{"title":"Why Nurse Staffing Matters: A Moral Imperative.","authors":"Jennifer Mensik, Donna M Nickitas","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Safe nurse staffing is undeniably linked to patient safety and satisfaction, workforce satisfaction and safety, and cost savings. A nationwide mandate must be driven toward the use of electronic staffing and scheduling systems that take into consideration the patient's real-time specific needs This system must be matched to the most appropriate nurse with the ability to provide care safely for all the patients in his or her total assignments. These patient care assignments should be designed in partnership with managers and staff RNs. Only then will we reverse the trend of staffing-related patient deaths and injury in U.S. hospitals.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 3","pages":"186-7"},"PeriodicalIF":1.2,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33976779","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}
{"title":"An Incentive Pay Plan for Advanced Practice Registered Nurses: Impact On Provider and Organizational Outcomes.","authors":"Catherine A Rhodes, Mavis Bechtle, Molly McNett","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Advanced practice registered nurses (APRNs) are integral to the provision of quality, cost-effective health care throughout the continuum of care. To promote job satisfaction and ultimately decrease turnover, an APRN incentive plan based on productivity and quality was formulated. Clinical productivity in the incentive plan was measured by national benchmarks for work relative value units for nonphysician providers. After the first year of implementation, APRNs were paid more for additional productivity and quality and the institution had an increase in patient visits and charges. The incentive plan is a win-win for hospitals that employ APRNs.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 3","pages":"125-31; quiz 132"},"PeriodicalIF":1.2,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33910473","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}
{"title":"Reframing Political Differences: One Conversation at a Time.","authors":"Deborah B Gardner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The profession of nursing, by it's very nature, is wrought with significantly complex moral and political disagreements. These issues cannot simply be avoided by being relegated to private discussions because their resolution is crucial to the common good. It is important for nurses to develop skills in public discourse if we are to bridge the political divide and influence local, state, and national policy. Failure to do so will leave us with ineffective and dismissed voices.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 3","pages":"179-81"},"PeriodicalIF":1.2,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33976774","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}
{"title":"Ethics, Evidence-Based Practice, and Economics: The Metrics of Quality.","authors":"Donna M Nickitas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 3","pages":"122, 131"},"PeriodicalIF":1.2,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33910472","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}
{"title":"Improving Pneumococcal Immunization Rates Among Hospitalized Adults.","authors":"Micki Schurlknight","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The morbidity and mortality associated with pneumococcal pneumonia can be prevented with access to vaccines and treatment. The purpose of this quality improvement project was to examine how the utilization of the discharge computer entry order set with an electronic pneumococcal vaccine screening tool, pharmacy notifications, and nursing tasks increased the vaccination rates among discharged patient population sufficiently. Changing the process of when the patient is screened for the pneumococcal vaccine and utilizing functions of the electronic medical record greatly improved the immunization rate of discharged patients. Due to the success of this process improvement project, other immunizations given during hospitalization are being screened and administered at discharge.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 3","pages":"182-5"},"PeriodicalIF":1.2,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33976778","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}
{"title":"Understanding Health and Payment Reform--Essential for the New World of Nursing: An Interview with Betty Rambur.","authors":"Betty Rambur, Donna M Nickitas","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 3","pages":"155-60, 181"},"PeriodicalIF":1.2,"publicationDate":"2015-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33910476","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}
{"title":"The World Health Organization: Is It Still Relevant?","authors":"Stephanie L Ferguson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The World Health Organization (WHO) is the United Nation's lead agency for directing and coordinating health. As leaders, nurse executives must advocate for a stronger nursing and midwifery health policy agenda at the global level and a seat at the table on WHO's technical advisory bodies and expert committees. There are no more borders as nurse executives; we are global citizens, leading global change. Nurse leaders hold the master key to shape the world's policies for sustainable global development.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 2","pages":"113-6"},"PeriodicalIF":1.2,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34099874","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}
{"title":"Greater than the Sum of the Parts.","authors":"Paula A Lucey, Therese A Fitzpatrick","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 2","pages":"109-12, 116"},"PeriodicalIF":1.2,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34099870","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}
{"title":"The Disease of 'Busyness'.","authors":"Kim Richards","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Busyness is anything but impressive, especially when coming from a leader. Sadly, busyness keeps nurse leaders from more worthwhile and important things in their lives, such as authentic, vulnerable relationships. Our collective busyness has become an offensive disease. We have the ability to change our lives internally and externally, professionally and personally. We have nothing to lose but stress and the voice of an unnecessary taskmaster who is continually demanding more and is never satisfied. We'll gain a sense of peace, purpose, health, mindful leadership, and a good dose of meaning and self-respect.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 2","pages":"117-9"},"PeriodicalIF":1.2,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34099876","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}
Sharon Pappas, Nan Davidson, Jim Woodard, Jennifer Davis, John M Welton
{"title":"Risk-Adjusted Staffing to Improve Patient Value.","authors":"Sharon Pappas, Nan Davidson, Jim Woodard, Jennifer Davis, John M Welton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The presence of hospital-acquired conditions, infections, or other adverse events are a reflection of inadequate patient safety and can have short and long-term impacts of quality of life for patients as well as financial implications for the hospital. Using unit-level information to develop a tool, the Patient Risk Assessment Profile, nurses on an inpatient surgical unit proactively assessed patient risk to guide staffing decisions and nurse-patient assignment with the goal to improve patient value, reduce adverse events, and avoid unnecessary hospital costs. Findings showed decreased adverse event rates for patient falls, catheter-acquired urinary tract infection, central line-acquired blood stream infection, and pressure ulcer prevalence after the intervention was implemented. In addition, end-of-shift over-time and patient cost per case decreased as well yielding an operational impact in hospital financial performance.</p>","PeriodicalId":49725,"journal":{"name":"Nursing Economics","volume":"33 2","pages":"73-8, 87; quiz 79"},"PeriodicalIF":1.2,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34098290","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}