The increasing number of inexperienced graduates, as well as other levels of nurse such as the enrolled nurse and assistant-in-nursing, requires health service and nursing managers in the acute care sector to rethink the long-preferred "patient allocation" model of care provision. As well, the escalating shortage of registered nurses and subsequent low morale among those remaining in the workforce require hospitals to re-examine skills mix and staffing ratios. This paper presents the results of two work-sampling studies conducted in a major metropolitan private hospital, the first of which was to provide a rationale for changing from the patient allocation model to a team model of care. The second study aimed to evaluate and provide data on the impact of the change. Staff were heavily involved in both studies as well as the change process. The findings highlight how effective the new model has been in redistributing certain aspects of care to make better use of each nurse level's knowledge and skills.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1071/ah070098 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Evidence Alone Was Not Enough to Change Practice: A Mixed-methods Analysis Using a Standardized Framework to Understand Perceptions of Barriers and Compliance to ERAS Recommendations.
J Perianesth Nurs
January 2025
Division of Abdominal Transplantation, Carolinas Medical Center, Wake Forest University School of Medicine, Atrium Health, Charlotte, NC.
Purpose: Understanding barriers to compliance can aid in mitigation strategies to address them. This study aims to quantitatively and qualitatively assess the relationship between barriers to ERAS recommendations and perceived ability to assure compliance among multidisciplinary team (MDT) members who deliver Enhanced Recovery After Surgery (ERAS) care.
Design: Embedded mixed-methods survey analysis.
Introduction: In hospital-based emergency departments, the national average of left before treatment complete was 2%. In addition, patients may leave without being seen or against medical advice and elope after arriving to the emergency department. When events occurred, they were associated with an increased length of stay for patients who were admitted to the hospital and decreased patient satisfaction.
View Article and Find Full Text PDFPitfalls in performing genome-wide association studies on ratio traits.
HGG Adv
January 2025
Insitro, South San Francisco, CA, USA.
Genome-wide association studies (GWAS) are often performed on ratios composed of a numerator trait divided by a denominator trait. Examples include body mass index (BMI) and the waist-to-hip ratio, among many others. Explicitly or implicitly, the goal of forming the ratio is typically to adjust for an association between the numerator and denominator.
View Article and Find Full Text PDF'Entanglement of nursing care': A theoretical proposition to understand the complexity of nursing work and division of labour.
Int J Nurs Stud
January 2025
NIHR Collaboration for Applied Research (Wessex), University of Southampton, Southampton, United Kingdom. Electronic address:
Ongoing challenges in the provision of care, driven by growing care complexity and nursing shortages, prompt us to reconsider the basis for efficient division of nursing labour. In organising nursing work, traditionally the focus has been on identifying nursing tasks that can be delegated to other less expensive and less highly educated staff, in order to make best use of scarce resources. We argue that nursing care activities are connected and intertwined.
View Article and Find Full Text PDFUtilizing the DiSC Assessment in Surgical Residency Leadership Training to Address Communication Skill Acquisition: A Kern Six-step Approach to Curriculum Development.
J Surg Educ
January 2025
Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey. Electronic address:
Objective: Effective communication is essential in delivering high-quality patient care, and in recent years, resident education has expanded to focus on nontechnical skills and communication training. The "Everything DiSC" model is a communication inventory tool used to help employers and employees gain insight into how an individual may communicate within a team and how others may perceive similarities and differences in communication styles, comprising of Dominance (D), Influence (i), Steadiness (S), and Conscientiousness (C). In this report, we describe our experience mapping the DiSC model to the Kern 6-step framework for curriculum development and summarize residents' feedback several years following its implementation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!