Corporate solutions to caseload management -- an evaluation.
This paper describes an evaluation of a change in health visiting service delivery from GP caseload management to corporate caseload working, in one inner city health centre located in a deprived area of Glasgow. The aim of the study was to identify if moving to corporate caseload working provides the reported benefits cited in the limited literature available. A purposive sample consisting of ten health visitors, one GP, one manager and three clients volunteered to participate in this mixed methods evaluation study. Data were collected by means of a stress questionnaire, public health nursing diary, focus groups and semi-structured interviews. Findings show that immediate improvements were seen in team working, staff communication, sharing practice, enhanced clinical reflection and standards of documentation. However, corporate caseload working did not appear to reduce staff stress levels, increase public health nursing activity or improve quality of client service. Further research conducted over a longer time period with a full staffing complement is needed to validate these findings.
Hoskins
Robert
R
Division of Nursing and Healthcare, University of Glasgow.
Gow
Ann
A
McDowell
Joan
J
D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000517:prevention & control / Q000523:psychology; D002983:Clinical Competence; D003142:Communication; D003152:Community Health Nursing / Q000458:organization & administration*; D005194:Family Practice / Q000458:organization & administration*; D017144:Focus Groups; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D016294:Models, Nursing; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D009936:Organizational Innovation; D011321:Primary Nursing / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research; D011787:Quality of Health Care; D012606:Scotland; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology / Q000706:statistics & numerical data