Relationship of Delegation and Continuity of Care to Workload amongst Nursing Staff

2.50
Hdl Handle:
http://hdl.handle.net/10755/149473
Type:
Presentation
Title:
Relationship of Delegation and Continuity of Care to Workload amongst Nursing Staff
Abstract:
Relationship of Delegation and Continuity of Care to Workload amongst Nursing Staff
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Nelson, John, RN, BSN, MS
P.I. Institution Name:Healthcare Environment, Inc
Title:President
Co-Authors:Alice P. Weydt, RN, BSN, MS; Gina Bufe, RN, PhD
[Scientific Session Presentation] A quality improvement project was initiated at the unit level within a Relationship-Based Care project in 35 patient care units within a tertiary care setting in upper Manhattan, New York.  The purpose of this project was to refine patient care delivery while concurrently improving the work environment for nursing staff. Staff from each of the 35 units participated in identifying the type and number of interventions routinely performed in their respective unit using a process called Work Complexity Assessment (WCA).  Nursing Interventions Classification (NIC) was used to categorize levels of care intensity and parameters for delegation within licensure.  Resulting data from the WCA were combined with unit level data derived from the Nursing Management Minimum Data Set (NMMDS) and the Healthcare Environment Survey (HES).  The NMMDS and HES are psychometrically tested tools that collect data for qualtiy indicators and job satisfaction, respectively. Correlation analysis of the WCA data with the NMMDS and HES data revealed units that had the most activity that did not require the licensure of a registered nurse had the most frustration with workload.  Stepwise regression analysis revealed that 66% of workload was predicated by the nurse being able to take care of the same pateint from admission to discahrge from their respective unit. Using data that is derived from staff, facilitates valid and accurate data for refinement of the organization.  In addition, using tools that complement one another in areas of acuity assessment, nurse sensitive indicators, and job satisfaction of nursing staff facilitates development of models that are specific for unit level research, action planning, and refinement.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRelationship of Delegation and Continuity of Care to Workload amongst Nursing Staffen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149473-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Relationship of Delegation and Continuity of Care to Workload amongst Nursing Staff</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Nelson, John, RN, BSN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Healthcare Environment, Inc</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">President</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jn@hcenvironment.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Alice P. Weydt, RN, BSN, MS; Gina Bufe, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Scientific Session Presentation] A quality improvement project was initiated at the unit level within a Relationship-Based Care project in 35 patient care units within a tertiary care setting in upper Manhattan, New York.&nbsp; The purpose of this project was to refine patient care delivery while concurrently improving the work environment for nursing staff. Staff from each of the 35 units participated in identifying the type and number of interventions routinely performed in their respective unit using a process called Work Complexity Assessment (WCA).&nbsp; Nursing Interventions Classification (NIC) was used to categorize levels of care intensity and parameters for delegation within licensure.&nbsp; Resulting data from the WCA were combined with unit level data derived from the Nursing Management Minimum Data Set (NMMDS) and the Healthcare Environment Survey (HES).&nbsp; The NMMDS and HES are psychometrically tested tools that collect data for qualtiy indicators and job satisfaction, respectively. Correlation analysis of the WCA data with the NMMDS and HES data revealed units that had the most activity that did not require the licensure of a registered nurse had the most frustration with workload.&nbsp; Stepwise regression analysis revealed that 66% of workload was predicated by the nurse being able to take care of the same pateint from admission to discahrge from their respective unit. Using data that is derived from staff, facilitates valid and accurate data for refinement of the organization.&nbsp; In addition, using tools that complement one another in areas of acuity assessment, nurse sensitive indicators, and job satisfaction of nursing staff facilitates development of models that are specific for unit level research, action planning, and refinement.</td></tr></table>en_GB
dc.date.available2011-10-26T10:03:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:03:08Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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