Modelling the Inflammatory Bowel Disease Specialist Nurse Workforce standards by determination of optimum caseloads in the United Kingdom.

Journal article

Leary, A, Punshon, G and Mason, I (2018). Modelling the Inflammatory Bowel Disease Specialist Nurse Workforce standards by determination of optimum caseloads in the United Kingdom. Journal of Crohn's and Colitis. 12 (11), pp. 1295-1301. https://doi.org/10.1093/ecco-jcc/jjy106
AuthorsLeary, A, Punshon, G and Mason, I
Abstract

Background and Aims
Crohn’s disease and ulcerative colitis are the most common forms of inflammatory bowel disease affecting 1 in 250 of the population in the UK. It is accepted that access to a specialist nurse service improves patient experience and outcome. National Standards for inflammatory bowel disease care (2013) defined the number of nurse specialists required at 1.5 full time equivalent per 250,000 population. The aim of this study was to determine if these standards were being met and to publish a new, robust validated standard optimising the UK nursing workforce model.
Methods
Existing national data and specific workload and service data was collected from 164 IBD specialist nurses who completed a questionnaire designed to collect information on activity and complexity of work both done and undone.
Results
Data was received from all of the UK. Thirty-six percent of respondents were specialist nurses in the field for 3 years or less. A higher caseload than the recommended level was reported by 63% of respondents. Unpaid overtime was regularly carried out by 84%of respondents. The IBD specialist nurse was involved in all areas of the patient pathway. Areas of work left undone were psychological interventions, prescribing medicines and physical assessments. Conclusions Compared to other specialties IBD specialist nurses are less experienced. It is recommended that the current standard be increased to 2.5 full time equivalent specialist nurses per 250,000. patients to mitigate for the increasing complexity of the role, care and the “rookie” factor. Keywords: Inflammatory Bowel Disease, Specialist Nurse, Workforce Modelling

KeywordsInflammatory Bowel Disease, Specialist Nurse, Workforce Modelling; 1103 Clinical Sciences; Gastroenterology & Hepatology
Year2018
JournalJournal of Crohn's and Colitis
Journal citation12 (11), pp. 1295-1301
PublisherOxford University Press (OUP)
ISSN1873-9946
Digital Object Identifier (DOI)https://doi.org/10.1093/ecco-jcc/jjy106
Publication dates
Print30 Jul 2018
Publication process dates
Deposited20 Jul 2018
Accepted19 Jul 2018
Accepted author manuscript
License
File Access Level
Open
Additional information

This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Crohn's and Colitis following peer review. The version of record Leary, A and Punshon, G and Mason, I (2018) Modelling the Inflammatory Bowel Disease Specialist Nurse Workforce standards by determination of optimum caseloads in the United Kingdom. Journal of Crohn's and Colitis. is available online at: https://doi.org/10.1093/ecco-jcc/jjy106

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