Making the complexity of community nursing visible: the Cassandra project

Jackson, C., Manley, K., Martin, A., Wright, T. and Leadbetter, T. (2015) Making the complexity of community nursing visible: the Cassandra project. British Journal of Community Nursing, 20 (3). pp. 126-133. ISSN 1462-4753.

Full text not available from this repository. (Request a copy)


The need to effectively promote safe staffing levels in community settings challenges commissioners and providers of services to find rigorous methods of capturing workforce evidence that can be systematically used to shape effective services and skill mix for the future. This article presents a brief review of current approaches and challenges to measuring community nursing workload activity in England. Specifically, it shows phase 1 pilot results using the Cassandra Matrix activity tool and review of ongoing developments and progress to demonstrate scalability for national implementation. As part of a much larger practice development project to develop community nursing, the pilot used mixed methods to collect 10 days of workload activity data from a self-selected sample of band 5–7 nurses working in general and specialist community nursing roles in three community organisations, and to evaluate their experiences of using the tool via an electronic survey. The findings indicate that the tool has significant potential for capturing the complexity and multiple dimensions of nursing work in community contexts, and phase 2 work has led to a community version of the tool being piloted on a larger scale across six community organisations.

Item Type: Article
Uncontrolled Keywords: Community nursing; safer staffing; workload activity tools; complexity of care; workforce modelling
Subjects: R Medicine > RT Nursing
Divisions: Faculty of Health and Wellbeing > England Centre for Practice Development
Depositing User: Miss Carolyn Jackson
Date Deposited: 19 Mar 2015 16:20
Last Modified: 19 Mar 2015 16:52

Actions (login required)

Update Item (CReaTE staff only) Update Item (CReaTE staff only)


Downloads per month over past year

View more statistics


Connect with us

Last edited: 29/06/2016 12:23:00