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Matching nurse skill with patient acuity in the intensive care units: a risk management mandate

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dc.contributor.authorRischbieth, A.
dc.date.issued2006
dc.descriptionArticle first published online: 19 JUN 2006
dc.description.abstract<h4>Aim</h4>This paper aims to highlight the need for the traditional concept of nursing skill mix to be reconfigured within a new concept of skill matching.<h4>Background</h4>Substantive literature describes staff deployment and patient-dependency models. However, limited information exists as to what informs decision making regarding nurse skill assessment and subsequent patient allocation in intensive care units.<h4>Key issues</h4>In intensive care units, nurse numbers, available nursing skills and patient allocation decisions, impact directly on care provision and outcomes. This paper argues that staffing decisions that are based on insufficient knowledge which lack consideration of all pertinent factors result in poor 'skill matching', potential adverse events and poor outcomes. A critical inextricable link exists between staffing decisions, patient safety and risk in the intensive care unit. Use of a multifactorial skill-matching approach within a dedicated staffing decision-support system is recommended.<h4>Conclusion</h4>This commentary paper adds a new perspective to nurse-staffing decision practices and their relationship to risk management in the intensive care unit and offers a new research direction.
dc.description.statementofresponsibilityAmanda Rischbieth
dc.identifier.citationJournal of Nursing Management, 2006; 14(5):397-404
dc.identifier.doi10.1111/j.1365-2934.2006.00622.x
dc.identifier.issn0966-0429
dc.identifier.issn1365-2834
dc.identifier.urihttp://hdl.handle.net/2440/22763
dc.language.isoen
dc.publisherBlackwell Science Ltd.
dc.rightsCopyright © John Wiley & Sons, Inc. All Rights Reserved.
dc.source.urihttps://doi.org/10.1111/j.1365-2934.2006.00622.x
dc.subjectHumans
dc.subjectActivities of Daily Living
dc.subjectSeverity of Illness Index
dc.subjectLeadership
dc.subjectNurse's Role
dc.subjectNursing Administration Research
dc.subjectDecision Support Techniques
dc.subjectTime Factors
dc.subjectClinical Competence
dc.subjectInterior Design and Furnishings
dc.subjectNursing Staff, Hospital
dc.subjectIntensive Care Units
dc.subjectRisk Management
dc.subjectHealth Services Needs and Demand
dc.subjectDecision Making, Organizational
dc.subjectEmployee Performance Appraisal
dc.subjectPersonnel Staffing and Scheduling
dc.subjectWorkload
dc.subjectNursing, Supervisory
dc.subjectWorkforce
dc.subjectOutcome Assessment, Health Care
dc.titleMatching nurse skill with patient acuity in the intensive care units: a risk management mandate
dc.typeJournal article
pubs.publication-statusPublished

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