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What is the ideal nursing skill mix?


In this country nurse nurse staffing and skill mix depend to a large extent on historical staffing levels. There exist many tools(many validated) which can assist in determining nurse staffing levels. The outcomes from many of these tools are described as being aspirational and therefore nothing changes. Concentrating effort on "skill/mix" runs the risk of missing the point. No Registered nurse should be required to care for more than 4-6 patients. The higher patients average dependency s the greater demand which is placed on Registered Nurses (again tools exist to measure dependency). Management generally dislikes these tools and will argue against using them/or the validity of the tools results especially if they point toward more staff being required. The past few years has seen Management deliberately and cynically reduce Registered Nurse Staffing levels in the face of increasing patient dependency. This has been compounded by cynical dilution of skill mix. "Whistle Blowing" about staffing levels is not a realistic expectation as staff will be bullied and harassed out of their jobs (Remember Graham Pink?)

Posted date

20 August, 2012

Posted time

1:03 pm