Ryan T, Hills B, Webb L
Health and Social Care Advisory Service and Manchester University, Manchester, UK.
J Psychiatr Ment Health Nurs. 2004 Feb;11(1):73-81. doi: 10.1111/j.1365-2850.2004.00691.x.
This paper describes benchmarking research undertaken within one former National Health Service Executive region examining acute ward funded and actual staffing establishments and funded expenditure for mental health nursing staff. Staffing establishment data were obtained for all 73 acute wards within the region. Of the established posts for trained mental health nurses across these wards, it was identified that there were 12% vacancies (117.99 whole time equivalent) at the time of the study. While some of the shortfall was dealt with by recruiting untrained nursing staff above funded establishments, there remained an overall shortfall in the total nursing workforce across the system of acute wards in the region. Although most of the provider trusts in the region were in development or experiencing major organizational change at the time of the study, considerable variation existed within and between trusts. Variations were identified in funded and actual nursing establishments and cost per bed, raising significant issues for trusts and their local mental health economies. Variations based on mixed- and single-sex wards were also noted. Findings are discussed in respect of the issues raised for the development of wards, provider trusts and their local systems. The utility of the methodology developed in this work is also discussed.
本文描述了在原国家医疗服务执行局的一个地区开展的基准研究，该研究考察了急症病房精神科护理人员的资金配置及实际人员编制情况，以及资金支出情况。研究获取了该地区所有73个急症病房的人员编制数据。在这些病房中，经确认，研究开展时，注册精神科护士的既定岗位存在12%的空缺（相当于117.99个全职岗位）。虽然部分空缺通过招聘超出资金配置编制的未经培训的护理人员得以填补，但该地区急症病房系统的护理人员总数仍存在总体短缺。尽管研究开展时该地区的大多数医疗服务信托机构都在发展中或经历重大组织变革，但各信托机构内部及相互之间存在显著差异。在资金配置及实际护理人员编制和每张床位成本方面都发现了差异，这给信托机构及其当地心理健康经济带来了重大问题。还注意到了基于混合性别病房和单性别病房的差异。针对病房发展、医疗服务信托机构及其当地系统所引发的问题，对研究结果进行了讨论。本文还探讨了本研究中所开发方法的实用性。
