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.
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
PublisherOxford University Press (OUP)
ISSN1873-9946
Digital Object Identifier (DOI)doi:10.1093/ecco-jcc/jjy106
Publication dates
Print30 Jul 2018
Publication process dates
Deposited20 Jul 2018
Accepted19 Jul 2018
Accepted author manuscript
License
CC BY 4.0
Permalink -

https://openresearch.lsbu.ac.uk/item/869y9

  • 12
    total views
  • 21
    total downloads
  • 1
    views this month
  • 1
    downloads this month

Related outputs

The healthcare workforce should be shaped by outcomes, rather than outputs
Leary, A (2019). The healthcare workforce should be shaped by outcomes, rather than outputs. BMJ Opinion.
Staffing the NHS: Why we need to invest in the community workforce
Leary, A (2019). Staffing the NHS: Why we need to invest in the community workforce. in: Martinez, C (ed.) The NHS Winter Crisis Reform. pp. 6
Determining acute nurse staffing, a hermeneutic review of an evolving science.
Leary, A and Punshon, G (2019). Determining acute nurse staffing, a hermeneutic review of an evolving science. BMJ Open. 9 (3).
Nursing pay by gender distribution in the UK- does the Glass Escalator still exist?
Leary, A, Punshon, G, MacLaine, K, Radford, M, Trevatt, P and Shanley, O (2019). Nursing pay by gender distribution in the UK- does the Glass Escalator still exist? International Journal of Nursing Studies.
Uncovering the hidden workload of providing cancer care in the community
Lawler, J., Leary, A., Lydia, L. and Bushe, D. (2019). Uncovering the hidden workload of providing cancer care in the community. Primary Health Care.
An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: an application of Poisson Expectation Maximisation analysis on nurse staffing data
Cook, R., Jones, S., Worsley, D., Williams, G., Walker, R., Radford, M. and Leary, A. (2019). An observational study on the rate of reporting of adverse event on healthcare staff in a mental health setting: an application of Poisson Expectation Maximisation analysis on nurse staffing data. Health informatics journal.
Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence
Lawler, J., Trevatt, P., Elliot, C. and Leary, A. (2019). Does the Diabetes Specialist Nursing workforce impact the experiences and outcomes of people with diabetes? A hermeneutic review of the evidence. Human Resources for Health. 17 (65).
Barriers to delivering advanced cancer nursing: A workload analysis of specialist nurse practice linked to the English National Lung Cancer Audit
Stewart, I, Leary, A, Tod, A, Borthwick, D, Khakwani, A, Hubbard, R, Beckett, P and Tata, LJ (2018). Barriers to delivering advanced cancer nursing: A workload analysis of specialist nurse practice linked to the English National Lung Cancer Audit. European Journal of Oncology Nursing. 36, pp. 103-111.
Are working practices of lung cancer nurse specialists associated with variation in peoples’ receipt of anti cancer therapy
Stewart, I, Khakwani, A, Hubbard, R, Beckett, P, Borthwick, D, Tod, A, Leary, A and Tata, LJ (2018). Are working practices of lung cancer nurse specialists associated with variation in peoples’ receipt of anti cancer therapy. Lung Cancer. 123, pp. 160-165.
Turning data into useful knowledge to improve patient care
Leary, A (2018). Turning data into useful knowledge to improve patient care. Journal of Nursing Management.
Do lung cancer nurses relieve the burden of lung cancer? An outcomes study
Leary, A (2018). Do lung cancer nurses relieve the burden of lung cancer? An outcomes study. Cancer Services, Data and Outcomes Conference 2018. Manchester 20 - 21 Jun 2018 London South Bank University.
Impact of proactive case management by multiple sclerosis specialist nurses on use of unscheduled care and emergency presentation in multiple sclerosis
Leary, A, Quinn, D and Bowen, A (2015). Impact of proactive case management by multiple sclerosis specialist nurses on use of unscheduled care and emergency presentation in multiple sclerosis. International Journal of MS Care. 17 (4), pp. 159-163.
Crowd medical services in the English Football League: remodelling the team for the 21st century using a realist approach
Leary, A, Kemp, A, Greenwood, P, Hart, N, Agnew, J, Barrett, J and Punshon, G (2017). Crowd medical services in the English Football League: remodelling the team for the 21st century using a realist approach. BMJ Open.
Variation in job titles within the nursing workforce.
Leary, A, Maclaine, K, Trevatt, P, Radford, M and Punshon, G (2017). Variation in job titles within the nursing workforce. Journal of Clinical Nursing.
Developing the next generation of specialist cancer nurses.
Leary, A, Whittaker, AJ and Hill, A (2017). Developing the next generation of specialist cancer nurses. Cancer Nursing Practice. 16 (9), pp. 25-30.
The specialist nursing workforce caring for men with prostate cancer in the UK
Leary, A, Brocksom, J, Endacott, R, Fleure, L, Howdle, F, Masterton, M, O'Connor, A, Swift, A, Trevatt, P and Aslett, P (2015). The specialist nursing workforce caring for men with prostate cancer in the UK. International Journal of Urological Nursing. 10 (1), pp. 5-13.
Which patients are assessed by lung cancer nurse specialists? A national lung cancer audit study of over 128,000 patients across england
Khakwani, A, Hubbard, R, Beckett, P, Borthwick, D, Tod, A, Leary, A, White, J and Tata, LJ (2016). Which patients are assessed by lung cancer nurse specialists? A national lung cancer audit study of over 128,000 patients across england. Lung Cancer. 96, pp. 33-40.
A systematic literature review comparing the psychological care needs of patients with mesothelioma and advanced lung cancer
Ball, H, Moore, S and Leary, A (2016). A systematic literature review comparing the psychological care needs of patients with mesothelioma and advanced lung cancer. European Journal of Oncology Nursing. 25, pp. 62-67.
Nurse staffing levels and outcomes - mining the UK national datasets for insight.
Leary, A, Tomai, B, Swift, A, Woodward, A and Hurst, K (2017). Nurse staffing levels and outcomes - mining the UK national datasets for insight. International Journal of Health Care Quality Assurance. 30 (3), pp. 235-247.
Mining routinely collected acute data to reveal non-linear relationships between nurse staffing levels and outcomes
Leary, A, Cook, R, Jones, S, Smith, S, Maxwell, E, Punshon, G and Radford, M (2016). Mining routinely collected acute data to reveal non-linear relationships between nurse staffing levels and outcomes. BMJ Open. 6 (12).
Safety and service. Reframing the purpose of nursing to decision makers
Leary, A (2017). Safety and service. Reframing the purpose of nursing to decision makers. Journal of Clinical Nursing.
The experiences of specialist nurses working within the uro-oncology multidisciplinary team in the UK
Punshon, G, Endacott, R, Aslett, P, Brocksom, J, Fluere, L, Howdle, F, Masterson, M, O'Connor, A, Swift, A, Trevatt, P and Leary, A (2017). The experiences of specialist nurses working within the uro-oncology multidisciplinary team in the UK. Clinical Nurse Specialist: The Journal for Advanced Nursing Practice.
Emergency care patient driven solutions for severe asthma
Newell, K, Corrigan, C, Punshon, G and Leary, A (2017). Emergency care patient driven solutions for severe asthma. International Journal of Health Care Quality Assurance. 30 (7), pp. 628-637.
Advancing Nursing Practice: The Emergence of the Role of Advanced Practice Nurse in Saudi Arabia
Hibbert, D, Aboshaiqah, A, Senko, K, Forestall, D, Harb, A, Yousuf, S, Kelley, P, Brennan, P, Serrant, L and Leary, A (2017). Advancing Nursing Practice: The Emergence of the Role of Advanced Practice Nurse in Saudi Arabia. Annals of Saudi Medicine. 37 (1), pp. 522-528.