Jackson Carolyn, Leadbetter Tricia, Martin Anne, Wright Toni, Manley Kim
Director, Canterbury Christ Church University.
Br J Community Nurs. 2015 Mar;20(3):126, 128-33. doi: 10.12968/bjcn.2015.20.3.126.
The need to effectively promote safe staffing levels in community settings challenges commissioners and providers of services to find rigorous methods of capturing workforce evidence that can be systematically used to shape effective services and skill mix for the future. This article presents a brief review of current approaches and challenges to measuring community nursing workload activity in England. Specifically, it shows phase 1 pilot results using the Cassandra Matrix activity tool and review of ongoing developments and progress to demonstrate scalability for national implementation. As part of a much larger practice development project to develop community nursing, the pilot used mixed methods to collect 10 days of workload activity data from a self-selected sample of band 5-7 nurses working in general and specialist community nursing roles in three community organisations, and to evaluate their experiences of using the tool via an electronic survey. The findings indicate that the tool has significant potential for capturing the complexity and multiple dimensions of nursing work in community contexts, and phase 2 work has led to a community version of the tool being piloted on a larger scale across six community organisations.
在社区环境中有效提升安全人员配置水平的需求，促使服务的委托方和提供方去寻找严谨的方法来收集劳动力证据，以便系统地用于塑造未来有效的服务和技能组合。本文简要回顾了英格兰目前测量社区护理工作量活动的方法和挑战。具体而言，它展示了使用卡珊德拉矩阵活动工具的第一阶段试点结果，并回顾了正在进行的发展和进展，以证明其在全国实施的可扩展性。作为一个更大的社区护理实践发展项目的一部分，该试点采用混合方法，从三个社区组织中自行选择的5-7级护士样本中收集了10天的工作量活动数据，这些护士担任一般和专科社区护理角色，并通过电子调查评估他们使用该工具的体验。研究结果表明，该工具在捕捉社区背景下护理工作的复杂性和多维度方面具有巨大潜力，第二阶段的工作已导致该工具的社区版本在六个社区组织中进行更大规模的试点。
