Nursing Times ; 3, Having the right number of nurses, with the right mix of skills and experience, is essential if organisations are to provide safe, high-quality care for patients. However, the needs of hospital patients have changed as demographic changes and advances in healthcare mean those admitted to hospital tend to have more complex care needs than in the past.
Shelford Group, Used alongside the NICE guideline, it enables local decision making to be based on sound evidence, and gives trusts a platform to work together to the same standards. Trusts must involve nursing staff in drawing up staffing policies, and when agreeing the mix of registered nurses and HCAs take into account evidence showing care delivered by registered nurses gives better outcomes than that delivered by unregistered staff NICE, Trusts are also required by NHS England and the Care Quality Commission to display the actual number of nursing staff against those planned for each shift outside all inpatient wards.
They must publish monthly staffing data showing planned number of nursing hours against the number they manage to fill, and carry out a six-monthly review of their staffing establishments Department of Health, The SNCT is an evidence-based tool that helps trusts make staffing decisions that deliver safe, high-quality care; nurses can use it to help work out staffing establishments and daily monitoring of ward staffing needs.
The tool can be used to support requests for more nurses on wards and to ensure trusts on finite budgets make the best use of qualified staff. A growing body of research shows links between patient sickness and dependency, workload, staffing and quality of care. Low staffing levels and a low proportion of registered nurses on wards have been linked to poor patient outcomes, and there is evidence of increased harm when a registered nurse cares for eight or more patients during day shifts NICE, However, NICE says there is no universal nursing staff-to-patient ratio that can be applied across all wards to ensure safe, high-quality patient care.
The SNCT is easy to use by frontline nursing staff and includes quality indicators linked to nursing care to ensure staffing levels achieve best patient care. It includes:. The tool allows comparison across wards and trusts to help ensure best staffing levels and benchmark against agreed national standards. The tool was validated by Keith Hurst, then a lecturer at the University of Leeds, using evidence from more than 1, top-performing wards, and data from , episodes of patient care, in 14 care groups over two years.
Tests in teaching and district hospitals in England and Scotland, confirmed it was easy to use and provided safe staffing recommendations. As well as leading teaching hospitals, many acute trusts are also using it.
All participating trusts must collect data using the tool at the same time to ensure consistency and allow benchmarking across organisations. This is done at least twice a year, in January and June.
Nurses collect data for each patient on the ward from Monday to Friday for a minimum of 20 days. This includes:. Staffing multipliers for each sickness and dependency care level help nurses set baseline staffing levels Box 1. Community Nursing CN Tool. Maternity Tool. Neonatal Tool. Professional Judgement Tool PJ. Quality Assurance Checklist. The next third of the cost of your review will be automatically made 30 days after your purchase.
The final third of the cost of your review will be automatically made 60 days after your purchase. Adding products such as Elevate will be divided into thirds and added to the payments above. X Hurst Standard Payment Plan Our Standard Payment plan allows you to register for the least amount up front as possible, and lets you pay for your review during the weeks leading up to your review.
Let's get you started. I highly recommend everything about the Hurst product. I personally used Hurst Now and I enjoyed watching the videos along with filling out the student handbook.
The assessments that were provided to determine readiness was very helpful as well. Thank you! I graduated my BSN program Dec. They were so much better then all the other practice question software I had available to me from nursing school and that I had bought.
Hurst offers so much study material it is all very helpful. I learned so much and everything was made so simple so I understood everything easily.
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