Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care

Abstract We present an overview of the research evidence on nurse staffing levels in acute hospitals, and how it has been applied to policy and practice, focussing primarily on the UK. Drawing on research reviews and examples of specific studies, we outline the current state of knowledge. Much of th...

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Main Authors: Jane E. Ball, Peter Griffiths
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.989
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author Jane E. Ball
Peter Griffiths
author_facet Jane E. Ball
Peter Griffiths
author_sort Jane E. Ball
collection DOAJ
description Abstract We present an overview of the research evidence on nurse staffing levels in acute hospitals, and how it has been applied to policy and practice, focussing primarily on the UK. Drawing on research reviews and examples of specific studies, we outline the current state of knowledge. Much of the evidence comes from cross‐sectional studies. More recently, longitudinal studies allow a causal link between staffing and outcomes to be inferred. Lack of specificity on staffing levels has hindered application of research findings to practice; research rarely specifies how many nurses are needed for safe and effective care. The most significant impediment to achieving safe staffing has been an underestimation of the number of RNs needed and overestimation of the potential for substitution, resulting in low baseline staffing and a national shortage of RNs. Repeatedly, new staffing solutions are sought rather than tackle the problem of too few RNs head‐on.
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spelling doaj.art-cfe55ea516e34720a5ddcbf52fd5ab832022-12-22T03:59:07ZengWileyNursing Open2054-10582022-03-019287287910.1002/nop2.989Consensus Development Project (CDP): An overview of staffing for safe and effective nursing careJane E. Ball0Peter Griffiths1School of Health Sciences University of Southampton Southampton UKSchool of Health Sciences University of Southampton Southampton UKAbstract We present an overview of the research evidence on nurse staffing levels in acute hospitals, and how it has been applied to policy and practice, focussing primarily on the UK. Drawing on research reviews and examples of specific studies, we outline the current state of knowledge. Much of the evidence comes from cross‐sectional studies. More recently, longitudinal studies allow a causal link between staffing and outcomes to be inferred. Lack of specificity on staffing levels has hindered application of research findings to practice; research rarely specifies how many nurses are needed for safe and effective care. The most significant impediment to achieving safe staffing has been an underestimation of the number of RNs needed and overestimation of the potential for substitution, resulting in low baseline staffing and a national shortage of RNs. Repeatedly, new staffing solutions are sought rather than tackle the problem of too few RNs head‐on.https://doi.org/10.1002/nop2.989hospitalnurse staffingpatient safetypolicyworkforce
spellingShingle Jane E. Ball
Peter Griffiths
Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care
Nursing Open
hospital
nurse staffing
patient safety
policy
workforce
title Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care
title_full Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care
title_fullStr Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care
title_full_unstemmed Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care
title_short Consensus Development Project (CDP): An overview of staffing for safe and effective nursing care
title_sort consensus development project cdp an overview of staffing for safe and effective nursing care
topic hospital
nurse staffing
patient safety
policy
workforce
url https://doi.org/10.1002/nop2.989
work_keys_str_mv AT janeeball consensusdevelopmentprojectcdpanoverviewofstaffingforsafeandeffectivenursingcare
AT petergriffiths consensusdevelopmentprojectcdpanoverviewofstaffingforsafeandeffectivenursingcare