-
From Single-Payer to All-Payer: Why Vermont's Reform Efforts Matter to U.S. Nurses and Their Patients. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Betty Rambur,Jessica Holmes
In October 2016, the State of Vermont signed an unprecedented agreement (The All-Payer Accountable Care Model) with the Federal Government to completely reform how health care is delivered and paid for in Vermont. This innovative agreement builds on sweeping 2011 legislation that set Vermont on a course towards payment reform designed to eliminate the fragmentation, overtreatment, and high costs associated
-
Leveraging National Reports to Transform Ambulatory Care Practice. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Anne T Jessie,Beth Ann Swan
Multiple national reports identify actionable recommendations to transform education and practice to meet the needs of health care and healthcare delivery beyond the hospital walls. The Josiah Macy Jr. Conference (2016) focused on transforming primary care and changing healthcare culture to support expansion of roles for registered nurses (RNs). Partnerships between academia and clinical practice are
-
Enhanced RN Role in Behavioral Health Care: An Untapped Resource. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Marcella M Rutherford
Globally, an estimated 25% of individuals suffer from mental disorders. Approximately 50% of Americans will experience mental disorders in their lifetime. The cost of this U.S. mental health crisis is estimated at $444 billion per year when lost economic productivity is included, with only about one-third of the total dollars going to care itself. The generalist RN workforce is an untapped resource
-
A Partnership for Patients Initiative: Redesigning a Medical-Surgical Unit's Discharge Process to Reduce Readmissions. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 David V Thomas,Leilani A Siaki
Each year millions of people are readmitted to hospitals across the nation; many of these readmissions are preventable. Successful care coordination and transition management strategies are critical steps needed to meet Partnership for Patients goals of reducing harm and improving the quality and safety of health care. Decreasing variance in healthcare delivery can improve quality, safety, and improve
-
Policies that Restrict Full Utilization of Nurse Practitioners In Primary Care. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Catherine Moore
The nation is struggling with the challenges and inefficiencies in the current healthcare environment, the increased demand for primary care services, and growing shortage of primary care providers to meet that demand. Although nurse practitioners (NPs) are highly educated, licensed, and certified healthcare professionals who are qualified to provide primary care services, the restrictive policies
-
Succession Planning: Creating A Case for Hiring New Graduates. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Susan Jones,Cathleen M Deckers,Donna Strand,Heather Bissmeyer,Wendy Jo Wilkinson Bowman,Diane G Mathe
With an aging nursing workforce and rising patient acuity levels, healthcare institutions are challenged to meet the demand for competent nursing care Swedish Medical Center (SMC) adopted an aggressive approach for building a new graduate residency program to promote new graduates' opportunity to tap into the valuable expert knowledge and wisdom of retiring nurses. Nursing leadership chose to take
-
Does Contracting with Managed Care Organizations Remain A Barrier for Nurse Practitioners? Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Jennifer Bellot,Brian Valdez,Kristen Altdoerffer,Ylenia Quiaoit,Tanya Bronzell-Wynder,Patrick Cunningham
Upon implementation of the Affordable Care Act (ACA), many managed care organizations (MCOs) initially increased their nurse practitioner (NP) contracting. This trend has not continued, potentially frustrating ACA efforts to expand primary care provider capacity. In this study, about 25% of the responding MCOs did not contract with NPs as primary care providers. only 62.5% of respondent MCOs offering
-
Speaking Truth to Power: Implications for Nursing's Values And Voice. Nursing Economics (IF 1.2) Pub Date : 2017-03-01 Donna M Nickitas
-
-
-
-
Changing of the Guard: What's in Store for Healthcare Policy? Nursing Economics (IF 1.2) Pub Date : 2017-01-01 Patricia W Stone
Repealing the Affordable Care Act (ACA) was a promise made by President-elect Donald Trump. Altering the ACA is a complex process and it is likely to be at least 2019 before any new program would be in place completely. We can hope there will still be an emphasis on providing high-quality healthcare efficiently, which promotes healthcare institutions to use nurses to their full scope of practice.
-
-
A Case Example of a Transitional Education Program for Internationally Educated Nurses from Mexico. Nursing Economics (IF 1.2) Pub Date : 2017-01-01 Allison Squires
Internationally educated nurses migrating for work in other countries help address short and long-term staffing shortage issues. A transitional educational program was designed and implemented to prepare Mexican nurses with the competencies needed to work in any clinical setting in the United States. Through an intensive, full-time, 6-month transitional education program that included a living stipend
-
The Impact of Economic Recession On Registered Nurse Workforce Supply in California. Nursing Economics (IF 1.2) Pub Date : 2017-01-01 Byung-Kwang Yoo,Minchul Kim,Tomoko Sasaki,Debbie Ward,Joanne Spetz
The severe economic recession from December 2007 to December 2010 substantially affected registered nurse (RN) employment. The objective of this study was to determine if the association between RN workforce supply and its potential determinants differed during the period from 2008 to 2012. Older, experienced RNs were more likely to work in 2010, compared to 2008, but less likely to work in 2012 compared
-
Program Evaluation of a Nursing Workforce Intervention: The Maryland Nurse Support Program II. Nursing Economics (IF 1.2) Pub Date : 2017-01-01 Byung-Kwang Yoo,Minchul Kim,Tomoko Sasaki,Debbie Ward,Joanne Spetz
A nursing workforce initiative in Maryland sought to graduate additional nursing students to become registered nurses and to increase the number and preparation levels of nursing faculty. Between FY 2006 and FY 2015, nearly $100 million was awarded through 109 competitive institutional grants at 27 nursing programs across the state; 950 faculty received awards through fellowships, scholarships, and
-
Addressing the Cost, Value, And Student Debt in Nursing Education. Nursing Economics (IF 1.2) Pub Date : 2017-01-01 Jan Jones-Schenk,Joan Leafman,Lisa Wallace,Patricia Allen
The current initiatives to improve the academic preparation of nurses have added emphasis to the presence or prediction of thousands of dollars of debt, which may influence personal decisions about returning to school. In this study, nearly 40% of survey respondents reported less than $25,000 in college debt and 23.5% reported greater than $25,000 of prior college debt. Slightly less than a third of
-
The Economics of Palliative Care as a Human Right: A Global Action Item. Nursing Economics (IF 1.2) Pub Date : 2017-01-01 William Rosa
-
Photo Identification on a Medical-Surgical Unit Improves Communication Resulting in Positive Patient Outcomes. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Kevin Shimp,Amy Sims
Creating an environment that allows for ease of communication is imperative to meet the demands of health care that is focused on quality, safety, and outcomes. As a way to improve the communication between and identification of nursing staff by the interprofessional team, a process was created to aide in timely identification and communication between health care members. Enhanced communication can
-
Want to Create Jobs and Drive Economic Growth? Invest In Nursing and Global Health Workforce. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Stephanie L Ferguson
The High-Level Commission on Health Employment and Economic Growth was created by the United Nations to tackle the projected global shortfall of health care workers. The Commission developed recommendations addressing job creation, gender and women's rights, education, training and skills, health service delivery and organization, technology, and crises and humanitarian settings. The Commission report
-
Ambulatory Care Nurse-Sensitive Indicators Series: Patient Engagement as a Nurse-Sensitive Indicator In Ambulatory Care. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Eileen M Esposito,Catherine A Rhodes,Catherine M Besthoff,Nena Bonuel
Ambulatory care registered nurses (RNs) have a pivotal role in educating, encouraging, motivating, and supporting patients to be engaged in their care and achieve their health care goals. To improve health outcomes, patients need to be engaged in attaining these goals. RNs are instrumental in this process and well-controlled studies will demonstrate their impact on helping patient's engage in their
-
The Mediating Role of Psychological Contract Violation Between Psychological Contract Breach And Nurses' Organizational Attitudes. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Jeroen Trybou,D'haenens Maaike,D'hulst Elke,Paul Gemmel
This study draws on psychological contract theory, according to which organizational members reciprocate detrimental treatment they perceive with negative work-related attitudes and behaviors. Organizational attitudes were predicted by both breach and violation. This study demonstrates the importance of psychological contract breach and violation to nurses. Nursing administrators and leaders are advised
-
Enhancing Nurse Faculty Retention Through Quality Work Environments: A Photovoice Project. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Amanda Kirkham
The literature is rich with evidence that a nurse's work environment impacts his or her experience of factors related to turnover intent. However, one area of inquiry that has received little attention is the work environment of nursing faculty. The aim of this study was to gain an understanding of participants' lived experiences related to work environment quality and it's link with retention; use
-
Strategies for Improving Patient Throughput in an Acute Care Setting Resulting in Improved Outcomes: A Systematic Review. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Colleen Walker,Kelli Kappus,Norma Hall
Patient throughput allows for the efficient flow of patients through the hospital, ensuring timely and appropriate level of care. Evidence supports the implementation of hospital-wide patient throughput initiatives. Hospitals who have prioritized patient throughput have realized improvements in quality patient care, patient satisfaction, as well as a positive financial impact. Hospitals have implemented
-
Trends in Nursing Care Efficiency From 2007 to 2011 on Acute Nursing Units. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Ana Yankovsky,Byron J Gajewski,Nancy Dunton
Improving the efficiency of health care is a national priority. The purpose of this study was to estimate trends in the efficiency of nursing care. Specifically, the baseline and rate of change in efficiency in the association between select hospital and nursing unit characteristics (e.g., nurse staffing levels) and indicators of patient safety (e.g., fall rates and hospital-acquired pressure ulcer
-
Searching for Meaning in Times of Uncertainty. Nursing Economics (IF 1.2) Pub Date : 2016-11-01 Donna M Nickitas
-
Nurses and the Ethics of Big Data. Nursing Economics (IF 1.2) Pub Date : 2016-09-01 John M Welton
As we move toward a value-based health care system and payment models based on individual performance of providers, nurses are faced with a dilemma. Should we as a profession actively pursue the development of individual nurse performance metrics, analysis, benchmarks, and practice standards, similar to those being implemented for physicians? Or should we wait until these metrics are imposed by payers
-
Why We Should Be Paying Attention to the Evolving World Of Staffing Technology Solutions. Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Kathy S Douglas
Staffing solutions are evolving at remarkable speed. It no longer takes large, complicated, technical teams to create powerful, reliable, high-quality solutions. Today's cloud-based solutions can be implemented in hours and configured as fast as an organization can tolerate. These new, well-designed systems are highly intuitive and adopted rapidly. Data can be displayed in different ways for different
-
Election 2016: Where Are We with the Affordable Care Act? Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Deborah B Gardner
As this election campaign, like many, has been more about personality than policy, it is important to remember that positions on policy are the real substance of election outcomes. Although health care is ranking lower than other national issues in the minds of voters, it remains a vital topic. Nurses need to stay informed on this important issue, especially regarding the policy proposals from both
-
A Leadership Development Program Through Mentorship for Clinical Nurses in Turkey. Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Fahriye Vatan,Ayla Bayιk Temel
Mentoring programs can enhance nursing satisfaction, improve retention, ensure optimal patient outcomes, and may have a positive organizational effect in developing leadership skills in nursing. In this study, the effects of a formal mentoring program were explored on a sample of 18 professional nurse leaders (nine mentors and nine proteges) at a university hospital in Turkey. After receiving a formal
-
Cost Analysis of an Advanced Practice Registered Nurse Transitional Care Model for Cardiac Patients. Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Sherry M Bumpus,Barbara L Brush,Jack Wheeler,Susan J Pressler,Kim A Eagle,Melvyn Rubenfire
Interest in care transitions has intensified in light of emphasis placed on hospital readmissions. This study provides a comparative analysis of the costs of providing transitional care through a program for cardiac patients against hospital readmission costs. The advanced practice registered nurse-managed BRIDGE model reduced health care costs associated with readmissions that were in excess of program
-
Nursing Leadership in ACO Payment Reform. Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Jessica Morrison
Accountable Care Organizations (ACOs) are a promising new model for payment reform in the complex and fragmented health care system in the United States. Nursing vision and leadership are essential for the success of an organization participating in an ACO. By understanding the political, financial, and cultural facilitators and barriers to change, as well as models for helping organizations transition
-
Is There a Business Case for Nursing Home Quality Improvement? Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Kathleen Abrahamson,Heather Davila,Nancy Rehkamp,Greg Arling
Evidence supporting a relationship between costs and quality in nursing homes has been inconsistent. The Minnesota Performance-based Incentive Payment Program (PIPP) is an innovative public policy that promotes quality improvement (QI) in the state's nursing facilities. The objective of this study was to investigate the economic or business perspective surrounding QI participation by exploring nursing
-
Exploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States. Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Ulrike Muench,Susan H Busch,Jody Sindelar,Peter I Buerhaus
Research has shown male registered nurses (RNs) outearn their female colleagues by approximately $5,000 annually. The aim of this study was to explore differences in characteristics of female and male fulltime employed RNs, and to examine whether these differences help account for the female-male earnings gap in nursing. Specifically, the researchers tested whether the gender earnings gap could be
-
Policy, Politics, and the Presidential Campaign: What's at Stake for Nursing? Nursing Economics (IF 1.2) Pub Date : 2016-09-01 Donna M Nickitas
-
The Urgency of Creating a Culture of Caring: Start with You! Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Kim Richards
With the high costs associated with staff turnover, creating a culture that cares for and about nurses could be the most significant recruitment tool for a health care organization. Professional coaching, both from a leadership and retention or "caring for the caregiver" perspective, can greatly enhance opportunities for improving resilience, reenergizing and reengaging leadership and staff, and breathing
-
Ambulatory Care Nurse-Sensitive Indicators Series: Reaching for the Tipping Point in Measuring Nurse-Sensitive Quality in the Ambulatory Surgical and Procedure Environments. Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Diane Storer Brown,Harriet Udin Aronow
The value of the ambulatory care nurse remains undocumented from a quality and patient safety measurement perspective and the practice is at risk of being highly variable and of unknown quality. The American Academy of Ambulatory Care Nursing and the Collaborative Alliance for Nursing Outcomes propose nurse leaders create a tipping point to measure the value of nursing across the continuum of nursing
-
The 2016 Presidential Election: Reality vs. Myths. Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Deborah B Gardner
Politics in a democracy requires governance through debate. Nurses are an important part of the voting public and we need to assess our own anger, expectations, and values for this election. Recognizing four myths during this election season can improve the political conversation. This conversation must acknowledge different groups, interests, and opinions and then seek ways to balance or reconcile
-
Does Better Nurse Staffing Improve Detection of Depression and Anxiety As Secondary Conditions in Hospitalized Patients with Pneumonia? Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Ashley Hodgson,Dorothy Morgan,Ryan Peterson
Identifying anxiety and depression in hospital patients has important implications for the quality of care, including reducing hospital admissions, promoting patient-centered care, and improving long-term patient outcomes. Hospital admissions are important opportunities for uncovering mental illness; whether hospitals actually take advantage of these important opportunities may depend on staffing.
-
Developing Staffing Models to Support Population Health Management And Quality Oucomes in Ambulatory Care Settings. Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Sheila A Haas,Frances Vlasses,Julia Havey
There are multiple demands and challenges inherent in establishing staffing models in ambulatory heath care settings today. If health care administrators establish a supportive physical and interpersonal health care environment, and develop high-performing interprofessional teams and staffing models and electronic documentation systems that track performance, patients will have more opportunities to
-
Leadership Strategies, An Interdisciplinary Team, and Ongoing Nurse Feedback: Ingredients For a Successful BCMA Project. Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Catherine E Vanderboom,Cindy A Scherb,Robert B Kirchner,Christopher M Kohler,Jennifer J Ferrier,Marie A Stancl,Thomas W Suther,Debra L Cox
Barcode medication administration (BCMA) implementation represents a change in a complex process requiring significant modifications in the work of nurses. Nurses' voices are critical for successfully implementing BCMA technology to support this change in nursing practice. Feedback from nurses who administered medications was critical to selecting and refining a BCMA system that supported their practice
-
Hospital Value-Based Purchasing And 30-Day Readmissions: Are Hospitals Ready? Nursing Economics (IF 1.2) Pub Date : 2016-07-22 D Rob Haley,Mei Zhao,Aaron Spaulding
To better understand the relationship between a hospital's Total Performance Score (TPS) and unplanned readmissions, a multivariate linear regression analysis was used to examine the relationship between hospital TPS and readmission rates for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (PN). Hospital TPS was significantly and inversely related to AMI, HF, and PN readmission
-
Mental Health Is Population Health. Nursing Economics (IF 1.2) Pub Date : 2016-07-22 Donna M Nickitas
-
The World Health Organization Launches the 2016-2020 Global Strategic Directions for Strengthening Nursing and Midwifery. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Annette Mwansa Nkowane,Stephanie L Ferguson
The World Health Organization (WHO) Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 provide a framework to ensure nursing and midwifery interventions are developed, implemented, and evaluated at global, regional, and country levels and in partnership with key stakeholders. The Global Strategic Directions for Strengthening Nursing and Midwifery 2016-2020 supports the WHO's
-
Ambulatory Care Nurse-Sensitive Indicators Series: Starting with Low-Hanging Fruit: Proposing the Adaptation Of Health Care Measures to the Role of the Nurse in Ambulatory Care. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Rosemarie Battaglia,Rachel Start,Mary Morin
The American Academy of Ambulatory Care Nursing's Nurse-Sensitive Indicator Task Force was charged with identifying and developing meaningful measures for the ambulatory care environment. Several strategies were used to identify measures that would reflect the value of the role of the nurse in this setting. One such strategy was to conduct a comprehensive review of the health care environment as a
-
Accountability of Nursing Interventions vs. Severity of Illness Scores for the Hospital Care Cost Of Total Hip Replacement. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Mikyoung Lee,Thomas R Clancy
The main purpose of this study was to investigate the extent to which nursing care compared to severity of illness (SOI) accounted for direct hospital costs. The type, frequency, and duration of nursing interventions required for patients undergoing total hip replacement surgery by the SOI stages with independent t-tests were identified. Although patients in Stage 3 generally needed a greater amount
-
A Global Health Agenda: It Is Who We Are. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Donna M Nickitas
-
Video Monitoring to Reduce Falls And Patient Companion Costs For Adult Inpatients. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Lisbeth Votruba,Bridget Graham,Jeana Wisinski,Ayesha Syed
With increasing acuity and simultaneous pressures for optimal productivity, reducing unnecessary patient companions has been a focus for many health care organizations. At the same time, nursing leaders are seeking to accelerate improvement in patient safety, specifically the prevention of falls. This study suggests the use of remote video monitoring is a safe tool for fall prevention. While there
-
Guiding Global Nursing: An Interview with Annette Mwansa Nkowane. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Donna M Nickitas
-
Assessment of a Novel Tool for Identifying Hospitalized Patients with Heart Failure at Risk for 30-Day Readmission, High Cost, and Longer Length of Stay. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Karen Merl Banoff,Kerry Milner,Joan Rimar,Anna E Greer,Maureen Canavan
Hospitals are penalized financially for high 30-day readmission rates for specific diagnoses, including heart failure. The economic imperative exists to better manage the heart-failure population and acute care providers are in need of appropriate tools to aid in their efforts. This study was conducted to determine if the Rothman Index score may be useful to prospectively identify patients with heart
-
The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes. Nursing Economics (IF 1.2) Pub Date : 2016-07-01 Sung-Heui Bae
The Centers for Medicare & Medicaid Services (CMS) reimbursement policy identified 11 preventable adverse outcomes. Of these 11 patient outcomes, four (severe pressure ulcers, falls and trauma, catheter-associated urinary tract infections, and vascular catheter-associated infections) are considered nursing-sensitive quality outcomes that can be decreased with greater and better nursing care. A cross-sectional
-
Windows to the Future: Can the United Nations Sustainable Development Goals Provide Opportunities for Nursing? Nursing Economics (IF 1.2) Pub Date : 2016-06-09 David C Benton,Stephanie L Ferguson
Windows of opportunity are wide open for the nursing profession to actively participate and engage in the policy implementation, evaluation, and achievement of the United Nations Sustainable Development Goals. Nurses bring valuable perspectives as members of diverse governance structures and offer a range of solutions that can help governments pursue and achieve the Sustainable Development Goals and
-
A Brief Economic Analysis of the Looming Nursing Shortage In the United States. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Timothy M Snavely
The United States is projected to experience a nursing shortage in the coming years as market forces begin to shift away from equilibrium. A return to pre-recession work levels, aging baby boomers, and insufficient numbers of nursing graduates adversely affect the supply of nurses The aging population, a rise in chronic care management needs, and the Affordable Care Act will result in an increasing
-
Ambulatory Care Nurse-Sensitive Indicators Series: Capturing the Role of Nursing in Ambulatory Care--The Case for Meaningful Nurse-Sensitive Measurement. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Margaret Mastal,Ann Marie Matlock,Rachel Start
The nation has been on a quest to advance quality in providing health care services and improving patient outcomes. The challenge has been to identify and define metrics that will demonstrate improvement. Acute care settings have a fairly well-established system of quality measurement, but ambulatory care systems are in less-developed stages. Imperative to accurate quality measurement in ambulatory
-
Staff Efficiency Trends Among Pediatric Hospices, 2002-2011. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Melanie J Cozad,Lisa C Lindley,Sandra J Mixer
This study provided the first examination of staff efficiency trends among pediatric hospices. Although pediatric staff efficiency demonstrated large variability from 2002 to 2011, the general trend in efficiency from 2003 to 2010. The decline in efficiency means, on average, pediatric hospices had higher operating expenses and used more capacity, but greater amounts of these greater outputs as measured
-
Searching for the Holy Grail of Care Delivery Models. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Jennifer Mensik
Too often health care executives state the need for more research, knowledge, and information in staffing. Perhaps what we really need is education and support for innovation in operations. In looking for the holy grail of staffing solutions, focused attention will need to be placed on creating innovative care delivery models. Leaders who are tasked with developing innovative care delivery models must
-
Shifting the Curve: An Interview with David C. Benton. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Donna M Nickitas,David C Benton
-
Cost Effective Staffing for an EHR Implementation. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Katherine L Bullard
This case study explores costs of electronic health record (EHR) implementation with the nursing super-user role in a metropolitan, not-for-profit health care system. Tapping the local pool of unemployed newly graduated nurses as half the required super-user workforce leveraged the technology skills of novice registered nurses (RNs) as trainers of experienced nurses in five hospitals. The novel workforce
-
Nursing Management Minimum Data Set: Cost-Effective Tool To Demonstrate the Value of Nurse Staffing in the Big Data Science Era. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Lisiane Pruinelli,Connie W Delaney,Amy Garciannie,Barbara Caspers,Bonnie L Westra
There is a growing body of evidence of the relationship of nurse staffing to patient, nurse, and financial outcomes. With the advent of big data science and developing big data analytics in nursing, data science with the reuse of big data is emerging as a timely and cost-effective approach to demonstrate nursing value. The Nursing Management Minimum Date Set (NMMDS) provides standard administrative
-
Effective Staffing Takes a Village: Creating the Staffing Ecosystem. Nursing Economics (IF 1.2) Pub Date : 2016-06-09 Margaret Gavigan,Therese A Fitzpatrick,Carole Miserendino
The traditional approaches to staffing and scheduling are often ineffective in assuring sufficient budgeting and deployment of staff to assure the right nurse at the right time for the right cost. As hospital merger activity increases, this exercise is further complicated by the need to rationalize staffing across multiple enterprises and standardize systems and processes. This Midwest hospital system