The Role Of Nurses In Improving Hospital Quality And Efficiency: Real-World Results

Department of Health Services, School of Public Health, University of California, Los Angeles, CA, USA.
Health Affairs (Impact Factor: 4.97). 07/2009; 28(4):w625-33. DOI: 10.1377/hlthaff.28.4.w625
Source: PubMed


Discussions of hospital quality, efficiency, and nursing care often taken place independent of one another. Activities to assure the adequacy and performance of hospital nursing, improve quality, and achieve effective control of hospital costs need to be harmonized. Nurses are critical to the delivery of high-quality, efficient care. Lessons from Magnet program hospitals and hospitals implementing front-line staff-driven performance improvement programs such as Transforming Care at the Bedside illustrate how nurses and staff, supported by leadership, can be actively involved in improving both the quality and the efficiency of hospital care.

175 Reads
  • Source
    • "Reviews of hospitals and nursing units participating in the TCAB program showed that a large number of innovations were suggested, adopted, and spread, resulting in patient care improvements and high vitality and teamwork among staff (Needleman et al., 2009; Pearson et al., 2009). The TCAB program represents a powerful mechanism for improving the human capital of a health care organization (Dearmon et al., 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: The Transforming Care at the Bedside (TCAB) project engages frontline health care providers as the leaders of change and improvement efforts in their work environment. This study explored how health care providers and managers from three TCAB units in a university-affiliated health care center perceived the development of their change capacities following their involvement in this program. Method: This descriptive, qualitative study involved focus groups and individual interviews. Results: Participants learned to work as a team and to expand their outlook. They had access to processes and tools to learn new skills. New relationships also developed among the various players, and they shared new roles, which enabled them to translate the desired changes into action and make the results visible. Conclusion: The study showed the TCAB program helps develop health care providers' and managers' change capacities.
    The Journal of Continuing Education in Nursing 10/2014; 45(11):1-7. DOI:10.3928/00220124-20141023-02 · 0.52 Impact Factor
  • Source
    • "Effective and gratifying work—the satisfaction that comes from providing good quality care to patients—becomes less attainable. Although hiring more nurses can be costly, some of these costs would be offset by increased productivity , a reduction in turnover and retraining costs, and, more importantly, better patient outcomes (Dall, Chen, Seifert, Maddox, & Hogan, 2009; Jones, 2004; Needleman & Hassmiller, 2009; Rothberg, Abraham, Lindenauer, & Rose, 2005). Our intent was not to discount the importance of wage; wages are an important tool for administrators to use to attract and expand their workforce (Buerhaus, 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Research has shown that hospitals with better nurse staffing and work environments have better nurse outcomes-less burnout, job dissatisfaction, and intention to leave the job. Many studies, however, have not accounted for wage effects, which may confound findings. By using a secondary analysis with cross-sectional administrative data and a four-state survey of nurses, we investigated how wage, work environment, and staffing were associated with nurse outcomes. Logistic regression models, with and without wage, were used to estimate the effects of work environment and staffing on burnout, job dissatisfaction, and intent to leave. We discovered that wage was associated with job dissatisfaction and intent to leave but had little influence on burnout, while work environment and average patient-to-nurse ratio still have considerable effects on nurse outcomes. Wage is important for good nurse outcomes, but it does not diminish the significant influence of work environment and staffing on nurse outcomes.
    Policy Politics &amp Nursing Practice 08/2014; 15(3-4). DOI:10.1177/1527154414546868
  • [Show abstract] [Hide abstract]
    ABSTRACT: The partial least square (PLS) approach is a very important statistical modeling method which is especially useful for the modeling of complex processes with high dimension of input variables, inadequate sample data, strong correlation between the input variables, and nonlinearity. In the paper, a new PLS approach with hybrid internal models is proposed which can choose the optimal model class for each internal model. Compared with the existing PLS approaches in which only a single kind of model class is chosen for all of the different internal models, the approach proposed in the paper can effectively improve both the approximation accuracy and the prediction stability of the final model. A real example of modeling the melt index in a polypropylene production process is given to show the efficiency of the method.
    Machine Learning and Cybernetics, 2002. Proceedings. 2002 International Conference on; 02/2002
Show more


175 Reads