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Related Experiment Videos

Exploring nursing skill mix: a review.

Frank Crossan1, Dorothy Ferguson

  • 1School of Nursing, Midwifery and Community Health, Glasgow Caledonian University, UK. f.crossan@gcal.ac.uk

Journal of Nursing Management
|June 11, 2005
PubMed
Summary
This summary is machine-generated.

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Skill mix in nursing is complex, with ongoing tensions between qualified and unqualified staff impacting cost and quality. Further research is needed to guide evidence-based task redistribution for healthcare delivery changes.

Area of Science:

  • Healthcare Management
  • Nursing Workforce Studies
  • Organizational Behavior in Health

Background:

  • Healthcare organizations face rapid change, driving focus on cost-effectiveness, quality, and clinical governance.
  • Managers increasingly scrutinize staff skill mix due to these pressures.
  • Despite two decades of research, a persistent tension exists regarding the optimal balance of qualified and unqualified staff, particularly concerning cost and quality.

Purpose of the Study:

  • To provide an overview of healthcare skill mix.
  • To highlight the need for further research in this area.
  • To raise awareness of existing knowledge gaps and limitations for decision-makers.

Main Methods:

  • Literature review and analysis of existing research on nursing skill mix.

Related Experiment Videos

  • Examination of the cost and quality dimensions of staff substitution.
  • Synthesis of evidence regarding task redistribution in nursing.

    • Main Results:

    • Limited evidence supports the redistribution of nursing tasks.
    • Potential for task redistribution to aid in meeting evolving healthcare demands.
    • Identified ongoing tensions between cost and quality in skill mix decisions.

    Conclusions:

    • Existing evidence offers some support for redistributing nursing tasks.
    • Task reallocation and staff substitution must be evidence-based, not solely cost-driven.
    • Sound evidence is crucial for effective skill mix management in healthcare.