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1.
J Nurs Adm ; 53(4): 197-203, 2023 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-36916790

RESUMO

Clinical units and their nursing staffs are heterogeneous. Advances in data and analytics provide opportunities to better match patient needs with nurse competencies. Building upon a previous publication on a unit profile dashboard, team members now describe development of a nursing dashboard aggregating characteristics of staff on each clinical unit of the hospital. This article describes methods, challenges, and future directions for nurse leaders to use the dashboards to optimize care delivery and patient and nurse outcomes.


Assuntos
Enfermeiras e Enfermeiros , Cuidados de Enfermagem , Recursos Humanos de Enfermagem , Humanos , Competência Clínica , Atenção à Saúde
2.
J Nurs Adm ; 52(6): 332-337, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35536882

RESUMO

Nurse leaders need real-time, accurate data to design care delivery models and make decisions that reflect the patient populations they serve. To support nurse leader practice and optimize patient care, we developed a unit profile dashboard to describe the unique characteristics of patient populations cared for on each clinical unit at our hospital. In this article, we describe dashboard development, challenges, use cases, and plans for data analytics to further advance nursing practice.


Assuntos
Necessidades e Demandas de Serviços de Saúde , Unidades Hospitalares , Cuidados de Enfermagem , Unidades Hospitalares/organização & administração , Humanos , Cuidados de Enfermagem/organização & administração
3.
J Clin Nurs ; 30(1-2): 200-206, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33090594

RESUMO

AIMS AND OBJECTIVES: To evaluate differences in hospitals' proportion of specialty certified nurses and to determine whether and to what extent individual nurse characteristics and organisational hospital characteristics are associated with a nurse's likelihood of having specialty certification. BACKGROUND: Prior research has shown that patients in hospitals with high proportions of specialty certified nurses have better outcomes including lower mortality and fewer adverse events, yet less is known about what motivates nurses to obtain specialty certification. METHODS AND DESIGN: Cross-sectional study of paediatric nurses in 119 acute care hospitals. Multivariate logistic regression models were used to determine the association between individual nurse characteristics, organisational hospital characteristics and an individual nurses' likelihood of holding a specialty certification. STROBE was followed. RESULTS: The proportion of certified nurses varies substantially among hospitals, with Magnet® hospitals being significantly more likely, on average, to have higher proportions of certified nurses. Nurses in children's hospitals were no more likely than paediatric nurses in general hospitals to be certified. A nurse's years of experience and bachelors-preparation were significantly associated with higher odds of having certification. The strongest predictors of certification were favourable nurse work environments and Magnet® -designation of the hospital. CONCLUSIONS: While individual attributes of the nurse were associated with a nurse's likelihood of having a specialty certification, the strongest predictors of certification were modifiable attributes of the hospital-a favourable nurse work environment and Magnet® -designation. RELEVANCE TO CLINICAL PRACTICE: Hospital administrators seeking to increase the proportion of specialty certified nurses in their organisation should look to improvements in the organisation's nurse work environment as a possible mechanism.


Assuntos
Enfermeiros Pediátricos , Recursos Humanos de Enfermagem Hospitalar , Certificação , Criança , Estudos Transversais , Feminino , Hospitais Pediátricos , Humanos , Local de Trabalho
4.
J Nurses Prof Dev ; 34(3): 173-177, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29715212

RESUMO

When nurses are hired for positions that require lengthy, highly specialized in-house orientation, their failure to complete orientation on time can lead to staffing shortages. In this article, we report the use of a transparent tracking system to monitor nurses' progress through a competency-based orientation program. By monitoring progress and detecting lapses, immediate remediation can be offered to those who need it, and staffing shortages thereby are avoided.


Assuntos
Competência Clínica/normas , Hospitais Pediátricos , Capacitação em Serviço/métodos , Capacitação em Serviço/normas , Recursos Humanos de Enfermagem Hospitalar/educação , Criança , Humanos , Seleção de Pessoal , Preceptoria
5.
J Hosp Med ; 9(7): 463-8, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24753375

RESUMO

BACKGROUND: Although patient flow is a focus for improvement in hospitals, commonly used single or unaggregated measures fail to capture its complexity. Composite measures can account for multiple dimensions of performance but have not been reported for the assessment of patient flow. OBJECTIVES: To present and discuss the implementation of a composite measure system as a way to measure and monitor patient flow and improvement activities at an urban children's hospital. METHODS: A 5-domain patient flow scorecard with composite measurement was designed by an interdisciplinary workgroup using measures involved in multiple aspects of patient flow. RESULTS: The composite score measurement system provided improvement teams and administrators with a comprehensive overview of patient flow. It captured overall performance trends and identified operational domains and specific components of patient flow that required improvement. DISCUSSION: A patient flow scorecard with composite measurement holds advantages over a single or unaggregated measurement system, because it provides a holistic assessment of performance while also identifying specific areas in need of improvement.


Assuntos
Hospitais Pediátricos/tendências , Hospitais Urbanos/tendências , Admissão do Paciente/tendências , Alta do Paciente/tendências , Criança , Hospitais Pediátricos/normas , Hospitais Urbanos/normas , Humanos , Admissão do Paciente/normas , Alta do Paciente/normas
6.
J Hosp Med ; 9(7): 457-62, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24706603

RESUMO

BACKGROUND: Matching workforce to workload is particularly important in healthcare delivery, where an excess of workload for the available workforce may negatively impact processes and outcomes of patient care and resident learning. Hospitals currently lack a means to measure and match dynamic workload and workforce factors. OBJECTIVES: This article describes our work to develop and obtain consensus for use of an objective tool to dynamically match the front-line ordering clinician (FLOC) workforce to clinical workload in a variety of inpatient settings. METHODS: We undertook development of a tool to represent hospital workload and workforce based on literature reviews, discussions with clinical leadership, and repeated validation sessions. We met with physicians and nurses from every clinical care area of our large, urban children's hospital at least twice. RESULTS: We successfully created a tool in a matrix format that is objective and flexible and can be applied to a variety of settings. We presented the tool in 14 hospital divisions and received widespread acceptance among physician, nursing, and administrative leadership. The hospital uses the tool to identify gaps in FLOC coverage and guide staffing decisions. DISCUSSION: Hospitals can better match workload to workforce if they can define and measure these elements. The Care Model Matrix is a flexible, objective tool that quantifies the multidimensional aspects of workload and workforce. The tool, which uses multiple variables that are easily modifiable, can be adapted to a variety of settings.


Assuntos
Atenção à Saúde/tendências , Mão de Obra em Saúde/tendências , Recursos Humanos de Enfermagem Hospitalar/tendências , Admissão e Escalonamento de Pessoal/tendências , Médicos/tendências , Atenção à Saúde/métodos , Atenção à Saúde/normas , Mão de Obra em Saúde/normas , Humanos , Recursos Humanos de Enfermagem Hospitalar/normas , Assistência ao Paciente/métodos , Assistência ao Paciente/normas , Assistência ao Paciente/tendências , Médicos/normas , Carga de Trabalho/normas
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