Physical activity and sedentary behaviour in a residential aged care facility.

Objective: To evaluate sedentary behaviour and physical activity levels in independently mobile older adults with and without dementia living in residential aged care.

Methods: Sedentary behaviour and physical activity were measured in 37 residents of an aged care facility using an accelerometer worn during waking hours for five days.

Results: Participants with valid accelerometer data (n = 28) spent 85% of the time sedentary, and 12% in low-intensity, 2% in light-intensity and 1% in moderate-to-vigorous-intensity physical activity.

Accelerating Innovation Through Coopetition: The Innovation Learning Network Experience.

Coopetition, the simultaneous pursuit of cooperation and competition, is a growing force in the innovation landscape. For some organizations, the primary mode of innovation continues to be deeply secretive and highly competitive, but for others, a new style of shared challenges, shared purpose, and shared development has become a superior, more efficient way of working to accelerate innovation capabilities and capacity. Over the last 2 decades, the literature base devoted to coopetition has gradually expanded.

Multistate Approach to Preparing Registered Nurses: How 3 Nurse Executives Shaped a New Nursing Education Model.

A new model for educating baccalaureate nurses emerged from the needs of employers and came to fruition through a unique partnership resulting in the development of the 1st competency-based, asynchronous single-curriculum prelicensure program in the United States. Three nurse executives championed the design and implementation of the multistate approach to preparing RNs (MAP RN) program. The nationally accredited program has been initiated in 5 states.

A nursing information model process for interoperability.

The ability to share nursing data across organizations and electronic health records is a key component of improving care coordination and quality outcomes. Currently, substantial organizational and technical barriers limit the ability to share and compare essential patient data that inform nursing care. Nursing leaders at Kaiser Permanente and the U.

Excellence and evidence in staffing: a data-driven model for excellence in staffing (2nd edition).

The Patient Protection and Affordable Care Act (PPACA, 2010) and the Institute of Medicine's (IOM, 2011) Future of Nursing report have prompted changes in the U.S. health care system.

Ambulatory care registered nurse performance measurement.

On March 1-2, 2010, a state-of-the-science invitational conference titled "Ambulatory Care Registered Nurse Performance Measurement" was held to focus on measuring quality at the RN provider level in ambulatory care. The conference was devoted to ambulatory care RN performance measurement and quality of health care. The specific emphasis was on formulating a research agenda and developing a strategy to study the testable components of the RN role related to care coordination and care transitions, improving patient outcomes, decreasing health care costs, and promoting sustainable system change.

A proclamation for change: transforming the hospital patient care environment.

Mounting evidence describes inefficiencies in the hospital work environment that threaten the safety and sustainability of care. In response to these concerns, diverse experts convened to create a set of evidence-based recommendations for the transformation of the hospital work environment. The resulting Proclamation for Change, now endorsed by multiple health systems and professional and consumer organizations, cites patient-centered design, systemwide integrated technology, seamless workplace environments, and vendor partnerships as the cornerstones of transformational change.

Unit-related factors that affect nursing time with patients: spatial analysis of the time and motion study.

Objective: The primary goal of this study was to test the hypothesis that nurses adopt distinct movement strategies based on features of unit topology and nurse assignments. The secondary goal was to identify aspects of unit layout or organization that influence the amount of time nurses spend in the patient room.

Background: Previous research has demonstrated a link between nursing hours and patient outcomes.

A 36-hospital time and motion study: how do medical-surgical nurses spend their time?

Context: Nurses are the primary hospital caregivers. Increasing the efficiency and effectiveness of nursing care is essential to hospital function and the delivery of safe patient care.

Objective: We undertook a time and motion study to document how nurses spend their time.