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The Benefits of Admission Nurses

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Whitney Jolly

on 20 November 2013

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Transcript of The Benefits of Admission Nurses

The Benefits of Admission Nurses

What's the Problem?
Implementation
Benefits:
Evaluation
Patient satisfaction:
References
Clark, C. (2009). Creative nursing leadership & management. Sudbury, MA: Jones & Bartlett Publishers.
Farquharson, B., Bell, C., Johnston, D., Jones, M., Schofield, P., Allan, J., & ... Johnston, M. (2013). Nursing stress and patient care: real-time investigation of the effect of nursing tasks and demands on psychological stress, physiological stress, and job performance: study protocol. Journal of advanced nursing, 69(10), 2327-2335. doi:10.1111/jan.12090
Hegge, M. (2013). Nightingale’s environmental theory. Nursing science quarterly, 26(3), 211- 219. doi: 10.1177.0894318413489255
Hlipala, S., Meyer, K., Wallace, T., & Zaremba, J. (2005). Profile of an admission nurse: ease patient volume and bolster staff satisfaction by filling this position. Nursing management, 36(6), 44-47. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15980733
Lane, B. S., Jackson, J., Odom, S. E., Cannella, A.S., & Hinshaw, L. (2009). Nurse satisfaction and creation of an admission, discharge, and teaching nurse position. Journal of nursing care quality, 24(2), 148-152. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19287254
Laschinger, H. K, & Leiter, M.P. (2006). The impact of nursing work environments on patient safety outcomes: The mediating role of burnout/engagement. The journal of nursing administration, 36(5), 259-267. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16705307

Background
By: Whitney Jolly, RN
Nurse burn-out:
Job dissatisfaction and stress causes nurse burn-out. Admitting patients can often time consuming and fragmented. The admission process also takes the time away from nurses that should be used to review patient orders and needs. Admission nurses would take away this unnecessary workload and documentation.
Patient safety & satisfaction:
When nurses are stressed, patients do not receive the quality care that they need. Patient needs and acuity can be over-looked due to lengthened admission process times.
Nursing:
Admission data is the root for which nurses develop and refine care plans and diagnoses. Maintaining a patient's health while completing an admission and interacting with families and physicians can be stressful and overwhelming.
Goals:
Admissions can take one to two hours to complete. Having an admission nurse can give this time back to staff nurses. The main goals of having an admission nurse are to decrease the workload and stress of the staff nurses and increasing patient safety and satisfaction.
Theories:
Florence Nightingale's Environmental Theory
The Expectancy Theory
Florence Nightingale's Environmental Theory
According to Nightingale, poor or difficult environments can lead to poor health or disease. Patients need to be put in the best conditions for nature to act on them, leaving the duty to nurses to alleviate stress, anxiety, and chaos.
The Expectancy Change Theory
The expectancy theory employs nurses to achieve an outcome based on motivational factors. This theory implies that individuals are more motivated to act when they are shown something desirable.
- Decreased stress and workload for nurses
- Increased patient safety and satisfaction
- Decreased hospital costs
Barriers:
- Inadequate staffing
- Unclear roles of staff members
Management:
- Clearly delineate roles
- Provide positive support
The use of surveys would be the most efficient way of evaluating patient satisfaction.
Staff satisfaction:
Surveys would also be useful for staff.
Monitoring costs and overtime:
The manager can track overtime use and unit costs during this process.
Admission nurse:
- 1 nurse for 8 1/2 hour shift, or 2 nurses splitting the shift
- 1 hour allotted per admission assessment
Conclusion
Decrease nurse stress
Increase patient satisfaction
Increase patient safety
Admission nurses can:
Satisfaction:
25% increase in job satisfaction
38% increase in the feeling that nurses spent enough time with hands on patient care
Mission:
Improving patient and family experience, and improving the quality and outcomes of the population’s health
Costs:
Overtime due to admission decreased by 93%
$64,000 saved on overtime costs
Averaging 9,255 hours given back to staff nurses, $201,296 in salary costs
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