Background: Re-deployment of medical, nursing and Allied Health Professional workforce became a more prevalent feature in filling workforce gaps during the Covid-19 pandemic; however, very little evidence exists surrounding the impact of this re-deployment of registered nursing workforce. Prior to the Covid-19 pandemic and subsequently in an attempt to address nursing shortages across paediatric ward areas, there is a growing trend to utilize registered nursing staff more flexibly to meet the demands of the whole organization.
Aim: The aim of this study was to explore the incidence impact of re-deployment to cover workforce shortages in the registered paediatric critical care nursing workforce.
Study Design: This is a cross-sectional electronic survey of paediatric critical care nurses registered with the Paediatric Critical Care Society as nursing members (n = 688). Anonymous quantitative and qualitative data were collected between January and March 2023. Quantitative data were analysed using descriptive statistics and qualitative data were analysed thematically.
Results: There were 225 participant responses representing 21 of the 26 paediatric critical care units within the United Kingdom. This represents a response rate of 33%. The frequency of re-deployment ranged from zero to two occurrences per month (n = 195; 87%). Thirty percent (n = 67) of respondents felt that re-deployment to other wards to cover staffing shortfalls impacted the safety of care delivered to the patients. Five themes were identified: Quality of Care, Wellbeing, Teamwork, Training and Support and Leadership.
Conclusions: This study demonstrates the significant impact that re-deployment has on the paediatric critical care nurse population. With retention of experienced critical care nurses at crisis point, it is essential that we identify factors that contribute to this poor retention and address these factors accordingly. Re-deployment is a significant factor.
Relevance To Clinical Practice: This study has provided a greater understanding of the impact of re-deploying paediatric critical care to cover workforce shortages throughout acute hospital settings.
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