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dc.contributor.authorMassey, Lynn
dc.contributor.authorEsain, Ann
dc.contributor.authorWallis, Marianne
dc.date.accessioned2017-05-03T12:03:08Z
dc.date.available2017-05-03T12:03:08Z
dc.date.issued2009
dc.date.modified2010-06-23T05:25:20Z
dc.identifier.issn0020-7489
dc.identifier.doi10.1016/j.ijnurstu.2007.11.006
dc.identifier.urihttp://hdl.handle.net/10072/29611
dc.description.abstractBackground: Managing nurse shortages is a major challenge in Trusts today given the worldwide shortage of nurses. To fill the gap created by a lack of permanent staff UK government agencies have increasingly used bank and agency staff. Managing this type of staffing effectively and efficiently, in the context of shrinking healthcare funds, is a major challenge in providing safe and quality healthcare. Objective: To analyse bank and agency nursing staffing patterns and factors that impact on these patterns. Design and setting: Case study within the largest hospital in one Welsh Integrated Healthcare Trust. Data sources: De-identified bank and agency staffing electronic and manual database records and focus group interview with bank and agency office staff. Results: A predictable bank and agency staffing pattern was found, wherein bank and agency nursing staff were used with increasing frequency towards the end of the week. Demand for bank and agency nursing staff occurred because of: hospital practices that fund a fixed staff establishment for nursing units, while patient numbers and acuity are variable; poor forward planning; sickness, and absence due to professional development or staff training. Conclusion: There is a need for managers to reconsider management and recruitment policies, particularly in relation to using bank and agency staff. The complexity of staffing challenges managers to focus on predictability of workload needs and other factors that affect staffing requirements, such as: professional development, flexible working rosters to match the need and minimize sickness and turnover of staff.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeNetherlands
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom912
dc.relation.ispartofpageto919
dc.relation.ispartofissue7
dc.relation.ispartofjournalInternational Journal of Nursing Studies
dc.relation.ispartofvolume46
dc.rights.retentionY
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchAcute care
dc.subject.fieldofresearchcode4205
dc.subject.fieldofresearchcode420501
dc.titleManaging the complexity of nurse shortages: A case study of bank and agency staffing in an acute care Trust in Wales, UK
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.date.issued2009
gro.hasfulltextNo Full Text
gro.griffith.authorWallis, Marianne
gro.griffith.authorMassey, Lynn


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