Walter Sermeus - RN4CAST
Walter Sermeus - RN4CAST
Walter Sermeus - RN4CAST
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<strong>RN4CAST</strong>Nurse Forecasting: HumanResources Planning in Nursingprof. dr. <strong>Walter</strong> <strong>Sermeus</strong>Katholieke Universiteit Leuvenwww.<strong>RN4CAST</strong>.eu
CONTENT The nursing workforce, international context <strong>RN4CAST</strong>: FP7-funded research on the nursing workforcewww.<strong>RN4CAST</strong>.eu2
THE NURSING WORKFORCE, INTERNATIONAL CONTEXT1614121086420RN/1000 inhabitantsTurkeyRatio nurses/physiciansMexicoKoreaCanadaJapan0 0,5 1 1,5 2 2,5 3 3,5 4 4,5 5IrelandThe NetherlandsSource: OESO 2005 – for Belgium (exact): J.Pacolet, 2006Iceland4 RN= 1 MDLuxembourgSwitserlandNorwaySwedenAustraliaBelgium (ex)Denmark GermanyUK FinlandCzech RepAustriaUSASpain FrancePolandSlovak RepHungaryPortugalBelgiumItalyGreece3 RN= 1 MD2 RN= 1 MD1 RN= 1 MDMD/1000 inhabitantswww.<strong>RN4CAST</strong>.eu3
THE NURSING WORKFORCE, INTERNATIONAL CONTEXTNursing education in 19 European countriesUndergraduate(post)graduateCountry Professional training College University Master and PhDIceland Bachelor – 4y MA, PhDIreland Bachelor – 3 and 4y MA, PhDItaly Bachelor – 3y MA, PhDNorway Bachelor – 3y MA, PhDSpain Bachelor – 3y MA, PhDSweden Bachelor – 3y MA, PhDUK Bachelor – 3y MA, PhDMaltaBachelor – 4yGreece Bachelor – 4y Bachelor – 4y MA, PhDPortugal Bachelor – 4y Bachelor – 4y MA, PhDFinland Bachelor – 3,5y MA, PhDDenmark Bachelor – 3,5y MA, PhDSwitzerland Diploma – 3y Bachelor – 4y MA, PhDThe Netherlands Diploma – 3y (MBOV) Bachelor – 3y(HBOV) MA, PhDBelgium Diploma - 3jy Bachelor – 3y MA, PhDGermany Diploma - 3jy MA, PhDFranceDiploma – 3yAustriaDiploma – 3yLuxemburgDiploma – 3ySource: Spitzer and Perrenoud, 2006www.<strong>RN4CAST</strong>.eu4
THE NURSING WORKFORCE, INTERNATIONAL CONTEXT Worldwide numeric, skill and geographic imbalances in the nursingworkforce Joint effects of staffing and various practice environment elementson patient outcomes (Aiken et al., 2002) Poor nursing workforce planning and associated shortages in anycountry threaten the stability of the nurse workforce inneighbouring countries and beyond through distortions in patternsof international nurse migrationwww.<strong>RN4CAST</strong>.eu5
CONTENT The nursing workforce, international context <strong>RN4CAST</strong>: FP7-funded research on the nursing workforcewww.<strong>RN4CAST</strong>.eu7
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCETHE SEVENTH FRAMEWORK PROGRAMME 2007-2013 Aims to stimulate cooperation and improve links between industryand research within a transnational framework Focus on themes (Health, Space, Energy,…) Theme Health:“Research action to improve the health of European citizens andboost the competitiveness of health-related industries andbusinesses, as well as address global health issues.” Overall budget of 53,2 billion €http://cordis.europa.eu/fp7/www.<strong>RN4CAST</strong>.eu8
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCECALL FP7-Health Health theme 3: Optimising the delivery of health care 3.2. Quality, Efficiency and solidarity of health care systems,including transnational health systems3.2.4. Health care human resources planning in nursing 2009-2011 Co-ordination Co-ordinator: <strong>Walter</strong> <strong>Sermeus</strong> (CZV, Katholieke UniversiteitLeuven) Vice-coordinator: Linda Aiken (CHOPR, University ofPennsylvania) 15 partnerswww.<strong>RN4CAST</strong>.eu9
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEOBJECTIVETo refine current forecasting models for manpowerplanning of thenursing workforce with new elements:1. (perception of) various aspects of the nursing work environment2. Impact of nurse deployment on recrutement, retention andproductivity of nurses and on patient outcomesAnd to present mid-term and long-term projections on a Europeanand national levelwww.<strong>RN4CAST</strong>.eu10
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEPARTNERSEuropean partnersBelgiumKatholieke Universiteit LeuvenGermanyTechnische Universität BerlinFinlandKuopio UniversityGreeceNational and Kapodistrian University of AthensIrelandDublin City UniversityThe NetherlandsRadboud University Medical Centre NijmegenPolandJagiellonian University in KrakowSpainInstitute of Health Carlos IIIUnited KingdomKing’s CollegeSwedenKarolinska InstitutetSwitzerlandBasel Universitywww.<strong>RN4CAST</strong>.eu11
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEPARTNERSUnited StatesUniversity of PennsylvaniaVice-coordinatorExperience as co-ordinator of theInternational Hospital OutcomesStudy: Instruments Protocol AnalysisUSAUPennwww.<strong>RN4CAST</strong>.eu12
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEPARTNERSInternational Cooperating Partner Countries (ICPC)ChinaChinaPeking Union Medical CollegeBotswanaSouth-AfricaBotswanaUniversity of BotswanaSouth-AfricaNorth-West UniversityObjective : observation and comparison in a second phasewww.<strong>RN4CAST</strong>.eu13
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGYNurse questionnairePatient questionnaireHospital discharge dataHospital characteristicswww.<strong>RN4CAST</strong>.eu14
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGY Hospitals Acute hospitals At least 30 hospitals/country Nursing units General medicine and surgery (cf. Kane et al., 2007) At least 2 units/hospital Nurses All nurses in direct patient care Approximately 15 000 nurses will participatewww.<strong>RN4CAST</strong>.eu15
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGYNurse questionnaire The nursing work environment Factors influencing the nursing work environment, jobsatisfaction, intention to leave Quality and safety Incidents, quality nursing unit and hospital Most recent shift Number of patients cared for, non-nursing tasks,… Characteristics of nurses Age, gender, migration, experiencewww.<strong>RN4CAST</strong>.eu16
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGYPatient questionnaire On one day Experiences Care from nurses (respect,…) Care from physicians (respect,…) Hospital environment (cleanliness, calmness) Pain management, informationwww.<strong>RN4CAST</strong>.eu17
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGYHospital discharge data Routinely collected hospital discharge data (i.e. hospital dischargedatasets containing information about patient demographics,medical diagnoses & interventions ICD-9, ICD-10 length-of-stay discharge status (e.g. in-hospital mortality) Selection of adult medical/surgical patients Outcomes will include mortality, failure-to-rescue and adverseevents (e.g. pressure ulcers, nosocomial infections)www.<strong>RN4CAST</strong>.eu18
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGYHospital characteristics Type Patient activity Personnel deployment (nurses, physicians): number andqualification Personnel inflow and outflow Organisation and management of the nursing workforcewww.<strong>RN4CAST</strong>.eu19
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEMETHODOLOGYTraditional forecasting models<strong>RN4CAST</strong> dataOther European and nationalresearch (bv. MoHProf (FP7))Patient safetyImage of nursing(ethical aspects of) migration&Nursing work environmentNurse deploymentNursing educationCompetences, retention, recrutement,managementAccurate idea of the requiredpersonnel deployment in terms ofnumber of qualification for safepatient care and a healthy workenvironment for nurseswww.<strong>RN4CAST</strong>.eu20
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEDISSEMINATION Publications, website, conferences,… National and international stakeholder committees National: representants of nursing unions, hospitals, schools ofnursing, government International: ICN, EHMA, HOPE, EFN, WHO, WAHP, EANS, ENDA,EU, other FP7-funded projects Strong basis and support for translation of results to Europeanand national policy Follow-up, monitoring of outcomeswww.<strong>RN4CAST</strong>.eu21
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEPOLICY IMPLICATIONS Patients Improved outcomes Active, well-informed role in care-process Nurses Involvement in policy-making Recognition of contribution to patient care Improved nurse outcomes Hospital administrators Better understand the implications of staffing decisions Better understand how organizational models affect care Governments Educational restructuring Increased pressure to improve quality of patient carewww.<strong>RN4CAST</strong>.eu22
<strong>RN4CAST</strong>: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCEPOLICY IMPLICATIONS<strong>RN4CAST</strong> has the capability to bridge the information gap between thecauses and effects of current nurse deployment and traditional modelsfor manpowerplanning of the nursing workforce. The objectification andaccurateness of mid-term and long-term projections formanpowerplanning of the nursing workforce should result in wellinformeddiscussions between stakeholders at both the national andEuropean level and should lead to a broadly supported nursingworkforce policy, boosting a well-skilled, geographically balancednursing workforcewww.<strong>RN4CAST</strong>.eu23
www.<strong>RN4CAST</strong>.eu…-calendar-news-publications-partners-…
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