- Dementia and Cognitive Impairment Research
- Clinical practice guidelines implementation
- Economic and Financial Impacts of Cancer
- Environmental Engineering and Cultural Studies
- Global Cancer Incidence and Screening
- Medical Coding and Health Information
- Cardiac, Anesthesia and Surgical Outcomes
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Health and Well-being Studies
University of Southampton
2016-2024
National Institute for Health Research
2019-2024
NIHR Applied Research Collaboration West
2024
University Hospital Southampton NHS Foundation Trust
2023
The importance of nurse staffing levels in acute hospital wards is widely recognised but evidence for tools to determine requirements although extensive, has been reported be weak. Building on a review reviews undertaken 2014, we set out give an overview the major approaches assessing and identify recent order address unanswered questions including accuracy effectiveness tools. We undertook systematic scoping review. Searches Medline, Cochrane Library CINAHL were used primary research, which...
In the face of pressure to contain costs and make best use scarce nurses, flexible staff deployment (floating between units temporary hires) guided by a patient classification system may appear an efficient approach meeting variable demand for care in hospitals. We modelled cost-effectiveness different approaches planning baseline numbers nurses roster on general medical/surgical while using respond fluctuating demand. developed agent-based simulation, where hospital inpatient move being...
Background The Safer Nursing Care Tool is a system designed to guide decisions about nurse staffing requirements on hospital wards, in particular the number of nurses employ (establishment). widely used English hospitals but there lack evidence how effective and cost-effective tools are at providing levels needed for safe quality patient care. Objectives To determine whether or not corresponds professional judgement, assess range options using model costs consequences various ward policies...
Background Planning numbers of nursing staff allocated to each hospital ward (the ‘staffing establishment’) is challenging because both demand for and supply vary. Having low registered nurses working on a shift associated with worse quality care adverse patient outcomes, including higher risk safety incidents. Most nurse staffing tools recommend setting levels at the average needed but modelling studies suggest that this may not lead optimal levels. Objective Using computer simulation...
Many studies show the adverse consequences of insufficient nurse staffing in hospitals, but safe and effective is unlikely to be just about staff numbers. There are considerable areas uncertainty, including whether temporary can safely make up shortfalls permanent using experienced mitigate effect shortages.
Objectives Examine the association between multiple clinical staff levels and case-mix adjusted patient mortality in English hospitals. Most studies investigating hospital staffing have focused on single professional groups, particular nursing. However, group might overestimate effects or neglect important contributions to safety from other groups. Design Retrospective observational study of routinely available data. Setting participants 138 National Health Service trusts that provided...
Due to worldwide nursing shortages and difficulty retaining staff, long shifts for staff (both registered nurses assistants) working in hospitals have been adopted widely. Because reduce the daily number of from three two, many assume that improve productivity by removing one handover overlap. However, it is unclear whether staffing levels are more likely be perceived as adequate when used. To investigate association between proportion (≥12‐hour) worked on a ward nurses-in-charge's...
Abstract Background Nurses play a crucial role in maintaining the safety of surgical patients. Few nurse staffing studies have looked specifically at patients to examine impact exposure low on patient outcomes. Methods A longitudinal analysis was conducted four organizations England using routine data from 213 910 admissions all specialties. Patients’ exposures were modelled as counts understaffed registered and assistant days first 5 inpatient days. Understaffing identified when per...
Objectives The best way to determine nurse staffing requirements on hospital wards is unclear. This study explores the precision of estimates made using Safer Nursing Care Tool (SNCT) patient classification system for different sample sizes and investigates whether recommended staff levels correspond with professional judgements adequate staffing. Design Observational linking datasets (estimated a tool) Multilevel logistic regression modelling. Setting 81 medical/surgical units in four acute...
Structured diabetes education has evidenced benefits yet reported uptake rates for those referred to traditional in-person programmes within 12 months of diagnosis were suboptimal. Digital health interventions provide a potential solution improve delivery at population scale, overcoming barriers identified with approaches. myDiabetes is cloud-based interactive digital self-management app. This evaluation analysed usage data people type 2 focusing on structured education.Descriptive...
To investigate current practice of pre-discharge home assessment visits for older patients.Postal questionnaire survey.NHS Trust hospitals in the United Kingdom.Occupational therapy departments 265 NHS which admit acutely ill patients.The number done, who went, and time spent on visits.Of Trusts contacted, 239 (90%) replied. Of 238 units, 155 (65%) do between 11 40 per month, with 25 (11%) doing more than 60. The equivalent one day week or is by Senior I occupational therapists 107 (45%)...
Background Preventing readmission to hospital after giving birth is a key priority, as rates have been rising along with associated costs. There are many contributing factors readmission, and some thought be preventable. Nurse midwife understaffing has linked deficits in care quality. This study explores the relationship between staffing levels maternity settings. Methods We conducted retrospective longitudinal using routinely collected individual patient data three services England from...
Abstract Importance Nurses’ work-related stress and sickness absence are high. The consequences of severe for health systems’ efficiency productivity. Objective To measure the association between nurse staffing configurations in hospital ward nursing teams. Design Retrospective case-control study using routinely collected data Setting Four general acute care hospitals England Participants 3,583,586 shifts worked or missed due to by 18,674 registered nurses (RN) assistant (NA) staff working...
Abstract Objectives To determine the precision of nurse staffing establishments estimated using SNCT patient classification system, and to assess whether recommended staff levels correspond with professional judgements adequate staffing. Setting / population 81 medical/surgical units in 4 acute care hospitals. Methods Nurses assessed patients reported on adequacy at least daily for one year. Bootstrap samples varying sizes were used estimate tool’s recommendations number nurses employ each...
Due to worldwide nursing shortages and difficulty retaining staff, long shifts for staff (both registered nurses assistants) working in hospitals have been adopted widely. Because reduce the daily number of from three two, many assume that improve productivity by removing one handover overlap. However, it is unclear whether staffing levels are more likely be perceived as adequate when used.
Aims To assess how well the Safer Nursing Care Tool (SNCT) predicts staffing requirements on hospital wards, and to use professional judgement generate hypotheses about factors associated with a “poor fit”. Background The SNCT is widely used in UK, but there scant evidence that influence quality of decisions based upon such patient classification systems. Methods Secondary analysis data from 69 wards three acute hospitals precision estimated requirement, variation estimates, correspondence...