Professional Collaboration: Who Should Determine Safe Staffing for Nurses?

Keller, Amy E.; Dulle, Mica; Kwiecinski, Sharon; Altimier, Leslie; Owens, Carol

doi:10.1053/j.nainr.2013.07.001

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Community nurses as autonomous practitioners, in most cases, they are lone workers, working in isolation and this may influence their decision-making. For example, one significant difference for community nursing compared with hospital nursing is the nursepatient ratio related to safe staffing levels and its impact on capacity modelling (Keller et al, 2013;Hairr et al, 2014). A hospital ward has a manageable flow of patients usually with the same levels of acuity, and the ward can control the number of admissions which means the nurse-patient ratio can be managed; this is not the case in community nursing and there is no provision of establishing a nurse-patient ratio (Jackson et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review

Chamanga

Dyson

Loke

et al. 2020

Prim Health Care Res Dev

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Background: Adult community nursing services are evolving around the world in response to government policies and changing patient demographics. Amidst these changes, recruitment and retention of community nursing staff are proving a challenge. An integrative literature review has identified multiple factors that influence nurse retention in adult community nursing with sparse information on recruitment factors. Although factors impacting retention of community nurses have been identified, their generalisability around the world is a challenge as they are context and co-dependent. Indicating the need for this area of study to be explored at a local level, as the same factors present with different findings globally. Aim: To establish factors influencing recruitment and retention of registered nurses in adult community nursing services. Design: Integrative literature review. Data sources: Four electronic databases were searched in August 2019 from January 2008 to December 2018: CINAHL Complete, Web of Science, MEDLINE and PROQUEST. Both qualitative and quantitative studies focusing on factors influencing community nursing recruitment and retention were included. Review methods: An integrative literature review methodology by Whittemore and Knafl (The integrative review: updated methodology. Journal of Advanced Nursing 52, 546–553) was followed, supported by Cochrane guidelines on data synthesis and analysis using a narrative synthesis method. The Center for Evidence-Based Management (CEBMa) critical appraisal tools were used for study quality assessment. Results: Ten papers met the study inclusion criteria. Data synthesis and analysis revealed individual and organisational factors influencing the retention of community nurses with the following three dominant themes: (1) work pressure, (2) working conditions and (3) lack of appreciation by managers. Conclusion: The review identified context-dependent factors that influence adult community nurses’ retention with limited generalisability. There is a lack of data on factors influencing recruitment into adult community nursing; further research is needed to explore factors affiliated to community nursing recruitment.

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Section: Discussionmentioning

confidence: 99%

Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review

Chamanga

Dyson

Loke

et al. 2020

Prim Health Care Res Dev

View full text Add to dashboard Cite

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“…The merits of nurse staffing legislation have been debated since first introduced in the 1990s. Over time, the issue became increasingly divisive (Keller, Dulle, Kwiecinski, Altimier, & Owens, 2013; Newbold, 2008; Serratt, Meyer, & Chapman, 2014; White, 2006). Proponents argue that because of the financial disincentive associated with increasing nurse staffing, hospitals administrators cannot be counted on to make such investments voluntarily.…”

Section: Background and History Of Nurse Staffing Policies In The Unimentioning

confidence: 99%

“…But even proponents of nurse staffing regulation disagree on the preferred legislative or other policy approaches. For example, the American Nurses Association (ANA) favors mandated staffing committees in hospitals but opposes mandated patient to nurse ratio in state or federal laws (Keller et al., 2013; Wallis, 2013). In contrast, the California Nurses Association (CNA) is a strong advocate of state-mandated patient to nurse ratios.…”

Section: Background and History Of Nurse Staffing Policies In The Unimentioning

confidence: 99%

Texas Nurse Staffing Trends Before and After Mandated Nurse Staffing Committees

Jones

Bae

Murry

et al. 2015

Policy, Politics, & Nursing Practice

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This article describes the evolution of mandated nurse staffing committees in Texas from 2002 to 2009 and presents a study that analyzed nurse staffing trends in Texas using a secondary analysis of hospital staffing data (N = 313 hospitals) from 2000 to 2012 obtained from the American Hospital Association Annual Survey. Nurse staffing patterns based on three staffing variables for registered nurses (RNs), licensed vocational nurses (LVNs), and total licensed nurses were identified: full-time equivalents per 1,000 adjusted patient days, productive hours per adjusted patient day, and RN skill mix. Similar to national trends between 2000 and 2012, most Texas hospitals experienced an increase in RN and total nurse staffing, decrease in LVN staffing, and an increase in RN skill mix. The magnitude of total nurse staffing changes in Texas (5% increase) was smaller than national trends (13.6% increase). Texas's small, rural, government hospitals and those with the highest preregulation staffing levels experienced the least change in staffing between 2000 and 2012: median change of 0 to .13 full-time equivalents per 1,000 adjusted patient days and median change in productive hours per patient day of 0 to .23. The varying effects of staffing committees in different organizational contexts should be considered in future staffing legislative proposals and other policy initiatives.

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Professional Collaboration: Who Should Determine Safe Staffing for Nurses?

Cited by 2 publications

References 12 publications

Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review

Factors influencing the recruitment and retention of registered nurses in adult community nursing services: an integrative literature review

Texas Nurse Staffing Trends Before and After Mandated Nurse Staffing Committees

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