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Health Services Research & Development

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2006 HSR&D National Meeting Abstract


2010 — Value and Challenge in Measuring and Managing Staffing and Other Nursing Factors in Acute Care

Author List:
Li YF (VA Puget Sound HCS)
Rick C (Office of Nursing Services, VACO)
Charns M (VA Boston HCS)
Buffum M (San Francisco VAMC)
Meterko M (VA Boston HCS)
Lowy E (VA Puget Sound HCS)
Collins B (Office of Nursing Services, VACO)
Alt-White A (Office of Nursing Services, VACO)

Objectives:
The importance of effective nursing resource management has attracted considerable attention from accreditation bodies and international quality leaders, following from reports of multi-state and international studies showing a relationship between nurse staffing and patient outcomes. The majority of these studies are based on survey and/or administrative data that require rigorous assessment of quality and careful attention to methods. Together with current efforts in the Office of Nursing Services in standardizing the measurement and management of nursing resources, the objectives of this workshop are to: (1) provide an overview of challenges from a national perspective; (2) review data quality, measurement, and management issues; and (3) summarize methodological issues in measuring nursing hours.

Methods:
The workshop will focus its presentations and discussions on five areas: (1) the Office of Nursing Services strategic priorities and VHA organizational overview; (2) challenges in data collection and use, uses of reminders and templates, and innovations in reporting; (3) management issues regarding RN perception of practice environment; (4) methodological issues in specifying nursing hours and skill mix in relation to patient outcomes; and (5) current status and future plans for the VA Nursing Outcomes Database Program in assisting to make evidence-based management decisions. This panel will include examples drawn from the VA All Employee Survey and the VA Nurse Staffing and Patient Outcomes Study.

Results:
The intended audience includes nurse researchers, organizational researchers, general health services researchers, and managers interested in acute care settings.

Implications:
It is assumed that the audience is familiar with research design, measurement, and statistical analysis methods. Familiarity with nursing-specific concepts is not assumed.

Impacts:


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