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Burton CR, Rycroft-Malone J, Williams L, et al. NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis. Southampton (UK): NIHR Journals Library; 2018 Nov. (Health Services and Delivery Research, No. 6.36.)

Cover of NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis

NHS managers’ use of nursing workforce planning and deployment technologies: a realist synthesis.

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Glossary

Care hours per patient day

Care hours are related to patient requirement by dividing the numbers of registered and non-registered staffing hours by the number of patients.

Context

The features and resources that have an impact on the success or failure of an intervention.

Cumulation

Increasing understanding, through ongoing inquiry, of programme mechanisms, context and outcomes to increase the transferability of knowledge.

Dashboard

A technology or tool that visually combines data relevant to nurse staffing to facilitate meaningful understanding on needs and resources.

Data warehouse approach

The amalgamation of data relevant to nurse staffing from multiple sources within one information system.

Establishment

The number and skill mix of staff allocated to each shift within a 24-hour period within a clinical area. This is related to the evaluation of patient requirements.

Headroom

A staffing allowance of typically 22–25% that accounts for annual leave, sickness and other reasons for using staffing hours, such as study leave.

LEGO® SERIOUS PLAY® methodology [© (2017) The LEGO Group, Billund, Denmark]

Within this evidence synthesis this approach was integrated within a soft systems methodology to produce models of the system of nurse workforce planning and deployment.

Magnet organisation

An organisation characterised by a collaborative approach that seeks to promote professional development and innovation, and which places emphasis on valuing staff.

Mechanism

How the programme resources impinge on stakeholders’ reasoning, decision-making and responses.

Mid-range theories

Theories, located between grand theories and the day-to-day working in research, that explain phenomena.

Outcome

The impact of the influence of context on mechanisms.

Professional judgement

A process of reflection, integration and analysis of observable data to arrive at a decision.

Programme theory

The hypothesis of how an intervention may work.

RAFAELA

RAFAELA® System (Finnish Consulting Group, 20020) is the name given to a nursing intensity and staffing system. The RAFAELA system comprises the OPCq (Oulu Patient Classification Qualisan) instrument for measuring the nursing intensity, registration of the daily nursing resources and the PAONCIL (Professional Assessment of Optimal Nursing Care Intensity Level) method.

Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES)

Publication standards for realist synthesis.

Realist synthesis

A theory-driven evidence review that follows a realist approach.

Self-rostering technology

Technology to help staff to identify when shifts are available and reserve them to work.

Skill mix

The blend of registered and non-registered nursing staff to patient ratios. Also relates to the individual skills of nursing staff.

Soft systems methodology

An approach to understanding different perspectives and requirements from a real-world situation.

Technology

An electronic or web-based resource that communicates, collates or integrates data for staffing decisions.

Tool

A resource, generally paper based, that collates or integrates data for staffing decisions. Tools may be adapted to electronic or web-based format.

Triangulated approach

An approach to safe staffing decisions that combines evidence-based staffing tools and technology, professional judgement and comparison of data.

UNIFY

UNIFY is the name given to a NHS England database for statistical information. A staffing data collection database that facilitates benchmarking and comparison of the staffing data of health-care organisations in England.

@WeNurses Twitter (Twitter, Inc., San Francisco, CA, USA; www.twitter.com) chat for nurses

An online discussion forum for nurses.

Workforce planning and deployment tools and technologies

These are used directly or indirectly to determine staffing numbers and skill mix based on patient need. They range from sophisticated technology to paper-based tools.

Copyright © Queen’s Printer and Controller of HMSO 2018. This work was produced by Burton et al. under the terms of a commissioning contract issued by the Secretary of State for Health and Social Care. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.
Bookshelf ID: NBK533069

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