Pro-judge study: Nurses’ professional judgement in nurse staffing systems

Journal article

Jacob, Nina, Burton, Chris, Hale, Rachel, Jones, Aled, Lloyd, Amy, Rafferty, Anne-Marie and Allen, Davina 2021. Pro-judge study: Nurses’ professional judgement in nurse staffing systems. Journal of Advanced Nursing. 7 (10), pp. 4226-4233. https://doi.org/10.1111/jan.14921
AuthorsJacob, Nina, Burton, Chris, Hale, Rachel, Jones, Aled, Lloyd, Amy, Rafferty, Anne-Marie and Allen, Davina
Abstract

Aims
Aim of this study is to better understand the role of nurses’ professional judgement in nurse staffing systems.

Design
Qualitative comparative case study design of nurse staffing systems in England and Wales.

Methods
Data will be collected through a variety of sources: individual interviews, observations of relevant meetings and analysis of key documents. Ethical approval for the study was granted in August 2020 from The Healthcare Research Ethics Committee (SREC reference: REC741). Data generation will be informed by science and technology studies and practice theories.

Discussion
Ensuring adequate numbers of nurses are available to care for patients in response to shifting demand is an international policy priority. Emerging evidence on the use of formal workforce planning methodologies across the developed world highlights both the centrality of nurses’ professional judgement in nurse staffing methodologies and the urgent need for theoretically informed research to better understand and conceptualise its contribution to decision-making. This study is designed to address this gap in understanding. It takes advantage of nurses’ experiences of managing the service and staffing impacts of the Covid-19 pandemic and differences in strategic approaches to nurse staffing systems between England and Wales.

Impact
The research will:
make visible the knowledge and skills that underpin professional judgement in nurse staffing decisions and provide a conceptual language with which to articulate this;
lay the foundations for evidence-based programmes of nurse education and continuing professional development;
furnish the evidence to inform the development of nurse-led decision support tools to augment professional judgement; and
generate wider insights into the effectiveness of nurse staffing systems in practice.

KeywordsNursing; Nurses; Staffing ; NHS; Professional judgement
Year2021
JournalJournal of Advanced Nursing
Journal citation7 (10), pp. 4226-4233
PublisherWiley
ISSN0309-2402
1365-2648
Digital Object Identifier (DOI)https://doi.org/10.1111/jan.14921
Official URLhttps://doi.org/10.1111/jan.14921
FunderRCN Foundation
Publication dates
Online17 Jun 2021
Publication process dates
Deposited21 Jun 2021
Accepted24 May 2021
Publisher's version
License
Output statusPublished
Additional information

RCN Foundation Grant Number: 20190911 RES33974

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Investigating the organisational impacts of quality improvement: a protocol for a realist evaluation of improvement approaches drawing on the Resource Based View of the Firm.
Burton, C., Rycroft Malone, J., Robert, G., Willson, A. and Hopkins, A. 2014. Investigating the organisational impacts of quality improvement: a protocol for a realist evaluation of improvement approaches drawing on the Resource Based View of the Firm. BMJ Open. 4:e005650. https://doi.org/10.1136/bmjopen-2014-005650
Resource based view of the firm as a theoretical lens on the organisational consequences of quality improvement.
Burton, C. and Rycroft-Malone, J. 2014. Resource based view of the firm as a theoretical lens on the organisational consequences of quality improvement. International Journal of Health Policy and Management. 3 (3), pp. 113 - 115. https://doi.org/10.15171/ijhpm.2014.74
The study protocol of: 'Initiating end of life care in stroke: clinical decision-making around prognosis'.
Burton, C., Payne, S., Turner, M., Bucknall, T., Rycroft-Malone, J., Tyrell, P., Horne, M., Ntambwe, L.I., Tyson, S., Mitchell, H., Williams, S. and Elghenzai, S. 2014. The study protocol of: 'Initiating end of life care in stroke: clinical decision-making around prognosis'. BMC Palliative Care. 13 (55). https://doi.org/10.1186/1472-684X-13-55
Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial.
Thomas, L.H., Watkins, C.L., Sutton, C.J., Forshaw, D., Leathley, M.J., French, B., Burton, C., Cheater, F., Roe, B., Britt, D., Booth, J., McColl, E., The ICONS Project Team and The ICONS Patient, Public and Carer Involvement Groups 2014. Identifying continence options after stroke (ICONS): a cluster randomised controlled feasibility trial. Trials. 15 (509). https://doi.org/10.1186/1745-6215-15-509
What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services
Burton, C.R., Horne, M., Woodward-Nutt, K., Bowen, A. and Tyrrell, P. 2014. What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services. Disability and Rehabilitation. 37 (21), pp. 1955-1960. https://doi.org/10.3109/09638288.2014.991454