- Article: Robb E et al (2011) How skill mix affects quality of care. Nursing Times; 107: 47, 12-13.
- Author: Elizabeth Robb is chief executive, the Florence Nightingale Foundation; Elaine Maxwell is visiting fellow, London South Bank University; Karen S Elcock is head of programmes - pre-registration nursing, Kingston University and St George’s, University of London.
Although the media have reported failings in patient care as failures in nursing, they have not distinguished between care delivered by registered nurses and that delivered by unregistered healthcare assistants and other support staff.
Follow the debate on Twitter #NTjournalclub
- Healthcare assistants increasingly provide fundamental care
- The nurses/ HCA boundary is blurring
- The media has reported care failures as failures in nursing
- There is a correlation between low nurse-to-patient ratios and high rates of mortality, morbidity and adverse events, but increasing ratios alone would not solve the problems
- Hospitals with the right culture, workforce, and leadership improve patient satisfaction and save money by reducing adverse events
- Do we need an entirely registered nursing workforce?
- Do you agree tasks delegated from managers, doctors and others have an unintended consequence of reducing the perceived value of fundamental nursing care?
- What is the role of the clinical leadership in providing individualised care?
- How would you define safe, minimum staffing levels?