2.50
Hdl Handle:
http://hdl.handle.net/10755/182944
Category:
Abstract
Type:
Presentation
Title:
A Nurse Staffing Approach that Supports Quality for Patients & Caregivers
Author(s):
Lee, Karen; Terrell, Anna
Author Details:
Karen Lee, MSN, RN, CNAA BC, St. Joseph Medical Center, Kansas City, Missouri, USA, email: klee@carondelet.com; Anna Terrell, MSN, RN, BC
Abstract:
Poster Presentation: To foster staff retention, organizations need to develop environments where nurses want to work. According to the Nursing Organizations Alliance (2005), "nurses want safe workplaces that promote quality health care." St. Joseph Medical Center, in Kansas City, Missouri, a magnet designated facility, developed a creative staffing model that supports a healthy work environment for nurses and supports high quality patient care. A fixed staffing model was implemented on 8 inpatient nursing. The model provides for increased RN hours of care and minimizes fluctuations for nursing staff which supports continuity of care for patients. There is increasing evidence in the literature to support the relationship between RN staffing and patient outcomes. The staffing model at SJMC was developed using the current literature, census variation data, staff input and patient outcome data from the organization. Nurse patient ratios were enhanced with a goal of 1:3 on step-down units and 1:4 on med/surgical units The staffing model has contributed to positive outcomes for staff and patients. Since the implementation of the model, the organization has seen the following results/trends: Elimination of outside labor (Agency) and premium pay program Decreased floating between units Decreased RN turnover rates Increased patient satisfaction with nursing care Decreased medication errors The CNO of the organization was able to utilize current research in the literature and analysis of the current state at the organization to develop the "business" case for hiring additional RNs. The return on this investment is evident in the outcomes to date. According to the Nursing Organizations Alliance, "nurses want safe workplaces that promote quality health care." To that end, the Alliance identified 9 principles to help foster staff retention. St. Joseph Medical Center, in Kansas City, Missouri a magnet designated facility, listened to feedback from patients and staff nurses and developed a staffing model that addresses two key principles: Presence of adequate numbers of qualified nurses and the presence of expert, competent, credible visible leadership. A fixed staffing model was implemented on 8 inpatient nursing units using census variation data, quality outcome measures and the increasing evidence in literature (Aiken, to support that the number of RNs does impact patient outcomes. The staffing model has contributed to positive outcomes for staff and patients. Since the implementation of the model, the organization has seen the following results: Elimination of outside labor (Agency) and incentive pay program Hired Decreased floating Increased patient satisfaction with nursing care Decreased RN turnover. References: American Nurses Association. Nursing Quality Indicators: Guide for implementation. 2nd edition. Washington DC. American Nurse's Association; 1999. Needleman, J; et al; 2006, Nurse Staffing in Hospitals: Is there a business case for quality? Health Affairs (25,1) 204-211. Principles and elements of a helpful practice and work environment. (2005), Source: The Nursing Organizations Alliance. Hodge, B, et al. (2002). Developing Indicators of Nursing Quality to Evaluate Nurse Staffing Ratios. JONA (32,6) 338-345.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleA Nurse Staffing Approach that Supports Quality for Patients & Caregiversen_GB
dc.contributor.authorLee, Karenen_US
dc.contributor.authorTerrell, Annaen_US
dc.author.detailsKaren Lee, MSN, RN, CNAA BC, St. Joseph Medical Center, Kansas City, Missouri, USA, email: klee@carondelet.com; Anna Terrell, MSN, RN, BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/182944-
dc.description.abstractPoster Presentation: To foster staff retention, organizations need to develop environments where nurses want to work. According to the Nursing Organizations Alliance (2005), "nurses want safe workplaces that promote quality health care." St. Joseph Medical Center, in Kansas City, Missouri, a magnet designated facility, developed a creative staffing model that supports a healthy work environment for nurses and supports high quality patient care. A fixed staffing model was implemented on 8 inpatient nursing. The model provides for increased RN hours of care and minimizes fluctuations for nursing staff which supports continuity of care for patients. There is increasing evidence in the literature to support the relationship between RN staffing and patient outcomes. The staffing model at SJMC was developed using the current literature, census variation data, staff input and patient outcome data from the organization. Nurse patient ratios were enhanced with a goal of 1:3 on step-down units and 1:4 on med/surgical units The staffing model has contributed to positive outcomes for staff and patients. Since the implementation of the model, the organization has seen the following results/trends: Elimination of outside labor (Agency) and premium pay program Decreased floating between units Decreased RN turnover rates Increased patient satisfaction with nursing care Decreased medication errors The CNO of the organization was able to utilize current research in the literature and analysis of the current state at the organization to develop the "business" case for hiring additional RNs. The return on this investment is evident in the outcomes to date. According to the Nursing Organizations Alliance, "nurses want safe workplaces that promote quality health care." To that end, the Alliance identified 9 principles to help foster staff retention. St. Joseph Medical Center, in Kansas City, Missouri a magnet designated facility, listened to feedback from patients and staff nurses and developed a staffing model that addresses two key principles: Presence of adequate numbers of qualified nurses and the presence of expert, competent, credible visible leadership. A fixed staffing model was implemented on 8 inpatient nursing units using census variation data, quality outcome measures and the increasing evidence in literature (Aiken, to support that the number of RNs does impact patient outcomes. The staffing model has contributed to positive outcomes for staff and patients. Since the implementation of the model, the organization has seen the following results: Elimination of outside labor (Agency) and incentive pay program Hired Decreased floating Increased patient satisfaction with nursing care Decreased RN turnover. References: American Nurses Association. Nursing Quality Indicators: Guide for implementation. 2nd edition. Washington DC. American Nurse's Association; 1999. Needleman, J; et al; 2006, Nurse Staffing in Hospitals: Is there a business case for quality? Health Affairs (25,1) 204-211. Principles and elements of a helpful practice and work environment. (2005), Source: The Nursing Organizations Alliance. Hodge, B, et al. (2002). Developing Indicators of Nursing Quality to Evaluate Nurse Staffing Ratios. JONA (32,6) 338-345.en_GB
dc.date.available2011-10-28T15:47:14Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:47:14Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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