2.50
Hdl Handle:
http://hdl.handle.net/10755/290995
Category:
Abstract
Type:
Presentation
Title:
Team Nursing: Does It Work?
Author(s):
Wagoner, Chasity Ann; Smith DeHart, Christina; Callicutt, Dale
Lead Author STTI Affiliation:
Non-member
Author Details:
Chasity Ann Wagoner, ADN, RN, fawgirl@gmail.com; Dale Callicutt, BSN, CCRN, RN-BC; Christina Smith DeHart, ADN, RN, CMSRN
Abstract:

Poster presented on Friday, April 12, 2013, Saturday, April 13, 2013

Nursing care delivery models must transform to meet the challenges of affordable, high quality healthcare while preparing for future shortages and decreased reimbursement. In comparison to other Magnet hospitals, it was determined that current staffing was not adequate to support the acuity demands of our 48-bed progressive care unit. The concept of a team nursing approach was suggested to see if patient care outcomes and employee satisfaction could be positively impacted.

The team approach had a positive impact on patient care outcomes and the work environment.  The staff was actively involved in the creation of the model and the division of the workload.  Staff decided not to establish guidelines for workload divisions, but team members were to decide workload distribution. In this comparison trial, the nursing unit was divided into two sections. In the control section, staffing was based upon usual productivity and staffing guidelines. In the experimental section, assignments involved a team approach in the delivery of care. Various employee and patient outcomes were the dependent variables and measured by a collection tool developed by staff.

Results indicated an overwhelming response for the team nursing approach. Employees demonstrated cohesiveness whereas patients commented on how nurses seemed to be functioning collaboratively as a unified team. Nurses reported efficiency in shift documentation assessments times earlier. Pain re-assessment times improved from 60% to 72%. As for employee satisfaction, meal breaks occurred more frequently as 100% of team members received meal breaks. Staff rated that team members functioned very well together. Other results demonstrated improvements compared to the control model: documentation of patient individualized goals (93% versus 77%), medication reconciliation assistance (69% versus 38%), glucose management assistance (94% versus 63%), and admission/discharges/transfers assistance (76% versus 36%).

The data continues to show significant improvement in the work environment and outcome measures.

Keywords:
Team nursing; Delivery of care; Employee satisfaction
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the 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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleTeam Nursing: Does It Work?en_GB
dc.contributor.authorWagoner, Chasity Annen_GB
dc.contributor.authorSmith DeHart, Christinaen_GB
dc.contributor.authorCallicutt, Daleen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsChasity Ann Wagoner, ADN, RN, fawgirl@gmail.com; Dale Callicutt, BSN, CCRN, RN-BC; Christina Smith DeHart, ADN, RN, CMSRNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/290995-
dc.description.abstract<p>Poster presented on Friday, April 12, 2013, Saturday, April 13, 2013</p>Nursing care delivery models must transform to meet the challenges of affordable, high quality healthcare while preparing for future shortages and decreased reimbursement. In comparison to other Magnet hospitals, it was determined that current staffing was not adequate to support the acuity demands of our 48-bed progressive care unit. The concept of a team nursing approach was suggested to see if patient care outcomes and employee satisfaction could be positively impacted. <p>The team approach had a positive impact on patient care outcomes and the work environment.&nbsp; The staff was actively involved in the creation of the model and the division of the workload.&nbsp; Staff decided not to establish guidelines for workload divisions, but team members were to decide workload distribution.&nbsp;In this comparison trial, the nursing unit was divided into two sections. In the control section, staffing was based upon usual productivity and staffing guidelines. In the experimental section, assignments involved a team approach in the delivery of care. Various employee and patient outcomes were the dependent variables and measured by a collection tool developed by staff. <p>Results indicated an overwhelming response for the team nursing approach. Employees demonstrated cohesiveness whereas patients commented on how nurses seemed to be functioning collaboratively as a unified team. Nurses reported efficiency in shift documentation assessments times earlier. Pain re-assessment times improved from 60% to 72%. As for employee satisfaction, meal breaks occurred more frequently as 100% of team members received meal breaks. Staff rated that team members functioned very well together. Other results demonstrated improvements compared to the control model:&nbsp;documentation of patient individualized goals (93% versus 77%), medication reconciliation assistance (69% versus 38%), glucose management assistance (94% versus 63%), and admission/discharges/transfers assistance (76% versus 36%). <p>The data continues to show significant improvement in the work environment and outcome measures.en_GB
dc.subjectTeam nursingen_GB
dc.subjectDelivery of careen_GB
dc.subjectEmployee satisfactionen_GB
dc.date.available2013-05-13T10:24:20Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:24:20Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the 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.en_GB
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