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Workforce & Health Systems

The impact of COVID-19 on nurses (ICON) survey: Nurses' accounts of what would have helped to improve their working lives

Jane Ball, Sydney Anstee, Keith Couper, Jill Maben, Holly Blake, Janet E. Anderson, Daniel Kelly, Ruth Harris, Anna Conolly, the full ICON Study Team

First published: 29 September 2022

Aims

To use nurses' descriptions of what would have improved their working lives during the first peak of the COVID-19 pandemic in the UK.

External web link - https://onlinelibrary.wiley.com/doi/10.1111/jan.15442

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The association between midwifery staffing levels and the experiences of mothers on postnatal wards: Cross sectional analysis of routine data

(February 17, 2022)

L.Turner, D.Culliford, J.Ball, E.Kitson-Reynolds, P.Griffiths

Background

Women have consistently reported lower satisfaction with postnatal care compared with antenatal and labour care. The aim of this research was to examine whether women’s experience of inpatient postnatal care in England is associated with variation in midwifery staffing levels.

External web link - https://www.sciencedirect.com/science/article/pii/S1871519222000312#!

A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: a systematic review with future directions

Yuan-Sheng Ryan Poon, Yongxing Patrick Lin, Peter Griffiths, Keng Kwang Yong, Betsy Seah & Sok Ying Liaw

September 24, 2022

Background

Globally, the health workforce has long suffered from labour shortages. This has been exacerbated by the workload increase caused by the COVID-19 pandemic. Major collapses in healthcare systems across the world during the peak of the pandemic led to calls for strategies to alleviate the increasing job attrition problem within the healthcare sector. This turnover may worsen given the overwhelming pressures experienced by the health workforce during the pandemic, and proactive measures should be taken to retain healthcare workers. This review aims to examine the factors affecting turnover intention among healthcare workers during the COVID-19 pandemic.

External web link - https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-022-00764-7

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Nurses’ experiences and preferences around shift patterns: A scoping review

(August 2021)

Ourega-Zoé Ejebu, Chiara Dall’Ora , Peter Griffiths

Abstract

Objective

To explore the evidence on nurses’ experiences and preferences around shift patterns in the international literature.

External web link - https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0256300

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Beyond ratios - flexible and resilient nurse staffing options to deliver cost-effective hospital care and address staff shortages: A simulation and economic modelling study

Griffiths, Savile, Ball, Jones, Monks, et al

(May 2021)

Background

In the face of pressure to contain costs and make best use of scarce nurses, flexible staff deployment (floating staff between units and temporary hires) guided by a patient classification system may appear an efficient approach to meeting variable demand for care in hospitals.

External web link - https://www.sciencedirect.com/science/article/pii/S002074892100033X#

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Cognitive impairment is associated with an increased risk of adverse outcomes in hospitalised older people with an unscheduled admission, by increasing hospital mortality, extending hospital stays and increasing frequency of readmissions.

Authors: Carole Fogg, Paul Meredith, David Culliford, Jackie Bridges, Peter Griffiths - August 2019

Background

Older adults admitted to hospital are often cognitively impaired. It is not clear whether the presence of cognitive impairment conveys an additional risk for poor hospital outcomes in this patient population.

External web link - https://www.sciencedirect.com/science/article/pii/S0020748919300367

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Patient involvement in pressure ulcer prevention and adherence to prevention strategies: An integrative review

There is limited research that focuses on the patient view of factors affecting adherence to prevention measures, particularly in community settings. Individual and daily lifestyle considerations and involvement in decision-making around pressure ulcer care are important aspects from the patient perspective. Further research is necessary to explore which factors affect patient adherence in order to improve clinical practice and support patient involvement in preventative strategies.

Jo Hope, Lisette Schoonhoven - October 23 2019

External web link - https://www.sciencedirect.com/science/article/pii/S0020748919302561

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Older people's experiences in acute care settings: systematic review and synthesis of qualitative studies

Jackie Bridges, Joanna Hope - November 8 2019

Background

Older people's care experiences in hospital may be negative in the absence of relational work by nurses to maintain people's identity, establish caring connections and ensure that individual patient needs, preferences and values are honoured in the care that is delivered. Relational care by nurses can mediate powerful institutional drivers that may otherwise result in negative experiences and poor care.

External web link - https://www.sciencedirect.com/science/article/pii/S0020748919302767#!

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The influence of personal communities in understanding avoidable emergency department attendance: qualitative study

Gemma McKenna, Anne Rogers, Sandra Walker & Catherine Pope – September 2020

Background

Use of emergency department (ED) care globally seems to be increasing at a faster rate than population growth. In the UK there has been a reported 16% rise in emergency admissions over the past 5 years. Estimates that between 11 and 40% of ED attendances are non-urgent, with 11% of patients being discharged from the ED without treatment (NHS Digital 2017), and a further 44% require no follow-up treatment …….

External web link - https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05705-5

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The association between ward staffing levels, mortality and hospital readmission in older hospitalised adults, according to presence of cognitive impairment: a retrospective cohort study

Carole Fogg, Jackie Bridges, Paul Meredith, Claire Spice, Linda Field, David Culliford, Peter Griffiths – September 2020

Background

Lower nurse staffing levels are associated with increased hospital mortality. Older patients with cognitive impairments (CI) have higher mortality rates than similar patients without CI and may be additionally vulnerable to low staffing.

External web link - https://academic.oup.com/ageing/advance-article-abstract/doi/10.1093/ageing/afaa133/5909776?redirectedFrom=fulltext

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Supporting patient access to medicines in community palliative care: on-line survey of health professionals’ practice, perceived effectiveness and influencing factors

Sue Latter, Natasha Campling, Jacqueline Birtwistle, Alison Richardson, Michael I. Bennett, Sean Ewings, David Meads & Miriam Santer – September 2020

Background

Patient access to medicines at home during the last year of life is critical for symptom control, but is thought to be problematic. Little is known about healthcare professionals’ practices in supporting timely medicines access and what influences their effectiveness. The purpose of the study was to evaluate health professionals’ medicines access practices, perceived effectiveness and influencing factors.

External web link - https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-020-00649-3

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Guidance to support nurses’ psychological well-being during Covid-19 crisis.

Maben, J. Taylor, C. and Bridges, J. (April 2020)

This guidance is designed to be used by all nursing team members across health and social care settings and may need tailoring for different contexts.

External web link - https://www.surrey.ac.uk/sites/default/files/2020-05/guidance-to-support-nurses-psychological-well-being-during-covid-19-crisis-final.pdf

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How long do nursing staff take to measure and record patients’ vital signs observations in hospital? A time-and-motion study 

Chiara Dall'ora, Peter Griffiths, Joanna Hope, Jim Briggs, Jeremy Jones, Stephen Gerry & Oliver C Redfern (June 2021)

Introduction

Monitoring vital signs in hospital is an important part of safe patient care. However, there are no robust estimates of the workload it generates for nursing staff. This makes it difficult to plan adequate staffing to ensure current monitoring protocols can be delivered.

External web link - https://doi.org/10.1016/j.ijnurstu.2021.103921

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Ward staffing guided by a patient classification system: A multi-criteria analysis of “fit” in three acute hospitals

Christina Saville PhD, Peter Griffiths PhD, RN (Published 8 May 2021)

Aims

To assess how well the Safer Nursing Care Tool (SNCT) predicts staffing requirements on hospital wards, and to use professional judgement to generate hypotheses about factors associated with a “poor fit”.

External web link - https://onlinelibrary.wiley.com/doi/10.1111/jonm.13341