Calculating nurse staffing in community mental health and community health settings in South Australia.
OBJECTIVE
The article reports the development of and data from a preliminary evaluation of a staffing methodology equalization tool (SMET) designed for the South Australian Department of Health to equalize the workload of community mental health and community health nurses working within multidisciplinary teams.


BACKGROUND
Shorter admissions, increasing patient acuity, and shortages of beds have intensified the work of community nurses. Existing workload models have limitations for community nursing settings.


METHODS
A workload tool for community mental health and community nurses was developed in consultation with a reference group of nurses. A trial was conducted at six sites, and the tool was evaluated using qualitative and quantitative data.


RESULTS
The tool increased transparency and equity of workloads in community teams and provided a means of reducing workload through demonstration of a capacity to take new clients, however, further work is required to factor the intensity of caseload into the tool.


CONCLUSIONS
The tool needs further evaluation to determine its applicability to a range of clinical settings.
School of Medicine, Faculty of Health Sciences, Flinders University, Adelaide, South Australia.
Eileen
E
Willis
Julie
J
Henderson
Luisa
L
Toffoli
Bonnie
B
Walter
D003152:Community Health Nursing; D003156:Community Mental Health Services; D006801:Humans; D016294:Models, Nursing; D015401:Nursing Administration Research; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000458:organization & administration*; D010348:Patient Care Team / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling; D013021:South Australia; D000078329:Workforce; D016526:Workload