Issues of Nurse Work Complexity: Implications for Implementation of Evidence-based Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/159654
Type:
Presentation
Title:
Issues of Nurse Work Complexity: Implications for Implementation of Evidence-based Practice
Abstract:
Issues of Nurse Work Complexity: Implications for Implementation of Evidence-based Practice
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Ebright, Patricia, DNS, MSN, BSN, RN
P.I. Institution Name:Indiana University
Title:Assistant Professor
Contact Address:School of Nursing, 1111 Middle Drive, Indianapolis, IN, 46202, USA
Contact Telephone:317-274-7912
The ability of registered nurses (RNs) to manage information
effectively, including the implementation of evidence-based practices for
safe patient care and quality outcomes, is challenged by an increasingly
complex healthcare environment. This paper will review findings from four
studies that describe: 1) the complexity of RN work in acute care and
outpatient settings, 2) differences in factors driving expert versus
novice decisions, 3) and important considerations in the planning for
introduction of evidence-based practices. Using human factors and work
complexity frameworks for each of the small mixed method studies, multiple
human and environmental factors in addition to clinical knowledge have
been found to influence RN decisions regarding care management. Study
samples included experienced medical surgical RNs, new graduates with less
than one year of experience, critical care RNs, and outpatient clinic RNs.
Time pressures, uncertain information, conflicting goals, high stakes,
stress, and dynamic conditions such as variable staffing, high acuity, and
unpredictability have been found in each of the studies. RNs were
challenged in each of the studies to access, sort, and critically analyze
pertinent data for rapid and appropriate decision making that did, or
might, affect clinical outcomes and patient safety. Understanding how RNs
manage their work, and how the introduction of additional information,
processes and/or procedures have the potential to change that work, have
important implications for the design and successful implementation of
evidence-based practices.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIssues of Nurse Work Complexity: Implications for Implementation of Evidence-based Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159654-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Issues of Nurse Work Complexity: Implications for Implementation of Evidence-based Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ebright, Patricia, DNS, MSN, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Indiana University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 1111 Middle Drive, Indianapolis, IN, 46202, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">317-274-7912</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">prebrigh@iupui.edu</td></tr><tr><td colspan="2" class="item-abstract">The ability of registered nurses (RNs) to manage information <br/> effectively, including the implementation of evidence-based practices for <br/> safe patient care and quality outcomes, is challenged by an increasingly <br/> complex healthcare environment. This paper will review findings from four <br/> studies that describe: 1) the complexity of RN work in acute care and <br/> outpatient settings, 2) differences in factors driving expert versus <br/> novice decisions, 3) and important considerations in the planning for <br/> introduction of evidence-based practices. Using human factors and work <br/> complexity frameworks for each of the small mixed method studies, multiple <br/> human and environmental factors in addition to clinical knowledge have <br/> been found to influence RN decisions regarding care management. Study <br/> samples included experienced medical surgical RNs, new graduates with less <br/> than one year of experience, critical care RNs, and outpatient clinic RNs. <br/> Time pressures, uncertain information, conflicting goals, high stakes, <br/> stress, and dynamic conditions such as variable staffing, high acuity, and <br/> unpredictability have been found in each of the studies. RNs were <br/> challenged in each of the studies to access, sort, and critically analyze <br/> pertinent data for rapid and appropriate decision making that did, or <br/> might, affect clinical outcomes and patient safety. Understanding how RNs <br/> manage their work, and how the introduction of additional information, <br/> processes and/or procedures have the potential to change that work, have <br/> important implications for the design and successful implementation of <br/> evidence-based practices.</td></tr></table>en_GB
dc.date.available2011-10-26T22:12:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:12:46Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.