Mandating reliable nurse staffing systems

28-Jan-2015 00:36 by 9 Comments

Mandating reliable nurse staffing systems

This report shall be presented to the chairs and ranking minority members of the Health and Human Services Committees in the House of Representatives and the Senate by January 15, 2015.” “At this point, available studies do not prove causal relationship, or indicate that changes in patient outcomes are solely the result of nurse staffing decisions; they also do not identify points at which staffing levels become unsafe or begin to have negative effects on outcomes.” Further, the report states: “While the literature has demonstrated the correlation between nurse staffing volumes and certain outcomes, it has not yet established an increase in nurse volume will inevitable product [sic] changes in outcomes – or the pretense of a causal relationship. “…there have been no randomized controlled trials or studies using random assignment of nurse staffing levels to certain hospitals to study patient outcomes.

Numerous studies reveal an association between higher levels of experienced RN staffing and lower rates of adverse patient outcomes.

“This was such exciting work since about 80 percent of the whiteboards will now look exactly the same across all non-ICU adult units,” Marge says.

“This is an important tool to help care providers across disciplines enhance communications with the patient and family.” Across Fairview, inpatient teams are improving whiteboards to reduce anxiety, enhance communication and, ultimately, the patient experience.

“We researched how other hospitals designed and used their whiteboards and gathered feedback from patients and their families as well as staff members,” Kay says.

“There were a lot of ideas and drafts of what the whiteboards should look like and what they needed to have on them.” One of the issues they struggled with was the pain management section of the whiteboards.

Inadequate nurse staffing levels by experienced RNs are linked to higher rates of patient falls, infections, medication errors and even death.

As a result of massive reductions in nursing budgets, combined with the challenges presented by a growing nursing shortage, fewer nurses work longer hours and care for sicker patients.“These newly designed whiteboards give us multiple ways of communicating— between the nurses, between nurses and doctors, between staff and with our patients and family members.“It helps patients feel they have more control and they can see we’re making sure they are getting consistent attention and quality care,” adds Kay.RNs Kay Rowles and Nicky Breen have taken this work to a whole new level at University of Minnesota Medical Center, Fairview.After six months of research, discussions, tests and recommendations, new whiteboards are being put in place in units on the East and West banks.The American Nurses Association (ANA) supports a legislative model in which nurses are empowered to create staffing plans specific to each unit.