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RN4CAST: Human Resources Forecasting in Europe Luk Bruyneel. 1. INTERNATIONAL CONTEXT OF THE NURSING WORKFORCE 2. RN4CAST: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCE 3. PRELIMINARY RESULTS 4. FURTHER PROGRESS. RN4CAST.EU | CONTENTS. 1. Ratio nurses/ physicians.

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1. INTERNATIONAL CONTEXT OF THE NURSING WORKFORCE

2. RN4CAST: FP7-FUNDED RESEARCH ON THE NURSING WORKFORCE

3. PRELIMINARY RESULTS

4. FURTHER PROGRESS

RN4CAST.EU | CONTENTS

1

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Ratio nurses/physicians

Source: OESO 2005 – for Belgium(exact): J.Pacolet, 2006

RN4CAST.EU | INTERNATIONAL CONTEXT | RATIO NURSES/PHYSICIANS

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Worldwidenumeric, skill and geographicimbalances in the nursingworkforce

  • Joint effects of staffing and variouspractice environment elementsonpatientoutcomes (Aiken et al., 2002)
  • Poornursingworkforce planning and associatedshortages in any country threaten the stability of the nurse workforce in neighbouringcountries and beyondthroughdistortions in patterns of international nurse migration

RN4CAST.EU | INTERNATIONAL CONTEXT | NURSING LITERATURE

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Surgicalpatients in hospitalwithbetter nurse work environments have 13% loweroddsondying

  • Patients in hospitalswithbetterstaffing (twofewerpatients per nurse) have 11% loweroddsondying
  • Patients in hospitalswithbettereducated nurses (20% more BSNs) have 8% loweroddsondying
  • Surgicalpatients in hospitalsthat are betteron all three have roughly 30% loweroddsondying

RN4CAST.EU | INTERNATIONAL CONTEXT | NURSING LITERATURE

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RN4CAST: nurse forecasting in Europe

  • Timeframe: 2009-2011
  • Budget: 3 mioEuros
  • Co-ordination:
    • Co-ordinator: Walter Sermeus (K.U.Leuven, Belgium)
      • Vice-coordination: Linda Aiken (Upenn, USA)
  • Partners: 15 (+1): 11(+1) in Europe, USA, 3 ICPC

RN4CAST.EU | FP-7 FUNDED RESEARCH | CO-ORDINATION

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BelgiumKatholieke Universiteit Leuven

FinlandKuopio University

GermanyTechnischeUniversität Berlin

GreeceUniversity of Athens

IrelandDublin City University

The NetherlandsUMC St Radboud

PolandJagiellonian University Krakow

SpainInstitute of Health Carlos III

SwedenKarolinskaInstitutet

SwitzerlandBasel University

United KingdomKing’s College London

Norway is an official reference partner

RN4CAST.EU | FP-7 FUNDED RESEARCH | EUROPEAN PARTNERS

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University of Pennsylvania, USA: previous

expertise

International Cooperating Partner Countries

of the European Union:

China

Botswana

South-Africa

RN4CAST.EU | FP-7 FUNDED RESEARCH | PARTNERS WORLDWIDE

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To refine current forecasting models for manpowerplanning of the nursing workforce with new elements:

Various aspects of the nursing work environment

Impact of nurse deployment on recruitment, retention and productivity of nurses and on patient outcomes

And to present mid-term and long-term projections on a European and national level

RN4CAST.EU | FP-7 FUNDED RESEARCH | OBJECTIVE

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Hospitals: acute hospitals (at least 30 per country)

Nursing units: generalmedicine and surgery (cf. Kane et al., 2007)

Nurse questionnaire

Patient questionnaire

Hospital

discharge data

Hospitalcharacteristics

RN4CAST.EU | FP-7 FUNDED RESEARCH | METHODS

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* In progress

RN4CAST.EU | PRELIMINARY RESULTS | DATA COLLECTION

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* In progress § Estimated

RN4CAST.EU | PRELIMINARY RESULTS | DATA COLLECTION

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Job dissatisfaction

How satisfied are you with your current job in this hospital?

  • Very unsatisfied 2.8%
  • Unsatisfied 18.7%
  • Satisfied 69.7%
  • Very satisfied 9.8%

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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Intention to leave

If possible, would you leave your current hospital within the next year as a result of job dissatisfaction?

  • 29.5% of the Belgian nurses saytheywouldleavetheircurrenthospitalwithin the nextyear as a result of job dissatisfaction
  • Nursing
    • …in anotherhospital 40%
    • …not in a hospital 27.9%
  • Unclear 2.4%
  • Non-nursing 29.7%

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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Intention to leave

Job dissatisfaction

Variation between hospitals

Variation between hospitals

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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Correlation between job dissatisifaction and intention to leave at the hospital level

r=0.81

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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Top 4

Bottom 4

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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Top 4

Bottom 4

Educational opportunities

Wages

Professional status

Independence at work

Opportunities for advancement

Work schedule flexibility

Educational opportunities

Wages

Professional status

Independence at work

Opportunities for advancement

Work schedule flexibility

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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Top 4

Bottom 4

A nurse manager who backs up the nursing staff in decision making, even if the conflict is with a physician

Praise and recognition for a job well done.

A nurse manager who is a good manager and leader.

A supervisory staff that is supportive of nurses.

A nurse manager who backs up the nursing staff in decision making, even if the conflict is with a physician

Praise and recognition for a job well done.

A nurse manager who is a good manager and leader.

A supervisory staff that is supportive of nurses.

RN4CAST.EU | PRELIMINARY RESULTS | JOB DISSATISFACTION AND INTENTION TO LEAVE

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EU PROPOSAL

PROTOCOL FINALISATION

DATA COLLECTION

DATA ANALYSIS AND POLICY IMPLICATIONS

RN4CAST STUDY PROGRESS

2007-2008

2009

2010

2011

RN4CAST.EU | FURTHER PROGRESS | 3-YEAR TIMELINE

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OtherEuropeanprojects: MohProf, PROMeTHEUS

RN4CAST data

Traditional forecasting models

Patientsafety

Nursingwork

environment

Nurse deployment

Macro-economic data

&

Data onmigration

More accurate idea of the requiredpersonneldeployment in terms of number of qualificationfor safe patient care and a healthywork environment for nurses

PolicyMaking

RN4CAST.EU | FURTHER PROGRESS | POLICY MAKING

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AWARENESS – INVOLVEMENT – POLICY IMPLICATIONS

RN4CAST.EU | FURTHER PROGRESS | STAKEHOLDER INVOLVEMENT

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Assessingfuturehealthworkforceneeds

  • Life-longlearning
  • Work environments
  • Audit and feedback

POLICY

BRIEFS

GREEN PAPER ON THE EUROPEAN WORKFORCE ON HEALTH

CONSULTATION REPORT

MINISTERIAL CONFERENCE IN LA HULPE BELGIUM

COUNCIL

CONCLUSIONS

  • Leuven, April 2010
  • 126 participants
  • 25 countries
  • 14 international organisations

POLICY

DIALOGUES

RN4CAST.EU | FURTHER PROGRESS | EU ACTION

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www.RN4CAST.eu

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