Showing papers by "Karen Francis published in 2017"
TL;DR: Decisions to adopt team nursing as the model of care should be based on a broad range of considerations not simply on fiscal considerations and should include staff readiness, staff mix and supportive measures to introduce a changed model of Care.
Abstract: Objective: With increasing demands to provide a cost efficient nursing service, changes to nursing skill mix are being implemented globally. Team nursing as a model of care is seen as a way to address both patient care and safety issues. The aim of this study was to explore job satisfaction (JS) and stress outcomes of nursing staff when introducing team nursing as model of care within the Australian healthcare environment. Methods: An experimental study was utilised. Nursing staff (n = 63) were surveyed, using the Person Centred Nursing Index (PCNI) tool, prior to the implementation of a team nursing model of care and then again six months post implementation of the model (n = 64). Data was analysed to determine if there was a statistically significant difference in the average theme between pre and post surveys. Results: Nursing stress (NS) was reduced and JS was increased post implementation of the new model of care. JS and organisational traits, JS and work stress (WS), were positively related and increased post implementation. WS and nursing care (NC), organisational traits and NC were positively related but showed no statistically significant change after the implementation. This study demonstrated that in introducing a new model of care, levels of stress staff increased yet unexpectedly JS also improved. Conclusions: Decisions to adopt team nursing as the model of care should be based on a broad range of considerations not simply on fiscal considerations and should include staff readiness, staff mix and supportive measures to introduce a changed model of care.
10 citations
TL;DR: There has been limited impact to any real successful gains since 2008 and building and growing an Indigenous nursing workforce that will support the “Closing the Gap” initiative will require significant continuing effort.
Abstract: Introduction: This paper provides an overview of the impact of government policy in supporting the growth of an Indigenous nursing workforce in New South Wales and Australia. Methods: Publically available nursing workforce performance reports along with current literature were reviewed to provide a perspective on the current situation. Results and discussion: The National partnership agreement on closing the gap in Indigenous health outcomes indicated that to improve Indigenous health outcomes, significant investment is required with particular reference to increasing an Indigenous workforce. As nurses comprise the majority of the health workforce a number of strategies and initiatives have been put in place to support this agreement. Even though there has been commitment through government policy and funding initiatives it is questionable if this is having any real impact on growing an Indigenous nursing workforce. Conclusions: Recruitment strategies that will increase the number of Indigenous nurses within the health workforce requires a multilevel approach. Despite efforts to increase Indigenous nursing workforce numbers, there has been limited impact to any real successful gains since 2008. Building and growing an Indigenous nursing workforce that will support the “Closing the Gap” initiative will require significant continuing effort.
2 citations