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Calculating skill mix: implications for patient outcomes and costs
Sarah Robinson1, Peter Griffiths, Jill Maben
1National Nursing Research Unit, King's College London.
Nursing Management (Harrow, London, England : 1994)
|January 7, 2010
Summary
The nursing workforce hierarchy is debated, questioning nurse grading and skill mix. Evidence suggests including second-level qualified nurses impacts patient care and cost-effectiveness in the UK.
Area of Science:
- Nursing Workforce Dynamics
- Healthcare Policy Analysis
- Patient Care Outcomes
Background:
- Ongoing debate exists regarding the hierarchy and skill mix within the nursing workforce.
- Key questions involve the necessity of different qualified nurse grades and the educational preparation of registered nurses.
- The extent to which non-qualified staff should be integrated into the nursing workforce remains a critical consideration.
Purpose of the Study:
- To explore the implications of including a second-level qualified nurse within the UK nursing workforce skill mix.
- To analyze the impact of different nursing workforce configurations on patient care outcomes.
- To evaluate the cost-effectiveness of various nursing skill mix models.
Main Methods:
- Systematic review of international evidence.
- Analysis of policy implications for the UK nursing sector.
- Consideration of cost-effectiveness in relation to patient care outcomes.
Main Results:
- International evidence was systematically reviewed to inform the discussion.
- The article considers the impact on patient care and cost-effectiveness.
- Specific focus on the inclusion of a second-level qualified nurse in the UK skill mix.
Conclusions:
- The inclusion of a second-level qualified nurse in the nursing workforce skill mix has significant implications.
- Evidence suggests a need to carefully consider nursing workforce configurations for optimal patient care and cost-effectiveness.
- Further policy development in the UK should be informed by this international evidence.
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