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The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014). 注册护士与养老院质量的关系:综合回顾(2008-2014)。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-03-01
Mary Ellen Dellefield, Nickolas G Castle, Katherine S McGilton, Karen Spilsbury
{"title":"The Relationship Between Registered Nurses and Nursing Home Quality: An Integrative Review (2008-2014).","authors":"Mary Ellen Dellefield,&nbsp;Nickolas G Castle,&nbsp;Katherine S McGilton,&nbsp;Karen Spilsbury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing home care is expensive; second only to acute hospital care for inpatient Medicare costs. The increased focus on costs of care accrued by Medicare beneficiaries in nursing homes presents a valuable opportunity for registered nurses (RNs) to further demonstrate quantitatively the value they add to the capacity of the nursing home nursing skill mix to provide cost-effective and efficient quality care. Most of the studies included in this review consistently reported that higher RN staffing and higher ratios of RNs in the nursing skill mix are related to better NH quality. Concerns about the costs of employing more highly skilled RNs and directors of nursing that have the potential to positively influence members of the nursing skill mix will continue to influence nursing home industry hiring practices. For both the advancement of nursing as an applied science and the benefit of society at large, nursing researchers are challenged to better demonstrate how the increased presence of a RN on each shift has the potential to enhance the cost effectiveness, efficiency, and quality of nursing homes.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34099869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nurse Staffing: The Knowns and Unknowns. 护士人员配置:已知和未知。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Jack Needleman
{"title":"Nurse Staffing: The Knowns and Unknowns.","authors":"Jack Needleman","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33939323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hours per Patient Day: Not the Problem, Nor the Solution. 每个病人每天工作的时间:不是问题，也不是解决办法。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Karen K Kirby
{"title":"Hours per Patient Day: Not the Problem, Nor the Solution.","authors":"Karen K Kirby","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hours per patient day (HPPD) is a metric that is easy to use in determining budgeted FTE and in comparing staffing across organizations. There are many considerations in determining the appropriate HPPD. The combination of automated patient acuity, staffing, and human resource systems provide a wealth of information for determining the budgeted HPPD and in making defensible requests for adjustments in HPPD. No matter how much data we have about staffing levels, nurse education and skill levels, the environment of care, or patient acuity, the real key is determining the outcomes we need to compare staffing against. We must quantify the savings associated with positive outcomes and get this information in the hands of the public so they can make informed decisions.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33872146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing Care Value-Based Financial Models. 基于护理价值的财务模型。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
John M Welton, Ellen M Harper
{"title":"Nursing Care Value-Based Financial Models.","authors":"John M Welton,&nbsp;Ellen M Harper","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing care makes up one of the largest expenditures in the health care system, yet patient-level nursing intensity and costs are essentially unknown. Prior efforts to define nursing care value have been stymied by a lack of available data; however, emerging information from electronic health records provide an opportunity to measure nursing care in ways that have not been possible. New metrics using these data will allow improved measurement of cost, quality, and intensity at the level of each nurse and patient across many different settings which can be used to inform operational and clinical decision making. In this article, the initial results and recommendations of an expert panel tasked with defining and measuring nursing care value as part of a larger effort to address evolving issues related to big data and nursing knowledge development are described.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33939324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preserving Staffing Resources As a System: Nurses Leading Operations and Efficiency Initiatives. 作为一个系统保存人力资源:护士领导操作和效率倡议。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Karen S Hill, Karen Higdon, Bernard W Porter, Michael D Rutland, Donna K Vela
{"title":"Preserving Staffing Resources As a System: Nurses Leading Operations and Efficiency Initiatives.","authors":"Karen S Hill,&nbsp;Karen Higdon,&nbsp;Bernard W Porter,&nbsp;Michael D Rutland,&nbsp;Donna K Vela","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurse leaders have struggled for generations with using the right staff in appropriate roles and numbers to optimally cover patient care services and yet preserve salary dollars when possible. The Baptist Health system identified opportunities to enhance communication across facilities and encouraged executives and department leaders to work together to achieve common goals of efficiency and quality. Baptist Health created an operations and efficiency council with representation from each of the seven hospitals in the system, as well as corporate leaders and support staff. Beginning in April 2014, the system began consistently exceeding productivity targets and effectively eliminated a $30 million dollar salary variance from the spring of 2013.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33939325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nursing-Sensitive Indicators in Ambulatory Care. 门诊护理的护理敏感指标。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Kathleen Martinez, Rosemarie Battaglia, Rachel Start, Margaret F Mastal, Ann Marie Matlock
{"title":"Nursing-Sensitive Indicators in Ambulatory Care.","authors":"Kathleen Martinez,&nbsp;Rosemarie Battaglia,&nbsp;Rachel Start,&nbsp;Margaret F Mastal,&nbsp;Ann Marie Matlock","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Ambulatory nursing care can be difficult to comprehend in all its complexity. In August 2013, the American Academy of Ambulatory Care Nursing commissioned a task force to identify nursing-sensitive indicators specific to ambulatory care settings. Given the great variation in settings, staff mix, patient populations, role dimensions, skill sets, documentation systems, and resources, determining metrics that apply across the entire continuum of care is a daunting task. However, it is incumbent upon nurse leaders to define the metrics that will promote the value of the registered nurse in ambulatory practice and care coordination. Once initial measures are identified, piloted, and validated, the infrastructure can be created for ongoing benchmarking and collaboration. The long-term goal is to leverage professional nursing practice, based in the ambulatory care setting, to improve quality, safety, and cost in health care.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33939327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Veterans Health Administration's Staffing Methodology Model: A Reliable Approach. 评估退伍军人健康管理局的人员配置方法模型:一个可靠的方法。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Beth Taylor, Nicholas Yankey, Claire Robinson, Ann Annis, Kathleen S Haddock, Anna Alt-White, Sarah L Krein, Anne Sales
{"title":"Evaluating the Veterans Health Administration's Staffing Methodology Model: A Reliable Approach.","authors":"Beth Taylor,&nbsp;Nicholas Yankey,&nbsp;Claire Robinson,&nbsp;Ann Annis,&nbsp;Kathleen S Haddock,&nbsp;Anna Alt-White,&nbsp;Sarah L Krein,&nbsp;Anne Sales","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>All Veterans Health Administration facilities have been mandated to use a standardized method of determining appropriate direct-care staffing by nursing personnel. A multi-step process was designed to lead to projection of full-time equivalent employees required for safe and effective care across all inpatient units. These projections were intended to develop appropriate budgets for each facility. While staffing levels can be increased, even in facilities subject to budget and personnel caps, doing so requires considerable commitment at all levels of the facility. This commitment must come from front-line nursing personnel to senior leadership, not only in nursing and patient care services, but throughout the hospital. Learning to interpret and rely on data requires a considerable shift in thinking for many facilities, which have relied on historical levels to budget for staffing, but which does not take into account the dynamic character of nursing units and patient need.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33872144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beyond a Band-Aid Approach: An Internal Agency Solution to Nurse Staffing. 超越创可贴的方法:护士人员配备的内部机构解决方案。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Jewel Adams, Roberta Kaplow, Janet Dominy, Bridgett Stroud
{"title":"Beyond a Band-Aid Approach: An Internal Agency Solution to Nurse Staffing.","authors":"Jewel Adams,&nbsp;Roberta Kaplow,&nbsp;Janet Dominy,&nbsp;Bridgett Stroud","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Institute of Medicine (IOM) affirmed that the employment of temporary or per diem nurses augments risk to patient safety. The IOM recommends health care facilities avoid hiring nurses working from a temporary external agency. The IOM recognizes the need for health care facilities to have a plan in place for situations when confronted with short staffing, higher acuity, and increased patient census. Based on recommendations from the IOM, an internal agency was developed in a university-based health care system. Cost savings were realized because of the collaborative efforts of human resources to fill vacancies, unit management managing their respective budgets by flexing staff based on patient census, and the development and implementation of the Enterprise Staffing Pool.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33872143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Measurement of Nursing's Complex Health Care Work: Evolution of the Science For Determining the Required Staffing For Safe and Effective Patient Care. 护理复杂卫生保健工作的测量:确定安全有效的病人护理所需人员的科学发展。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Kathy Malloch
{"title":"Measurement of Nursing's Complex Health Care Work: Evolution of the Science For Determining the Required Staffing For Safe and Effective Patient Care.","authors":"Kathy Malloch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The availability of technology to monitor and manage data increases our ability to better understand the processes and outcomes needed for patient care. It is important to remember this work requires not only the science of data management, but also the art of integrating the multiple variables involved in the dynamic of safe staffing. Fasoli and Haddock (2010) provided an excellent summary of the literature. Nurse leaders must be open to new additions to this work and the possibility that the essential ingredient of the gold standard for patient classification systems (PCS) might still be missing. The goal of a new approach to determine time for nurse work was to advance the science of PCS from the perspective of the characteristics identified by Fasoli and Haddock.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33939328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nine Principles for Improved Nurse Staffing. 改进护士配备的九项原则。
IF 1.2 4区 医学
Nursing Economics Pub Date : 2015-01-01
Bob Dent
{"title":"Nine Principles for Improved Nurse Staffing.","authors":"Bob Dent","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurse staffing is complex. Nursing leaders have taken many initiatives to incorporate evidence and scientific data into nurse staffing. Midland Memorial Hospital (Texas) developed nine principles to improve nurse staffing. The principles include budgeting nursing resources and reconciling the position control or hiring plan created on a National Database of Nurse-Sensitive Quality Indicators 50th percentile for registered nurse hours per patient day. Nursing leaders must understand data-driven nurse staffing plans to communicate clearly and budget appropriately for nursing resources.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33939329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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