Framework for Safe Nurse Staffing and Skill Mix in General and Specialist Medical and Surgical Care Settings in Ireland 2018
Final Report and Recommendations by the Taskforce on Staffing and Skill Mix for Nursing
The TaskforceÂ on Staffing and Skill Mix for Nursing began its work in September 2014.Â The core objective of the Taskforce is to develop frameworks to support the determination of safe nurse staffing and skill mix (whereby nurse staffing refers to the nursing team including both the nurse and healthcare assistant roles) in a range of major specialities.
The stimulus to establish the Taskforce included the recommendations from; 1) an increasing number of high profile health inquiry reports such as the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (2013) and the HIQA Tallaght Hospital Report (2012b), and; 2) the increasing body of research evidence linking components of the nursing resource to patient outcomes. Simultaneously, the Irish health service was and continues to undergo some of the most radical reforms in its history, and collectively these changes and evidence acted as the catalyst to the establishment of the Taskforce. Phase I of the work of this Taskforce focused on the development of a framework for safe nurse staffing and skill mix in general and specialist, medical and surgical care settings.
This final report provides an overview of the approach to the development and testing of the Phase I Framework, and importantly sets out the key information to guide services on how to determine safe nurse staffing and skill mix in general and specialist medical and surgical care settings.
The objectives of the Taskforce were to;
On this basis this final report;
Evaluation of the Pilot ImplementationÂ of the Framework for Safe NurseÂ Staffing and Skill-Mix
This report outlines the methods and results of the programme of research that hasÂ evaluated the implementation of the Framework in three pilot sites. It builds on twoÂ previous reports of research that evaluated the pilot between July 2016 and JuneÂ 2017: Evaluation of the Pilot Implementation of the Framework for Safe NurseÂ Staffing and Skill-Mix â?" Report 1 (Drennan et al. 2017a) and, Evaluation of the Pilot
Implementation of the Framework for Safe Nurse Staffing and Skill-Mix â?" Report 2Â (Drennan et al. 2017b). This report further evaluates the implementation of theÂ recommendations in the Framework in six pilot wards from July 2017 to OctoberÂ 2017.