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Nursing Economic$

Kim Richards
With the high costs associated with staff turnover, creating a culture that cares for and about nurses could be the most significant recruitment tool for a health care organization. Professional coaching, both from a leadership and retention or "caring for the caregiver" perspective, can greatly enhance opportunities for improving resilience, reenergizing and reengaging leadership and staff, and breathing new life into your institution's culture. Healthy employees and healthy culture lead to a healthy bottom line...
May 2016: Nursing Economic$
Diane Storer Brown, Harriet Udin Aronow
The value of the ambulatory care nurse remains undocumented from a quality and patient safety measurement perspective and the practice is at risk of being highly variable and of unknown quality. The American Academy of Ambulatory Care Nursing and the Collaborative Alliance for Nursing Outcomes propose nurse leaders create a tipping point to measure the value of nursing across the continuum of nursing care, moving from inpatient to ambulatory care. As care continues to shift into the ambulatory care environment, the quality imperative must also shift to assure highly reliable, safe, and effective health care...
May 2016: Nursing Economic$
Deborah B Gardner
Politics in a democracy requires governance through debate. Nurses are an important part of the voting public and we need to assess our own anger, expectations, and values for this election. Recognizing four myths during this election season can improve the political conversation. This conversation must acknowledge different groups, interests, and opinions and then seek ways to balance or reconcile those interests. Using this as a mental model to define our politics rather than succumbing to divisive rhetoric, we can take a major step toward building a better political system...
May 2016: Nursing Economic$
Ashley Hodgson, Dorothy Morgan, Ryan Peterson
Identifying anxiety and depression in hospital patients has important implications for the quality of care, including reducing hospital admissions, promoting patient-centered care, and improving long-term patient outcomes. Hospital admissions are important opportunities for uncovering mental illness; whether hospitals actually take advantage of these important opportunities may depend on staffing. Nurse staffing is central to achieving the goals outlined by patient-centered care initiatives. The results of this study suggest an effect of nursing ratios on the detection of secondary mental health conditions via a quasi-experiment surrounding California's minimum nursing ratio law...
May 2016: Nursing Economic$
Sheila A Haas, Frances Vlasses, Julia Havey
There are multiple demands and challenges inherent in establishing staffing models in ambulatory heath care settings today. If health care administrators establish a supportive physical and interpersonal health care environment, and develop high-performing interprofessional teams and staffing models and electronic documentation systems that track performance, patients will have more opportunities to receive safe, high-quality evidence-based care that encourages patient participation in decision making, as well as provision of their care...
May 2016: Nursing Economic$
Catherine E Vanderboom, Cindy A Scherb, Robert B Kirchner, Christopher M Kohler, Jennifer J Ferrier, Marie A Stancl, Thomas W Suther, Debra L Cox
Barcode medication administration (BCMA) implementation represents a change in a complex process requiring significant modifications in the work of nurses. Nurses' voices are critical for successfully implementing BCMA technology to support this change in nursing practice. Feedback from nurses who administered medications was critical to selecting and refining a BCMA system that supported their practice needs. Feedback regarding implementation status was critical for keeping key stakeholders across the institution informed of the progress and initial impact of the implementation...
May 2016: Nursing Economic$
D Rob Haley, Mei Zhao, Aaron Spaulding
To better understand the relationship between a hospital's Total Performance Score (TPS) and unplanned readmissions, a multivariate linear regression analysis was used to examine the relationship between hospital TPS and readmission rates for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (PN). Hospital TPS was significantly and inversely related to AMI, HF, and PN readmission rates. The higher the hospital TPS, the lower the readmission rates for patients with AMI, HF, and PN. Hospitals with higher Medicare and Medicaid patients had higher readmission rates for all three conditions...
May 2016: Nursing Economic$
Donna M Nickitas
No abstract text is available yet for this article.
May 2016: Nursing Economic$
David C Benton, Stephanie L Ferguson
Windows of opportunity are wide open for the nursing profession to actively participate and engage in the policy implementation, evaluation, and achievement of the United Nations Sustainable Development Goals. Nurses bring valuable perspectives as members of diverse governance structures and offer a range of solutions that can help governments pursue and achieve the Sustainable Development Goals and targets by 2030.
March 2016: Nursing Economic$
Timothy M Snavely
The United States is projected to experience a nursing shortage in the coming years as market forces begin to shift away from equilibrium. A return to pre-recession work levels, aging baby boomers, and insufficient numbers of nursing graduates adversely affect the supply of nurses The aging population, a rise in chronic care management needs, and the Affordable Care Act will result in an increasing demand for them. Returning to a state of equilibrium is critical if our health care system is to ensure care that is accessible, safe, and cost effective...
March 2016: Nursing Economic$
Margaret Mastal, Ann Marie Matlock, Rachel Start
The nation has been on a quest to advance quality in providing health care services and improving patient outcomes. The challenge has been to identify and define metrics that will demonstrate improvement. Acute care settings have a fairly well-established system of quality measurement, but ambulatory care systems are in less-developed stages. Imperative to accurate quality measurement in ambulatory care is to identify and define metrics that reflect the value of registered nurses to improved patient care and outcomes as well as to the organization...
March 2016: Nursing Economic$
Jennifer Mensik
Too often health care executives state the need for more research, knowledge, and information in staffing. Perhaps what we really need is education and support for innovation in operations. In looking for the holy grail of staffing solutions, focused attention will need to be placed on creating innovative care delivery models. Leaders who are tasked with developing innovative care delivery models must have a supportive environment and given time to be successful.
March 2016: Nursing Economic$
Melanie J Cozad, Lisa C Lindley, Sandra J Mixer
This study provided the first examination of staff efficiency trends among pediatric hospices. Although pediatric staff efficiency demonstrated large variability from 2002 to 2011, the general trend in efficiency from 2003 to 2010. The decline in efficiency means, on average, pediatric hospices had higher operating expenses and used more capacity, but greater amounts of these greater outputs as measured by visits per patient. The study also highlights the crucial role pediatric hospice nurse managers play in developing effective workforce strategies that allow for responsive changes to workload fluctuations...
March 2016: Nursing Economic$
Donna M Nickitas, David C Benton
No abstract text is available yet for this article.
March 2016: Nursing Economic$
Katherine L Bullard
This case study explores costs of electronic health record (EHR) implementation with the nursing super-user role in a metropolitan, not-for-profit health care system. Tapping the local pool of unemployed newly graduated nurses as half the required super-user workforce leveraged the technology skills of novice registered nurses (RNs) as trainers of experienced nurses in five hospitals. The novel workforce migrated from hospital to hospital, thereby reducing the number of experienced nurses reassigned to super-user duties in each hospital...
March 2016: Nursing Economic$
Lisiane Pruinelli, Connie W Delaney, Amy Garciannie, Barbara Caspers, Bonnie L Westra
There is a growing body of evidence of the relationship of nurse staffing to patient, nurse, and financial outcomes. With the advent of big data science and developing big data analytics in nursing, data science with the reuse of big data is emerging as a timely and cost-effective approach to demonstrate nursing value. The Nursing Management Minimum Date Set (NMMDS) provides standard administrative data elements, definitions, and codes to measure the context where care is delivered and, consequently, the value of nursing...
March 2016: Nursing Economic$
Margaret Gavigan, Therese A Fitzpatrick, Carole Miserendino
The traditional approaches to staffing and scheduling are often ineffective in assuring sufficient budgeting and deployment of staff to assure the right nurse at the right time for the right cost. As hospital merger activity increases, this exercise is further complicated by the need to rationalize staffing across multiple enterprises and standardize systems and processes. This Midwest hospital system successfully optimized staffing at the unit and enterprise levels by utilizing operations research methodologies...
March 2016: Nursing Economic$
John M Welton
No abstract text is available yet for this article.
March 2016: Nursing Economic$
Dawn M Zimmerman, Patricia House
High-fidelity simulation (HFS) education is a valuable tool for acquisition and maintenance of nursing competencies. Simulation education for new hospital nurses, who are most likely to make medication errors, is an appropriate and urgently needed application, in that the frequency and costs of inpatient medication errors are now a significant threat to both patient safety and operating budgets. Four factors, including baccalaureate preparation, that have converged to make the need for HFS education a cost-appropriate approach to the reduction of inpatient medication errors are reviewed...
January 2016: Nursing Economic$
Peter I Buerhaus, David I Auerbach, Douglas O Staiger
Since the 1970s, a number of initiatives have attempted to increase the proportion of nursing graduates with a baccalaureate degree, but with little national effect. Now market forces, health reforms, and an Institute of Medicine report (2011) have combined to transform the educational composition of the nursing workforce. Today, there are considerably more graduates of baccalaureate nursing programs than associate degree programs. The educational transformation of the nursing workforce is not limited to baccalaureate education but includes the rapidly increasing numbers of registered nurses who have earned graduate degrees...
January 2016: Nursing Economic$
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