Earlier this week The Australian Nursing and Midwifery Federation released the National Aged Care Staffing and Skills Mix Project, the first of its kind in Australia.
The new project was developed in the hopes to better understand staffing methodology – Which broken down means the initiative was about finding out how many and what type (ie. personal care, enrolled nurse, registered nurse) are needed to care for the elderly at any one time in residential aged care.
The project undertook comprehensive research and developed an evidence based complexity profile. What this means is that they looked at the care requirements associated with looking after the elderly to see what interventions were being missed. From that the ANMF confirmed the need for a staffing model and a structure that could be used for residential aged care.
There were some interesting findings in the report. This included that residents should receive an average 4.3 hours of care per day, which is a little more than one and a half times what they are currently being provided with which is 2.84 hours.
In terms of skills mix, the project report recommends a staff force should have a mix of 30% Registered Nurses, 20% Enrolled Nurses and 50% Personal Care Workers as a minimum to ensure safe residential care. The National Aged Care Staffing and Skills Mix Project was undertaken in conjunction with the ANMF’s South Australian Branch, the Flinders University Research Team and the University of South Australia.
ANMF Federal Secretary Lee Thomas explained that, “the report’s findings reflect feedback from ANMF members working on the ground in aged care and is consistent with the stories from members about the increasing difficulty they experience in providing decent care to residents, many with dementia and other high-complex needs”.
Thomas has said the project was greatly needed as a result of the “monumental failure” of governments to establish any sort of evidence based staffing levels and skills mix in the aged care sector. “Whilst the number of people in residential aged care has nearly doubled from 134,810 in 1995 to 263,788 in 2014, consecutive governments have failed to legislate the minimum number of staff with necessary skills. As the report shows, missed care is a regular occurrence in residential aged care.”
By developing and undertaking such a project, the ANMF’s intention was to show the need to legislate minimum staffing levels and skills mix in residential care.
The report has since been provided to the Chair of the Senate Enquiry and recommendations from the Committee are expected to be in April 2017.
To read the full report National Aged Care Staffing and Skills Mix Project Report click here