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5.5.7 Management <strong>of</strong> the Research Unit<br />

174<br />

Chapter 5 Findings<br />

The research unit was managed as part <strong>of</strong> an acute hospital. It was thus managed<br />

by two clinical nurse managers: Grade 1 and Grade 2. They reported to an<br />

Assistant Director <strong>of</strong> Nursing. A consultant geriatrician was assigned to the unit<br />

and supported by a team <strong>of</strong> junior doctors who managed the medical day-to-day<br />

needs <strong>of</strong> the residents (e.g. medication review, prescriptions, referrals, etc.).<br />

The clinical nurse managers when on duty attended to <strong>of</strong>fice and management<br />

issues. If the duty roster had 9 staff allocated, and if two <strong>of</strong> these were managers,<br />

then there were 7 staff members attending to resident care. This meant that<br />

workload varied from day to day.<br />

Of the 123 days analysed the clinical nurse managers were on duty for 82 days<br />

(67% <strong>of</strong> the time). Thus there were 41 days with no manager on duty (33%).<br />

Fourteen <strong>of</strong> the 82 days had two mangers on duty and <strong>of</strong> the 68 remaining days<br />

there was one manger on duty (Chart 5.8).<br />

Chart 5.8: Proportion <strong>of</strong> days a clinical nurse manager was on duty<br />

5.5.8 Staff Turnover<br />

33%<br />

Clinical Nurse Manager<br />

Over the period <strong>of</strong> the research study the staff turnover was also analysed. One<br />

nurse went on maternity leave, one nurse was transferred to another unit, one<br />

67%<br />

On Duty<br />

Off Duty

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