Dynamic Patient Events: Impact on Nursing Workload, Staffing, Adverse Events and Omissions of Nursing Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/308721
Category:
Abstract
Type:
Presentation
Title:
Dynamic Patient Events: Impact on Nursing Workload, Staffing, Adverse Events and Omissions of Nursing Care
Author(s):
Chipps, Esther M.; Moore, Valerie
Lead Author STTI Affiliation:
Epsilon
Author Details:
Esther M. Chipps, PhD, RN, esther.chipps@osumc.edu; Valerie Moore, MS, RN
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Hospitals are leveraging new technologies to efficiently and effectively evaluate workload and determine staffing solutions. Dynamic patient events (DPE) are defined as defined as rapid and unanticipated changes in patient’s clinical status or nursing care needs that result in very sudden shifts in nursing workload. To date, there has been no research which has examined the impact of unanticipated dynamic patient events (DPE) on patient care units in relation to nursing workload and staffing plans.  The purpose of this study is to:

1        Determine the impact of dynamic patient events on nursing workload and nursing staffing  plans by using staffing decision support technology.

2        Examine the relationships between dynamic patient events, commissions of adverse patient care events, and omissions in nursing care.

3        Characterize a profile of patients who require additional unanticipated nursing care, including age, diagnoses, and acuity at the time of the event.

4        Describe nurses’ perceptions of workflow disruption and its impact on patient care following dynamic patient events.

A cross-sectional approach will be used for Aims 1-3.  During the designated study period, DPE events will be entered into the Cerner ClairviaTM system and workloads  will be recalculated to capture these DPE . Other measures collected from the Cerner ClairviaTM system include overall unit acuity target, actual scheduled staff for the shift, variance in staffing, percent utilization of staff, and average unit acuity. Following each shift, additional data collected includes the missed nursing care and adverse events. A qualitative approach will be used for Aim 4.  A purposive sample RNs on selected medical surgical units will participate in a series of focus groups. Using a semi-structured interview, nurses in focus groups will be asked about their experiences of dynamic patient events, their perceptions of how these events influence patient outcomes, and how these events change nursing workflow.

 

Keywords:
Patient Safety; Nursing Workload
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDynamic Patient Events: Impact on Nursing Workload, Staffing, Adverse Events and Omissions of Nursing Careen_GB
dc.contributor.authorChipps, Esther M.en_GB
dc.contributor.authorMoore, Valerieen_GB
dc.contributor.departmentEpsilonen_GB
dc.author.detailsEsther M. Chipps, PhD, RN, esther.chipps@osumc.edu; Valerie Moore, MS, RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308721-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Hospitals are leveraging new technologies to efficiently and effectively evaluate workload and determine staffing solutions. <i>Dynamic patient events</i> (DPE) are defined as defined as rapid and unanticipated changes in patient’s clinical status or nursing care needs that result in very sudden shifts in nursing workload. To date, there has been no research which has examined the impact of unanticipated <i>dynamic patient events</i> (DPE) on patient care units in relation to nursing workload and staffing plans.  The purpose of this study is to:<sup></sup><p>1        Determine the impact of <i>dynamic patient events</i> on nursing workload and nursing staffing  plans by using staffing decision support technology. <p>2        Examine the relationships between <i>dynamic patient events</i>, commissions of adverse patient care events, and omissions in nursing care. <p>3        Characterize a profile of patients who require additional unanticipated nursing care, including age, diagnoses, and acuity at the time of the event. <p>4        Describe nurses’ perceptions of workflow disruption and its impact on patient care following <i>dynamic patient events.</i><p>A cross-sectional approach will be used for Aims 1-3.  During the designated study period, DPE events will be entered into the Cerner Clairvia<sup>TM</sup> system and workloads  will be recalculated to capture these DPE . Other measures collected from the Cerner Clairvia<sup>TM</sup> system include overall unit acuity target, actual scheduled staff for the shift, variance in staffing, percent utilization of staff, and average unit acuity. Following each shift, additional data collected includes the missed nursing care and adverse events. A qualitative approach will be used for Aim 4.  A purposive sample RNs on selected medical surgical units will participate in a series of focus groups. Using a semi-structured interview, nurses in focus groups will be asked about their experiences of <i>dynamic patient events,</i> their perceptions of how these events influence patient outcomes, and how these events change nursing workflow. <p><b> </b>en_GB
dc.subjectPatient Safetyen_GB
dc.subjectNursing Workloaden_GB
dc.date.available2013-12-19T17:35:12Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:35:12Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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