ArticleJournal of advanced nursing2021
Nurses' assessments of staffing adequacy in care services for older patients following hospital discharge.
Article in Journal of advanced nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Community health services in European literature: A systematic review of their features, outcomes, and nursing contribution to care.International nursing review · 2024Pooled it
- Hospital-to-home transitions of patients with lung cancer - a qualitative study of primary healthcare professionals' experiences.BMC nursing · 2026Article
- Demand analysis of transitional care for patients undergoing minimally invasive cardiac interventions with AI-driven solutions: a mixed-methods approach.BMC nursing · 2025Article
- Hospital-to-Home Transitions for Lung Cancer Patients-A Qualitative Study of Healthcare Professionals' Experiences.Nursing open · 2025Article
- The effect of family-centered care on unplanned emergency room visits, hospital readmissions and intensive care admissions after surgery: a root cause analysis from a prospective multicenter study in the Netherlands.Patient safety in surgery · 2024Article
- How external and agency characteristics are related to coordination in homecare - findings of the national multicenter, cross-sectional SPOTBMC health services research · 2024Article
- Quality of Life and Wellbeing Parameters of Academic Dental and Nursing Personnel vs. Quality of Services.Healthcare (Basel, Switzerland) · 2023Article
- Article
- Nurses' assessments of staffing adequacy in care services for older patients following hospital discharge.Journal of advanced nursing · 2021Article
- "Nobody Seemed to Notice My Work": The Lived Experiences of Home Care Workers Assisting People With Chronic Diseases: A Phenomenological Study.Journal of primary care & community healthArticle
- Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
aimsTo explore community nurses' assessments of staffing adequacy in care provision for older patients following hospital discharge and analyse the extent to which their assessments are associated with characteristics of the system level of municipality and vertical coordination between hospital and community care services.
designNation-wide cross-sectional survey.
methodsWeb-based survey conducted in 2017 among 3,461 nurses working with older persons (65+) in homecare services, residential care and nursing homes in Norway. Responses from individual homecare nurses were linked with municipal-level register data (age structure, economic flexibility, service profiles). Stratified multilevel analyses were used to analyse the association of staffing adequacy with municipal characteristics and perceived quality of vertical coordination.
resultsAlmost half of the nurses experienced inadequate staffing in general, whereas a similar share indicated that staffing was adequate. Nursing home nurses showed the least positive ratings of staffing adequacy. Most nurses indicated that there were too many unqualified care workers at their workplace. More positive assessments of staffing adequacy were associated with better vertical coordination. Average ratings of staffing adequacy were lower in larger municipalities and municipalities with an older population.
conclusionHealthcare providers, nurse managers and policy makers may benefit from a stronger focus on rebalancing skill-mix and on new models of vertical coordination in addressing current and future nurse staffing shortages in care services for older people following hospital discharge. IMPACT STATEMENT: This study adds to the scarce national and international research literature on nurse staffing in community care services, addressing the pressing challenges of staffing and skill- mix in long-term care provision. Findings support the development of nurse-led models of care coordination for older patients following hospital discharge and stimulate future research on the effects of recruitment and retainment strategies in different municipalities and different models of vertical coordination.
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