RT Journal Article
SR Electronic
T1 Staffing levels and patient dependence in English stroke units
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 110
OP 115
DO 10.7861/clinmedicine.9-2-110
VO 9
IS 2
A1 Anthony G Rudd
A1 Damian Jenkinson
A1 Robert L Grant
A1 Alex Hoffman
YR 2009
UL http://www.rcpjournals.org/content/9/2/110.abstract
AB Little research has been performed to determine how a stroke unit should be staffed and what the links are between patient dependency and staffing. For this study, 140 stroke units were randomly selected – 35 from each of the four quartiles of performance in the National Sentinel Audit of Stroke. A questionnaire was sent to each of the units to collect data on patient numbers and dependency, staffing numbers and therapy, and nursing contact times on a single weekday. The response rate was 66% (92 sites) and information on 1,398 patients was provided. The median number of beds was 18 (interquartile range 12–24). Staffing levels per 10 beds were a median of 10.9 nurses, 1.7 physiotherapists, 1.3 occupational therapists and 0.4 speech and language therapists. Of the patients, 74% received physiotherapy, 46% occupational therapy and 25% speech and language therapy during the day with median contact times being 170 minutes for nursing, 40 minutes for physiotherapy, 45 minutes for occupational therapy and 30 minutes for speech therapy. There was a weak correlation between patient dependency and contact time with nurses and therapists. Stroke patients in England receive relatively little rehabilitation from therapists and there is a wide variation in the amount of nursing time each patient receives.