Analysis of nurse staffing during transformation on example of polish hospitals – importance of the RN4CAST research project
DOI:
https://doi.org/10.12775/v10251-012-0065-zKeywords
analysis of nurse staffing, Patient Classification System, model of employment of nurses in hospitalsAbstract
For many years, the optimization of the model of employment of nurses in hospitals has been sought for in theory and practice, in order to provide patient safety and quality of care.
The objective of the study was the performance of retrospective analysis of nurse staffing in Polish hospitals on the background of tendencies observed in other countries, and the demonstration of the importance of the studies conducted within the EU project RN4CAST.
To-date, both in Poland and in other countries, various methods have been applied, mainly the statistical method which related the number of nurses to constant values, i.e. the number of population or hospital beds, and the Patient Classification System (PCS), which assumes assignment adjusted to the patient status according to the adopted criteria of care. There are advantages and disadvantages with these methods. Both of them focus on instrumental nursing activities, consider the measurement of nursing time, are labour- and time-consuming, require periodical verification and adjustment to specificity of individual wards where care is provided. The report indicates other important factors which exert a potential effect on nurse staffing in a hospital. These factors cover: technical-organizational conditions, provision of equipment for nursing, outsourcing of auxiliary services, post-graduate education, degree of occupational burnout, number of undesirable events, job satisfaction, amount of payment and educational leave. These factors have been considered in the RN4CAST project, the goal of which is to compare employment in 12 European countries and to search for an optimum model of employment of nurses in hospitals for the subsequent 20 years.
References
Wolfe H., Young J. P.: Staffing the nursing unit. Part I: Controlled variable staffing. Nurs Res. 1965, 14: 236 -243.
Wolfe H., Young J. P.: Staffing the nursing unit. Part II: The multiple assignment technique. Nurs Res. 1965, 14: 299 - 303.
Ball J. A.: Measurement of work in obstetrics. In: Alexander J., Levy V., Roch S. (Eds.). Obstetric practice. vol.. IV. National Medical Publishers, Warsaw 1995: 174 -189.
Giovanetti P., Thiessen M.: Patient classification for nurse staffing: Criteria for selection and implementation. Alberta Association of Registered Nurses. Edmonton, Alberta 1983.
Rabinowitz S. S., Carlson C. I., Santoferraro C. A.: Cost effectiveness and care planning. W: Handbook for First- Line Nurse Managers (red.). J. L. Schweiger. A Wiley Medical publication John Wiley & Sons. New York, 1986: 145 - 169.
Armstrong-Esther C.A.: Long-term care reform in Alberta, Kanada: the role of the resident classification system. J Adv Nurs. 1994, 19 (1) Jan.: 105 - 113. [ http://dx.doi.org/10.1111/j.1365-2648.1994.tb01058.x]
Włodarczyk C.: Health policy in a democratic society. University Medical Publishers Vesalius. Łódź-Kraków- Warsaw 1996: 135.
Directives by the Ministry of Health and Social Welfare of 13 July 1987 In the matter of target staffing rates for nurses and midwives in health and social care facilities for planning purposes. Official Journal by the Ministry of Health and Social Welfare of 1987, No. 7, Clause 46.
Regulation by the Ministry of Health and Social Welfare In the matter of determining minimum standards for employment of nurses and midwives. Official Journal by the Ministry of Health and Social Welfare, 1999, No. 111, Clause 1314.
Bigbee J.L., Collins J., Deeds K.: Patient classification systems: a new approach to computing reliability. Appl Nurs Res. 1992, 5 (1) Feb.: 32 -38. [ http://dx.doi.org/10.1016/S0897-1897(05)80083-7]
De Groot H.A.: Patient classification systems and staffing. Part 1. Problems and promise. J Nurs Admin. 1994, 24 (9) Sep.: 43 - 51.
Giovanetti P.: Understanding patient classification systems. J Nurs Admin. 1979, 9: 4 - 9.
Lenartowicz H.: Nurse staffing in inpatient medical services. From studies of utilization of working time and occupational qualifications. Dissertation for the degree of Dr. habil, Medical University, Lublin 1987.
Grundy F., Reinke W.A. Optimization of health care and formalized methods of management, National Medical Publishers, Warsaw 1977: 124 - 127.
Lenartowicz H.: Organization of nursing. Script ed. Medical University, 1985: 114 - 125.
Ksykiewicz-Dorota A.: Nursing staff scheduling in Patient Classification Method. Public Health. 2000, 110 (1): 15-21.
Mikołajczyk Z.: Organizational techniques in solving management problems. Ed.. National Scientific Publishers, Warsaw 1994: 79 - 83.
Ksykiewicz-Dorota A.: Verification of criteria of nursing care in Patient Classification Method. Public Health. 1999, 109 (1): 15-21.
Wołk R., Strzelecki T. J.: Study of methods and work standardization. Ed. by Warsaw University of Technology. Warsaw 1993: 39 - 42.
Nadler G.: Work Systems Design. The Ideal Concept. Richard D. Irwin, INC., Homewood, Illinois 1967.
Ksykiewicz-Dorota A.: Nadler's concept and operational studies as a basis for verification of the method of staff scheduling. Part I. Development of methodological procedures. Public Health, 1999, 109 (4): 146-149.
Ksykiewicz-Dorota A.: Nadler’s concept and operational studies as a basis for verification of staffing methods. Part II. Nursing time standards. Public Health. 1999, 109 (5): 180-185.
Ksykiewicz-Dorota A., Saracen A.: Selection of methodological procedure for midwifery staff scheduling in an obstetric ward. Pol. J. Environ. Stud. 2007, 16 (5A): 245-248.
Ksykiewicz-Dorota A., Adamska-Kuźmicka I.: Method of Patient Classification System in obstetric staff scheduling. 3. Demand for direct nursing in the delivery room among mothers who deliver by Caesarean section. Ann. UMCS Sect. D 2001, 56: 307-311.
Wysokiński M., Ksykiewicz-Dorota A., Fidecki W.: Demand for nursing care for patients in intensive care units in southeast Poland. Am. J. Crit. Care 2010, 19 (2): 149-155.
Ksykiewicz-Dorota A., Markiewicz I., Rottermund J.: Methods of evaluation of patient demand for long-term care. In: Struggling with disability: subsequent determinants. J. Rottermund (Ed.). Kraków 2009, ‘Impulsed’ Publishing Office: 123-132.
Cebulak M., Ksykiewicz-Dorota A.: Patient classification methods in nursing staff scheduling in psychiatric wards Preceedings of Psychiatry and Neurology. 2009, 18 (3): 285-291.
Klukow J., Ksykiewicz-Dorota A.: Review of western patient classification methods for the needs of nursing staff scheduling in hospital emergency departments. Anesthesiology and Emergency Medicine, 2010, 3: 373-381.
Brzostek T., Przewoźniak L., Brzyski P., Kózka M., Gajda K., Cisek M., Aiken L. Sermeus W.: Factors influencing patent willingness to recommend hospital as a place for therapy. Pilot Polish RN4CAST study results. 13th Biennial Congress of the ESHMS, 26-28 August, Ghent-Belgium, 2010, 32.
Brzyski P., Brzostek T., Przewoźniak L., Kózka M., Cisek M., Gajda K., Aiken L. Sermeus W.: Factors infleuncing nurse burnout syndrome. Pilot Polish RN4CAST study results. 13th Biennial Congress of the ESHMS, 26-28 August, Ghent-Belgium, 2010, P 5.
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