Collegian
Volume 13, Issue 1 , Pages 16-22 , 2006

Methods of measuring nursing workload in Australia

    Professor
  • Christine Duffield, BScN MHP PhD RN (Professor of Nursing and Health Services Management Director, Centre for Health Services Management)
  • ,
  • Michael Roche, DipASc BHSc MHSc RN (Project Coordinator, Centre for Health Services Management)
  • ,
  • Eamon Thomas Merrick, BHSc MHSM RN (Research Assistant, Centre for Health Services Management)

References 

  1. Adomat R , Hewison A . Assessing patient category/dependence systems for determining the nurse/patient ratio in ICU and HDU: a review of approaches . Journal of Nursing Management . 2004;12(5):299–308
  2. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Busse R, Clarke H, et al. Nurses' reports on hospital care in five countries: the ways in which nurses' work is structured have left nurses among the least satisfied workers, and the problem is getting worse . Health Affairs . 2001;20(3):43–53
  3. Aiken LH , Sochalski J , Anderson GF . Downsizing the hospital nursing workforce . Health Affairs . 1996;15(4):88–92
  4. Aiken LH , Sochalski J , Lake ET . Studying outcomes of organizational change in health services . Medical Care . 1997;35(11): NS6
  5. American Nurses' Association 2005 ANA applauds bill prohibiting use of forced overtime among nurses. Retrieved June 1 2005 from the World Wide Web: www.nursingworld.org/pressrel/2005
  6. American Nurses' Association 1997 Implementing Nursing's Report Card: A Study of RN Staffing, Length of Stay and Patient Outcomes. Washington, ANA.
  7. Australian Broadcasting Corporation 2004 Stateline Victoria – 23/04/2004: Nurse patient ratio to be overridden by computer system. Retrieved June 1 2004 from the World Wide Web: http://www.abc.net.au/stateline/vic/content/2003/s1093812.htm
  8. Australian Industrial Relations Commission  . Australian Nursing Federation and Others & The Honourable Minister for Health and Others . Canberra.: Health and Welfare Services; 2002;
  9. Australian Nurses' Federation 2000 Summary of nurse-patient ratio agreement. Retrieved April 28 2004 from the World Wide Web: http://www.anfvic.asn.au/news_briefs/news_ratios%20summary.htm
  10. Baumann AO, Giovannetti P, O'Brien-Pallas LL, Mallette C, Deber R, Blythe J, et al. Healthcare restructuring: the impact of job change . Canadian Journal of Nursing Leadership . 2001;14(1):14–20
  11. Blegen MA , Goode CJ , Reed L . Nurse staffing and patient outcomes . Nursing Research . 1998;47(1):43–50
  12. Bolton LB, Jones D, Aydin CE, Donaldson N, Brown DS, Lowe M, et al. A response to California's mandated nursing ratios . Journal of Nursing Scholarship . 2001;33(2):179
  13. Bongers PM , De Winter CR , Kompier MA , Hildebrandt VH . Psychosocial factors at work and musculoskeletal disease . Scandinavian Journal of Work, Environment & Health . 1993;19(5):297–312
  14. Brooten D , Naylor MD . Nurses' effect on changing patient outcomes . Image the Journal of Nursing Scholarship . 1995;27(2):95–99
  15. Buchan J . Nurse workforce planning in the UK: policies and impact . Journal of Nurse Management . 2004;12:392–399
  16. Buerhaus PI . What is the harm in imposing mandatory hospital nurse staffing regulations? . Nursing Economics . 1997;15(2):66–72
  17. Buerhaus PI , Needleman J . Policy implications of research on nurse staffing and quality of patient care . Policy, Politics & Nursing Practice . 2000;1(1):5–15
  18. Carr-Hill RA , Jenkins-Clarke S . Measurement systems in principle and in practice: the example of nursing workload . Journal of Advanced Nursing . 1995;22(2):221
  19. Chaboyer W , McMurray A , Patterson E . Unlicensed assistive personnel in the critical care unit: what is their role? . International Journal of Nursing Practice . 1998;4(4):240
  20. Cho S-H , Ketefian S , Barkauskas V , Smith D . The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs . Nursing Research . 2003;52(2):71–79
  21. Cohen ML , O'Brien-Pallas LL , Copplestone C , Wall R , Porter J , Rose K . Nursing workload associated with adverse events in the postanesthesia care unit . Anaesthesiology . 1999;91(6):1882–1890
  22. Creegan R , Duffield C , Forrester K . Casualisation of the nursing workforce in Australia: driving forces and implications . Australian Health Review . 2003;26(1):201–208
  23. Crisp J . Standards for Nursing Care and Relationships Between Skill Management and Patient Outcomes . Science and Training, Canberra: Department of Education; 2001;
  24. Department of Education Science & Training  . National Review of Nursing Education . Canberra.: Department of Education Science & Training; 2001;
  25. Department of Health and Ageing 2004 The State of our Public Hospitals 2004 Report. Australian Government Department of Health and Ageing, Canberra.
  26. Diers D . Casemix and nursing . Australian Health Review . 1999;2(22):56–68
  27. Diers D , Bozzo J . Nursing resource definition in DRGs . Nursing Economics . 1997;15(3):124–130
  28. Doran DM, McGillis Hall L, Sidani S, O'Brien-Pallas LL, Donner G, Baker GR, et al. Nursing staff mix and patient outcome achievement: the mediating role of nurse communication . International Nursing Perspectives . 2001;1(2–3):74–83
  29. Duffield C , O'Brien-Pallas LL . The nursing workforce in Canada and Australia: two sides of the same coin . Australian Health Review . 2002;25(2):136–144
  30. Ethridge P , Lamb GS . Professional nursing case management improves quality, access and costs . Nursing Management . 1989;20(3):30–35
  31. Excel Care 2004 Excel Care Windows. Retrieved June 5 2004 from the World Wide Web: http://www.excelcare.com/holder/Steped%20Inserts-111172.pdf
  32. Fagin CM 2001 When Care Becomes a Burden: Diminishing Access to Adequate Nursing. Millbank Memorial Fund. Retrieved January 24 2004 from the World Wide Web: http://www.milbank.org/010216fagin.html
  33. Goodwin M , Hawkins A . PAIS dependency system: a validation . Australian Journal of Advanced Nursing . 1990;7(3):24–27
  34. Grillo-Peck AM , Risner PB . The effect of a partnership model on quality and length of stay . Nursing Economics . 1995;13(6):367–372 374
  35. Halloran E , Halloran DC . Exploring the DRG/nursing equation . American Journal of Nursing . 1985;85(10):1093
  36. Health Solve Pty Ltd 2004 Health Solve. Retrieved June 15 2004 from the World Wide Web: http://www.healthsolve.com.au/default.htm
  37. Hegney D , Plank A , Parker V . Nursing workloads: the results of a study of Queensland nurses . Journal of Nursing Management . 2003;11(5):307–314
  38. Helt EH , Jelinek RC . In the wake of cost cutting, nursing productivity and quality improve . Nursing Management . 1988;19(6):36–38 42, 46–8
  39. Hodge MB, Romano PS, Harvey D, Samuels SJ, Olson VA, Sauve MJ, et al. Licensed caregiver characteristics and staffing in California acute care hospital units . Journal of Nursing Administration . 2004;34(3):125
  40. Holcomb B , Hoffart N , Fox MH . Defining and measuring nursing productivity: a concept analysis and pilot study . Journal of Advanced Nursing . 2002;38(4):378–396
  41. Hovenga EJS 1996 Patient Assessment and Information System (PAIS). Faculty of Informatics and Communication, Central Queensland University, Rockhampton
  42. International Council of Nurses 2004 Fact Sheet – Nurse: Patient Ratios. Retrieved May 5 2004 from the World Wide Web: http://www.icn.ch/matters_rnptratio.htm
  43. International Council of Nurses 22nd Quadrennial Congress 2001 Estimating the impact of retirements on nursing supply. O'Brien-Pallas LL, Darlington G, Alksnis C, Denmark
  44. Jones C . The costs of nurse turnover, part 2 . Journal of Nursing Administration . 2004;35(1):41–49
  45. Kovner C , Gergen P . Nurse staffing and adverse events following surgery in US hospitals . Image the Journal of Nursing Scholarship . 1998;30(4):315–321
  46. Lawler J . Behind the screens: nursing, somology, and the problem of the body . Melbourne: Churchill Livingstone; 1991;
  47. Marchette L , Holloman F . Length of stay: significant variables . Journal of Nursing Administration . 1986;16(3):12–20
  48. McGillis Hall L, Doran D, Baker G, Pink G, Sidani S, O'Brien-Pallas LL, et al. The impact of nursing staff mix models and organizational change strategies on patient, system and nurse outcomes . Toronto.: University of Toronto; 2001;
  49. McGillis Hall L , Doran D . Nurse staffing, care delivery model, and patient care quality . Journal of Nursing Care Quality . 2004;19(1):27–33
  50. Ministry of Health and Long Term Care  . Maximizing Human Resource Potential, Evidence, Choice and Accountability . Ontario.: Ministry of Health and Long Term Care; 2002;
  51. Needleman J , Buerhaus PI , Mattke S , Stewart M , Zelevinsky K . Nurse-staffing levels and the quality of care in hospitals . New England Journal of Medicine . 2002;346(22):1715–1722
  52. Norrish BR , Rundall TG . Hospital restructuring and the work of registered nurses . Milbank Quarterly . 2001;79(1):55–79
  53. NSW Health  . Management of Nursing Resources Reference Manual: A Business Planning Model . Sydney.: NSW Health; 1998;
  54. NSW Health 2000 Costs of care: Report of the NSW hospital cost data collection 1998/1999. NSW Health, Sydney.
  55. NSW Health  . The NSW patient safety and clinical quality program: technical paper . Sydney.: NSW Health; 2004;
  56. O'Brien-Pallas LL , Duffield C , Alksnis C . Who will be there to nurse? Retention of nurses nearing retirement . Journal of Nursing Administration . 2004;34(6):298–302
  57. O'Brien-Pallas LL , Birch S , Tomblin-Murphy G . Workforce planning and workplace management . International Nursing Perspective . 2001;1(2–3):55–65
  58. O'Brien-Pallas LL, Doran D, Murray M, Cockerill R, Sidani S, Laurie-Shaw B, et al. Evaluation of a client care delivery model, part 1: variability in nursing utilization in community home nursing . Nursing Economics . 2001;19(6):267
  59. O'Brien-Pallas LL, Doran D, Murray M, Cockerill R, Sidani S, Laurie-Shaw B, et al. Evaluation of a client care delivery model, part 2: variability in client outcomes in community home nursing . Nursing Economics . 2002;20(1):13
  60. O'Brien-Pallas LL , Irvine D , Peereboom E , Murray M . Measuring nursing workload: understanding the variability . Nursing Economics . 1997;15(4):171–182
  61. Parish C . Minimum effort . Nursing Standard . 2002;16(42):12–13
  62. Petryshen P , O'Brien-Pallas LL , Shamian J . Outcomes monitoring: adjusting for risk factors, severity of illness and complexity of care . Journal of the American Medical Informatics Association . 1995;2(4):243–249
  63. Picone D , Ferguson L , Hathaway V . NSW Nursing Costing Study . Sydney.: Sydney Metropolitan Teaching Hospitals Consortium; 1993;
  64. Queensland University of Technology  . Business Planning Framework: Nursing Resources . Brisbane.: Queensland Health; 2001;
  65. Ritter-Teitel J . Registered nurse hours worked per patient day: the key to assessing staffing effectiveness and ensuring patient safety . Journal of Nursing Administration . 2004;34(4):167–169
  66. Robertson RH , Dowd SB , Hassan M . Skill-specific staffing intensity and the cost of hospital care . Health Care Management Review . 1997;22(4):61–71
  67. Rossier LH , Kliener BH . Using management data to enhance health care quality . Journal of Management in Medicine . 1995;9(1):
  68. Royal College of Nursing 2002 Delivering for Scotland: results for nurses in Scotland of the RCN employment survey. London.
  69. Seago JA , Spetz J , Coffman J , Rosenoff E , O'Neil E . Minimum staffing ratios: the California workforce initiative survey . Nursing Economics . 2003;21(2):
  70. Spetz J . What should we expect from California's minimum nurse staffing legislation? . Journal of Nursing Administration . 2001;31(3):132
  71. Tourangeau AE , Giovannetti P , Tu JV , Wood M . Nursing-related determinants of 30-day mortality for hospitalized patients . Canadian Journal of Nursing Research . 2002;33(4):71
  72. Trend Care Systems Pty Ltd 2004 Product Overview. Retrieved June 15 2004 from the World Wide Web: http://www.trendcare.com.au/product_overview.html
  73. Willis E . Benchmarking working time in health care: the case of Excelcare . Australian Health Review . 2002;25(3):134–140
  74. Young JP , Giovannetti P , Lewison D , Thoms ML . Factors affecting nurse staffing in acute care hospitals: a review and critique of the literature . Hyattsville: Division of Nursing, US Dept of Health, Education & Welfare; 1981;

PII: S1322-7696(08)60512-0

doi: 10.1016/S1322-7696(08)60512-0

Collegian
Volume 13, Issue 1 , Pages 16-22 , 2006