DETERMINATION OF THE NUMBER OF NURSES FOR HOSPITAL AID IN THE REPUBLIC OF BULGARIA
Keywords:Nurse Staffing Norms, Workforce Planning, Nurse, Employment, Nurse-to-patient ratio
The nurses in the Republic of Bulgaria addressed a number of official demands to the Ministry of Health, one of them was to work out a long-term strategy for the development of standards, including detailed minimal requirements for the number of staff for both hospital, and outpatient care.
Objectives: The goal of the current report is a summary of the regulatory documents, concerning the number of nurses in the Republic of Bulgaria, in context of the global practices.
Methods: Current medical standards in the Republic of Bulgaria are being taken into account, and methods for determining the number of nurses in other countries.
Results: In the period between November and December 2020, within the public consultations for projects of different Regulations for approval of medical standards, the proposed and developed methods by the Bulgarian association of health professionals in nursing to be included in the standards, which concern calculating the necessary staff of nurses, was not admitted for inclusion in any of those standards.
Conclusions: Until now, the number of active nurses in the Republic of Bulgaria in all active medical standards is calculated either on the basis of doctors (not patients), or it’s pointed out that the methods of calculating the sufficient number of nurses may be applied. It should be noted that the International Council of Nurses, actually does not recommend universal methods for all countries worldwide.
Aiken, L. H., Sloane, D. M., Cimiotti, J. P., Clarke, S. P., Flynn, L., Seago, J. A., Spetz, J., & Smith, H. L. (2010). Implications of the California nurse staffing mandate for other states. Health services research, 45(4), 904–921. https://doi.org/10.1111/j.1475-6773.2010.01114.x
BAHPN/Bulgarian association of health professionals in nursing. (2020). Methodology for calculating the required staff (nurses), applicable in the development of standards. Retrieved from https://nursing-bg.com/docs/nb/pnds/0_Metodika_Personal.pdf
California RN Staffing Ratio Law. (2004). 2004-R-0212. Retrieved from https://www.cga.ct.gov/2004/rpt/2004-r-0212.htm
Ministry of Health Republic of Bulgaria. (2020a). REFERENCE for reflecting the opinions received within the framework of the public consultations on the draft Ordinance for approval of the medical standard "Pediatric Surgery". Retrieved from https://www.mh.government.bg/media/filer_public/2020/12/31/2_spravka_detska_hirurgiya_za_podpis.pdf
Ministry of Health Republic of Bulgaria. (2020b). REFERENCE for reflecting the opinions received within the framework of the public consultations on the draft Ordinance for approval of the medical standard "Neurosurgery". Retrieved from https://www.mh.government.bg/media/filer_public/2020/12/31/2_spravka_nevrohirurgiya_za_podpis.pdf
Ministry of Health Republic of Bulgaria. (2020c). REFERENCE for reflecting the opinions received within the framework of the public consultations on the draft Ordinance for approval of the medical standard "Vascular Surgery ". Retrieved from https://www.mh.government.bg/media/filer_public/2020/12/31/2_spravka_sadova_hirurgiya_za_podpis.pdf
Nurse staffing levels (Wales) Act. (2016). 8.a Appendix 1. Retrieved from https://sbuhb.nhs.wales/about-us/key-documents-folder/quality-and-safety-committee-papers/quality-and-safety-committee-august-2018/8a-appendix-1-nurse-staffing-wales-report-docx-pdf/
OECD/European Observatory on Health Systems and Policies. (2019). Bulgaria: Country Health Profile 2019, State of Health in the EU, OECD Publishing, Paris/European Observatory on Health Systems and Policies, Brussels.
Ordinance № 72 of September 26, (2012).On acquiring a qualification in the profession "Health Assistant". Retrieved from https://www.navet.government.bg/bg/media/723010-naredba-doi-zdraven-asistent.pdf
Ordinance № 73 of September 26, (2012).On acquiring a qualification in the profession "Caregiver". Retrieved from https://www.navet.government.bg/bg/media/723020-naredba-doi-bolnogledach.pdf
Saudi Patient Safety Center; International Council of Nurses. Nurse Staffing Levels For Patient Safety And Workforce Safety. SPSC and ICN White Paper. Riyadh, Saudi Arabia; (2019). (Available at spsc.gov.sa and icn.ch)
How to Cite
Copyright (c) 2021 Author
This work is licensed under a Creative Commons Attribution 4.0 International License.
The author is the copyright holder. Distribution license: CC Attribution 4.0.