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The development of a district nursing caseload review tool
Celine Grundy1, Helen Wheeler2
1District Nurse, Queens Nurse and Service Improvement Manager, Staffordshire and Stoke-on-Trent Partnership Trust (SSOTP).
British Journal of Community Nursing
|June 6, 2018
Summary
District Nursing (DN) caseloads are challenging to manage. A new caseload review tool standardizes processes, ensuring patient care is efficient, effective, and safe, with positive initial results.
Area of Science:
- Nursing
- Healthcare Management
- Quality Improvement
Background:
- District Nursing (DN) caseloads face challenges due to increasing patient needs and complexity.
- Regular caseload reviews are crucial for efficient, effective, and safe patient care delivery.
Purpose of the Study:
- To develop and evaluate a standardized caseload review tool for District Nursing teams.
- To analyze and monitor caseload outcomes, identify trends, and ensure productivity and safety.
Main Methods:
- A 12-month pilot involving 35 District Nursing teams across a Trust.
- Utilized a standardized and systematic method for consistent results and meaningful reviews.
- Ensured outcomes were measured, documented, and clinical systems updated.
Main Results:
- Initial review results are positive, yielding both qualitative and quantitative data.
- The tool has supported further development and identified patient-specific actions.
- A governance process is established for unaddressed challenges and trends.
Conclusions:
- The developed District Nursing caseload review tool is valid and effective.
- The process will continue to be implemented within the organization.
- Standardized reviews enhance the safety and efficiency of patient care.
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