Getting staffing right – systematic literature review

Mafuba, Kay (2014) Getting staffing right – systematic literature review. In: Learning Disabilities Nursing Task and Finish Group, 7th February 2014, BILD, Birmingham, UK. (Unpublished)

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Abstract

Aims: The overall objective was to summarise the best evidence available on safe staffing levels for qualified learning disability nurses to inform the implementation of the national Compassion into Practice Programme sub group for learning disability nursing; task area 5 ‘Ensuring we have the right staff with the right skills in the right place’.
Methods: The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) and JBI data extraction tools were used.
Main findings: There are seven key factors that impact on staffing:
1. Level of need
2. Staff perception of challenging behaviour
3. Stress, burnout and work overload
4. Staff attributes
5. Job satisfaction
6. Working as a team
7. Organizational support including feedback.
Conclusions: There is need for an articulated agreement as to exactly what compassion and safe staffing means, and to whom. Services need to be able to articulate what staffing levels mean for the patient and or their relatives. Safe levels of staffing must ensure this means more than simply keeping people safe, although essential; it must also be able to offer a therapeutic milieu. It may be that services have to avoid the temptation of seeking comfort in the belief that numbers alone will address short comings in services rather than for example looking at the capability of teams to be empowered to deliver safe and compassionate nursing care.
There is need for further work to validate the findings from the review of literature. This should include;
1. documentary analysis of all serious incidents in learning disability services and, or, clients that are directly or indirectly related to staffing issues in England/UK;
2. a survey of all learning disability nurses working in ‘inpatient’ care settings to better understand how they believe safer staffing and the delivery of compassionate care can be achieved, and identify what barriers they believe compromise it; and
3. semi structured interviews with people with learning disabilities and, or, their families about what safe staffing might look like for them, as well as with ‘key players’, clinicians, and stakeholders on safe and compassionate staffing levels.

Item Type: Conference or Workshop Item (Speech)
Subjects: Medicine and health
Medicine and health > Nursing
Depositing User: Kay Mafuba
Date Deposited: 08 Jun 2016 11:52
Last Modified: 01 Sep 2016 15:46
URI: http://repository.uwl.ac.uk/id/eprint/2414

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