Our Policies

The Strategy for the Office of the Chief Nursing Officer (CNO) provides the necessary direction for the Office in supporting the nursing and midwifery professions and maximising their contribution to health policy.The five initiatives below aim to embed the values of nursing and midwifery, stabilise the nursing and midwifery resource, maximise nursing and midwifery outcomes and measure the impact of nursing and midwifery. They are fully integrated and, once implemented, they have the potential to revolutionise the delivery of nursing and midwifery services within the community and acute health services.

Initiative on Nursing and Midwifery Values

My Office led on an initiative to identify the core values that underpin nursing and midwifery practice, in partnership with the Office of the Nursing and Midwifery Services Director in the HSE, and the Nursing and Midwifery Board of Ireland. The consultation commenced on the 3rd of February 2016 and the Position paper was launched by Minister Harris on 1st June 2016. The values and the supporting behaviours associated with compassion, care and commitment.

Values of Nursing and Midwifery

Nursing and Midwifery Performance Indicators

Significant investment is being made into nursing and midwifery and it is important that we demonstrate its effects. It is vital, therefore, that we measure the outcomes and impacts of nursing and midwifery initiatives on the health service user, who is central to everything. Therefore, we have developed a framework for national performance indicators for nursing and midwifery to ensure that their development, prioritisation, endorsement, and monitoring is standardised.  

Nursing and Midwifery Performance Indicators

Taskforce on Staffing and Skill Mix

Taskforce for Safe Nurse Staffing and Skill Mix was established in 2014 to develop a framework to determine the staffing and skill mix requirements for the nursing workforce. It approaches nurse staffing and skill mix by matching the nursing resource to the type and number of patients on the ward and their particular needs.

 

The policy takes under consideration of the totality of the nursing team with a firm focus on patient outcomes and sets out key guidance for services, on how to determine safe nurse staffing and skill mix in medical and surgical wards across our acute hospitals.

 

Phase 1

 

Phase I of the work of the Taskforce focused on the development of a Framework for Safe Nurse Staffing and Skill Mix in General and Specialist Adult Hospital Medical and Surgical Care Settings in Ireland. This pilot ran from 2016 to 2017 in a number of wards in three Irish hospitals demonstrated benefits such as increased quality of care, decrease in numbers of Nurse Sensitive Outcomes, decreased length of hospital stay and a sustained decrease in agency use. This demonstrates the framework considers the totality of the nursing team with a firm focus on nursing outcomes. The framework is now Policy and the Phase 1 report was published in April 2018.

 

Phase 2

 

Building on the learning from Phase I, Phase 2 was established in 2017. The focus of Phase 2 is on the Emergency Department and their specific needs in relation to the nursing team. The pilot is expected to commence in Quarter 3 of 2018.

Taskforce on Staffing and Skill Mix

 

Developing graduate, specialist and advanced nursing and midwifery practice

My Office has developed a draft policy on the future development of graduate, specialist and advanced nursing and midwifery practice. This policy presents a framework for practice that is capable of developing a critical mass of nurses and midwives. The Minister has established a Steering Committee to oversee the implementation of the policy which aims to create 700 Advanced Nurse Practitioners (ANPs) by 2021 to meet service need and contribute to addressing the current challenges in service provision.

Developing a Policy for Graduate, Specialist and Advanced Nursing & Midwifery Practice

Development of a Community Nursing and Midwifery Response to an Integrated Model of Care

My Office has developed a draft policy in which the model of care is one that offers the individual, family and community a range of choices. This will be facilitated through the re-organisation of the existing nursing and midwifery workforce in the community to provide a proactive rather than reactive model of care.

Development of a Community Nursing and Midwifery Response to an Integrated Model of Care