From Evidence to Practice: Developing an Outpatient Acuity-Based Staffing Model

2.50
Hdl Handle:
http://hdl.handle.net/10755/151901
Type:
Presentation
Title:
From Evidence to Practice: Developing an Outpatient Acuity-Based Staffing Model
Abstract:
From Evidence to Practice: Developing an Outpatient Acuity-Based Staffing Model
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Vortherms, Jane E., MHA, RN, OCN
P.I. Institution Name:St. Cloud Hospital
Title:Department Director, St. Cloud Hospital Coborn Cancer Center
21st INRC [Evidence-Based Practice Presentation] Problem was non-existent reliable and valid outpatient acuity/complexity-based staffing system. Staffing inefficiency contributing influences were: unpredictable patient flow; treatment regimen complexity; physician practice variation, and supporting department delays. Goal was development and implementation of an Evidence-Based acuity staffing method maximizing patient safety and staff satisfaction, with staff-perceived workload distribution equity and decreased workload-related reduced staff hours. Strength of evidence for 34 articles and 4 additional supporting documents was reviewed. Two meta-analyses, 2 cohort studies, 3 case-control studies, 13 case reports, and 14 opinions demonstrated moderate to strong evidence supporting development of an acuity-based staffing tool for our outpatient Chemo-Infusion department. Evidence indicated that Nursing assignments contribute to patient flow efficiency and that utilizing nurse-sensitive indicators could enhance staffing. Adverse drug events, fall rates, overtime, sick time, turnover, patient satisfaction, employee engagement, and patient wait times were evaluated. Acuity points were established. Education was provided for all staff. A 6-month trial with a control group (patients assigned as roomed), and pilot group (maximum patient acuity points/nurse). All staff rotated through both groups with comparison of inter-group acuity scores. Resultant changes: assignment of support, rapid response and lab staff, scheduled.
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.titleFrom Evidence to Practice: Developing an Outpatient Acuity-Based Staffing Modelen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151901-
dc.description.abstract<table><tr><td colspan="2" class="item-title">From Evidence to Practice: Developing an Outpatient Acuity-Based Staffing Model</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">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Vortherms, Jane E., MHA, RN, OCN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Cloud Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Department Director, St. Cloud Hospital Coborn Cancer Center</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vorthermsj@centracare.com</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Evidence-Based Practice Presentation] Problem was non-existent reliable and valid outpatient acuity/complexity-based staffing system. Staffing inefficiency contributing influences were: unpredictable patient flow; treatment regimen complexity; physician practice variation, and supporting department delays. Goal was development and implementation of an Evidence-Based acuity staffing method maximizing patient safety and staff satisfaction, with staff-perceived workload distribution equity and decreased workload-related reduced staff hours. Strength of evidence for 34 articles and 4 additional supporting documents was reviewed. Two meta-analyses, 2 cohort studies, 3 case-control studies, 13 case reports, and 14 opinions demonstrated moderate to strong evidence supporting development of an acuity-based staffing tool for our outpatient Chemo-Infusion department. Evidence indicated that Nursing assignments contribute to patient flow efficiency and that utilizing nurse-sensitive indicators could enhance staffing. Adverse drug events, fall rates, overtime, sick time, turnover, patient satisfaction, employee engagement, and patient wait times were evaluated. Acuity points were established. Education was provided for all staff. A 6-month trial with a control group (patients assigned as roomed), and pilot group (maximum patient acuity points/nurse). All staff rotated through both groups with comparison of inter-group acuity scores. Resultant changes: assignment of support, rapid response and lab staff, scheduled.</td></tr></table>en_GB
dc.date.available2011-10-26T11:17:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:17:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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