Care before KPIs survey for members
Nurses and midwives are Australia’s most trusted professionals. Among the many varied roles and responsibilities nurses and midwives undertake, being a patient advocate is one of the most important.
Members of the community entrust nurses and midwives to make sure they are receiving clinical care in a high quality environment which is, above all, safe.
The Australian Nursing & Midwifery Federation (Vic Branch) is receiving reports on a daily basis from nurse and midwife members who are struggling to maintain their high standards of patient care. These standards are being threatened by management directions to perform to key performance indicators (KPIs) which are often budget-related.
Examples of this tension between clinical care and KPIs include:
• nurses and midwives being pushed to meet admission targets
• inappropriate patient admission areas
• inadequate resources to provide safe patient care
• direction from management that incites unprofessional care
• direction from management to not report clinical risk.
We are asking our members, and members of the public, to provide ANMF (Vic Branch) with information about your care concerns.
For nurses and midwives, these are care concerns that have been reported as clinical risk, or should have been reported. They are scenarios that illustrate how nurses and midwives are providing care in a culture ‘that is contrary to the accepted and agreed practice standards of the profession’, according to the Code of Professional Conduct for Nurses in Australia. Nurses and midwives are encouraged to report risk in accordance with their individual employer’s policy.
ANMF (Vic Branch) is advocating for health workplaces and governments to take a ‘Care before KPIs’ approach to patient care, so nurses and midwives can provide the standard of clinical care patients deserve. We will use the information you provide to raise public awareness of this issue via the media and advocate on your behalf to governments and healthcare employers.
Part 1. Your details
Name of person completing form
Your phone number (mobile preferred)
Your home email address
Part 2. Details of your care concern
Please respect the privacy of your patients or clients and do not disclose patients’ names or identifying numbers.
Please provide details of your care concern. Tell us what happened, or what is happening.
If you are describing a specific incident, what date (approximately) did it occur?
On what shift did it occur?
How would you rate the seriousness of the clinical incident ?
Did your care concern arise from pressure to meet a key performance indicator (target or timeframe)? Examples are emergency department admission rules, seclusion rates and patient throughput. Please look at the list of key performance indicators (KPIs) and choose any that apply to your care concern.
General health - Waiting time for treatment in an emergency department
General health - Hours of care in an ICU
General health - Hospital bed days (length of stay)
General health - Hospital admission times for emergency patients
General health - Babies admitted to neonatal ICU and Special Care
General health - Staff numbers and skill mix
Mental health - Emergency department patients transferred to mental health bed within eight hours
Mental health - Restraint event per 1000 bed days
Mental health - Seclusion event per 1000 bed days
Mental health - 28-day readmission rate
Aged care - Staff numbers and skill mix
Part 3. Workplace reporting
Was the care concern reported via VHIMS/ Riskman, an email to your manager, or by any other means ?
yes (skip the next two questions)
Please tell us why you did not report your care concern. You can choose more than one option from the list.
I was discouraged to report
The reporting system is difficult and time-consuming
No response is received when reports are made
No changes occur when reports are made
I was frightened to report. Please tell us why below.
If you were frightened to report, please tell us why
How did you report your care concern?
an email to your manager
If you told management about your care concern, what was the response?
Was there an outcome for the patient, or changes made to improve the care environment? Please provide details.
Do you have any further comments?
Thank you for your time and for contributing to our ‘Care before KPIs’ campaign!
Please note this form is not a substitute for contacting the ANMF (Vic Branch) should you need member assistance. If assistance is required, contact us on 9275 9333, firstname.lastname@example.org or contact your organiser. This form is also not a substitute for reporting your clinical care concern at your workplace.
Do Not Fill This Out