2.50
Hdl Handle:
http://hdl.handle.net/10755/246291
Category:
Abstract
Type:
Research Study
Title:
Development of a Unit Level Nurse Surveillance Capacity Profile
Author(s):
Pogacar, Becky; Bobay, Kathleen
Lead Author STTI Affiliation:
Eta Nu
Author Details:
Becky Pogacar, MS, RN, NEA-BC; Email: Becky.Pogacar@aurora.org
Abstract:

Objectives:  The purpose of this study was to test a unit level Nurse Surveillance Capacity Profile (Kutney-Lee, Lake, & Aiken, 2009), modified by the addition of actual administrative data and measured at the unit level, in a multi-hospital system. 

Subject Population:  Seventeen nursing units from four Midwestern hospitals were included according to the unit’s classification as Medical or Surgical by definition of the National Database of Nursing Quality Indicators.

Methods:  This cross-sectional, descriptive study included a comparative analysis of unit level ordinal and scale data from seventeen nursing units and four hospitals, obtained from administrative databases and the Practice Environment Scale (PES) (Lake, 2002), to assess variables representing nurse surveillance capacity.

Findings:  There were no significant differences in pressure ulcer or fall rates between the highest to lowest percentile nurse surveillance rankings when clustered by unit type.  There was a significant relationship between the PES domains of nurse perception of staffing and resource adequacy and fall rate (p = .04) and nurse perception of nurse-physician collegiality and pressure ulcer rate (p = .005).  In the all unit comparisons, the 25th percentile nurse surveillance capacity group scored significantly lower than the 75th percentile group for the PES staffing and resource adequacy domain (p = .03). 

Conclusions:  These data demonstrate the difficulty in formulating a quantitative composite profile within the context of the complex sub-system of a nursing unit. Further research is needed to determine valid unit, RN, and patient level indicators which reliably measure nurse surveillance capacity at the unit level.    

Keywords:
surveillance; Administration; Quality of care
Repository Posting Date:
28-Sep-2012
Date of Publication:
28-Sep-2012
Sponsors:
Sigma Theta Tau International
Note:
The Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the STTI grant. No further peer-review has taken place upon the completion of the STTI grant final report and its appearance in this repository.; 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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryAbstracten
dc.typeResearch Studyen
dc.titleDevelopment of a Unit Level Nurse Surveillance Capacity Profileen_US
dc.contributor.authorPogacar, Becky-
dc.contributor.authorBobay, Kathleen-
dc.contributor.departmentEta Nuen
dc.author.detailsBecky Pogacar, MS, RN, NEA-BC; Email: Becky.Pogacar@aurora.orgen
dc.identifier.urihttp://hdl.handle.net/10755/246291-
dc.description.abstract<p class="MsoNormal" style="margin: 0in 0in 10pt; line-height: normal;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">Objectives:<span style="mso-spacerun: yes;">  </span></span></strong><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">The purpose of this study was to test a unit level Nurse Surveillance Capacity Profile </span><span style="font-size: 12pt; font-family: 'Times New Roman','serif';"><span style="mso-no-proof: yes;">(Kutney-Lee, Lake, & Aiken, 2009)</span></span><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">, modified by the addition of actual administrative data and measured at the unit level, in a multi-hospital system.<span style="mso-spacerun: yes;">  </span></span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt; line-height: normal;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">Subject Population</span></strong><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">:<span style="mso-spacerun: yes;">  </span>Seventeen nursing units from four Midwestern hospitals were included according to the unit’s classification as Medical or Surgical by definition of the National Database of Nursing Quality Indicators.</span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt; line-height: normal;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">Methods:</span></strong><span style="font-size: 12pt; font-family: 'Times New Roman','serif';"><span style="mso-spacerun: yes;">  </span>This cross-sectional, descriptive study included a comparative analysis of unit level ordinal and scale data from seventeen nursing units and four hospitals, obtained from administrative databases and the Practice Environment Scale (PES) (Lake, 2002), to assess variables representing nurse surveillance capacity.</span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt; line-height: normal;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">Findings:<span style="mso-spacerun: yes;">  </span></span></strong><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">There were no significant differences in pressure ulcer or fall rates between the highest to lowest percentile nurse surveillance rankings when clustered by unit type.<span style="mso-spacerun: yes;">  </span>There was a significant relationship between the PES domains of nurse perception of staffing and resource adequacy and fall rate (<em style="mso-bidi-font-style: normal;">p </em>= .04) and nurse perception of nurse-physician collegiality and pressure ulcer rate (<em style="mso-bidi-font-style: normal;">p </em>= .005).<span style="mso-spacerun: yes;">  </span>In the all unit comparisons, the 25<sup>th</sup> percentile nurse surveillance capacity group scored significantly lower than the 75<sup>th</sup> percentile group for the PES staffing and resource adequacy domain (<em style="mso-bidi-font-style: normal;">p</em> = .03).<span style="mso-spacerun: yes;">  </span><strong style="mso-bidi-font-weight: normal;"></strong></span></p> <p class="MsoNormal" style="margin: 0in 0in 10pt; line-height: normal;"><strong style="mso-bidi-font-weight: normal;"><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">Conclusions:<span style="mso-spacerun: yes;">  </span></span></strong><span style="font-size: 12pt; font-family: 'Times New Roman','serif';">These data demonstrate the difficulty in formulating a quantitative composite profile within the context of the complex sub-system of a nursing unit. Further research is needed to determine valid unit, RN, and patient level indicators which reliably measure nurse surveillance capacity at the unit level.<span style="mso-spacerun: yes;">     </span><strong style="mso-bidi-font-weight: normal;"></strong></span></p>en_GB
dc.subjectsurveillanceen_GB
dc.subjectAdministrationen_GB
dc.subjectQuality of careen_GB
dc.date.available2012-09-28T18:38:06Z-
dc.date.issued2012-09-28-
dc.date.accessioned2012-09-28T18:38:06Z-
dc.description.sponsorshipSigma Theta Tau Internationalen
dc.description.noteThe Sigma Theta Tau International grant application that funded this research, in whole or in part, was completed by the applicant and peer-reviewed prior to the award of the STTI grant. No further peer-review has taken place upon the completion of the STTI grant final report and its appearance in this repository.en
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.-
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