Process of implementing and delivering the Prevention of Delirium system of care: a mixed method preliminary study

Table 2 Ward organisational profile

	Hospital A	Hospital A	Hospital B	Hospital C	Hospital E
Ward	1	2	3	4	6
Specialty	Care Older People	Surgical orthopaedic	Care Older People	Care Older People	Surgical orthopaedic/ Fracture neck of femur**
Number of beds	29	23	28	28	31	(22)
Organisation of bed space	3 × 6 bed bays; 1 × 5 bed bay; 6 single rooms	3 × 4 bed bays; 11 single rooms	4 × 4 bed bays; 12 single rooms	4X4 bed bays; 12 single rooms	4 × 6 bed bays; 6 single rooms	2 × 3 bed bays; 3 × 2 rooms; 10 single rooms
Staffing (average day)	1:3.3	1:3.3	1:4.0	1:5.6	1:4.4	1:3.5
Ratio nursing/care day	50:50	50:50	56:44	33:66	57:43	57:43
Staffing (night)	1:7.2	1:7.7	1:7.0	1:9.3	1:6.2	–
Ratio nursing/care night	50:50	66:33	50:50	66:33	40:60	–
Bed occupancy	100%	91%	89%	100%	92%	100%
% moderate/high dependency	55%	52%	80%	89%	60%	90%

* Royal College of Nursing 'safe staffing level on older people wards based on 28 beds [26] is: Skill mix 50:50; RN/patient ratio 1:7; staff/patient ratio 1:3.3-3.8
**The ward changed specialty between the pre-delivery and post- delivery phases

ISSN: 1471-2318