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Nursing workforce issues in New Zealand What can we anticipate in the future and how might we configure our skill mix and work force plans?. Presentation By:. Denise Kivell Director of Nursing, Counties Manukau Health Margaret Dotchin Chief Nursing Officer, Auckland District Health Board.

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  1. Nursing workforce issues in New ZealandWhat can we anticipate in the future and how might we configure our skill mix and work force plans?

  2. Presentation By: • Denise Kivell • Director of Nursing, Counties Manukau Health • Margaret Dotchin • Chief Nursing Officer, Auckland District Health Board

  3. Setting the Scene:What do you need to know? As our population grows and ages we need to increase our nursing workforce supply to meet our population need

  4. Workforce Development Understanding the pipeline

  5. An international perspective:How do we compare?

  6. Nursing Workforce-supply modelling

  7. Bachelor of Nursing

  8. Setting the Scene:What do you need to know? The demographic of our workforce versus the population it serves Māori health and disability workforce development is a key enabler of health outcomes Māori RN 2803 ‘active’ in the health workforce Māori Doctors 330

  9. Nursing Workforce

  10. Setting the Scene:What do you need to know? • 76% of nurses employed in DHB’s have greater than 5 years experience How do balance retention, recruitment and cost?

  11. Nursing Workforce

  12. Setting the Scene:What do you need to know? Our workforce is aging – 60% Nurses are older than 40 years old Working with “younger nurses” ‘Effective workforce planning aimed at achieving a sustainable nursing workforce must consider the characteristics and needs of this generation of nurses in order to ensure effective succession planning’.(Clendon J, Walker L. 2011)

  13. Nursing Workforce – age profile

  14. Changing Workforce Dynamics Matures: Born pre 1945Baby Boomers: Born between 1946 and 1964 Generation X: Born between 1965 and 1977Generation Y: Born between 1975-87

  15. Setting the Scene:What do you need to know? • 75% of nursing graduates in 2012 were employed • How do you enable new graduates into employment? • Do you need to move from a vacancy driven model to prepare for the future?

  16. Graduate Nurses Face Cuts

  17. Setting the Scene:What do you need to know? • Skill/ skills mix required to meet patient requirements • How do you change the composition of your nursing workforce?

  18. Match your workforce to patient need whilst increasing access, quality, safety whilst constraining cost

  19. Setting the Scene:What do you need to know? • 60-70% of DHB budgets are salaries

  20. Components of the Budget • Reducing waste and improving outcomes, quality and safety to reduce costs– right number, right skill to match demand-capacity • Open for better care / First Do no harm / Releasing Time to Care

  21. Setting the Scene:What do you need to know? • Better sooner more convenient shifts the focus to community based models

  22. The opportunities • Reconfiguring the secondary and tertiary workforce (skill mix, skills mix) • Innovation – roles and models • Strengthening primary and community care to keep their community well • Strengthening the aged care workforce to keep older people well in their own homes

  23. As a nurse leader – what do you need in your toolkit? • Understanding of the strategy and priorities – national, DHB, organisation • Data on your workforce composition – ward, team, facility or practice • Understanding your budget and cost constraints • Voice at the decision making table • Agreed plan to transition to the future state • Change management, coaching and mentoring capability You hold the solutions

  24. References: http://www.healthworkforce.govt.nz/new-roles-and-scopes Brookoorn M. 2011. Where are all the Māori nurses and midwives? http://www.nursingreview.co.nz/pages/section/article.php?s=Opinion&idArticle=17489 Clendon J, Walker L. 2011. Young Nurses in Aotearoa New Zealand. New Zealand Nurses Organisation. URL: http://www.nzno.org.nz/LinkClick.aspx?fileticket=YKiHM4WjjDk%3d HWNZ 2012. Whakapuāwaitia Ngāi Māori 2030 Thriving as Māori 2030. Māori Health Workforce Priorities HWNZ 2012.Retention of the nursing workforce in their ‘third age’. Hirschkorn CA, West TB, et al. 2010. Experienced nurse retention strategies: What can be learned from top-performing organisations? Journal of Nursing Administration, 40(11): 463-467 Ineson S. 2012. Report on retention of midwives in their ‘third age’.Health Workforce New Zealand. O’Malley J, et al. 2009. Rural Nursing Workforce Strategy Final report July 2009 West Coast DHB & Central Otago Health Services Nursing Council of NZ(2013).The future Nursing Workforce supply projections 2010-2035 (AKA BERL Report)

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