A state wide validation and utilisation study of the Queensland emergency nursing workforce tool.

AIM: To describe and compare standard practice with a revised, assisted method for calculating emergency department nursing workforce requirements (using the emergency nursing workforce tool, ENWT) within 27 Queensland public hospital emergency departments (ED). BACKGROUND: Despite the presence of several methodologies used for staffing calculations, there is a necessity to refine measures of emergency department complexity and workload to determine appropriate staffing in order to meet patient safety needs and health service key priority indicators. METHODS: A descriptive comparative study design was employed. Of the 27 ED nurse unit managers (NUM) invited, 18 (67%) participated. RESULTS: No significant difference was noted in the full time equivalent (FTE) nursing requirement when standard vs. new (ENWT) methods were compared. The ENWT was more efficient (i.e. timely) and had better predictability than existing methods for calculating FTE nursing requirement. CONCLUSION: The methodology underpinning the ENWT may be useful to apply or adapt to settings other than the ED (e.g. intensive care, operating room) and disciplines within the ED other than nursing (e.g. medicine, allied health, porterage) to inform staffing requirements. IMPLICATIONS FOR NURSING MANAGEMENT: Findings from this research can be used to inform ED managers and health service planners regarding a standardized approach to calculating emergency nursing workforce needs.

The activities that nurses working in community mental health perform: a geographical comparison.

OBJECTIVE: The primary aim of the present study was to identify the activities that nurses in community mental health services undertake. METHOD: A dataset containing records of the community and ambulatory interventions involving the nursing staff of 252 mental health facilities was analysed. RESULTS: Nurses spend most of their time performing clinical care (78%), followed by clinical organisation (12%), mental health administration (6%) and integration activities (4%). There were minimal differences between treating units located in metropolitan, rural and remote areas in terms of the numbers of consumers receiving care, the time nurses spent with consumers, the types of nursing activities undertaken and the amounts of time spent on each of the four types of nursing activities. CONCLUSIONS: These findings suggest that nurses in mental health community settings spend more time in clinical care than nurses in other healthcare settings.