Nursing change project

Kindly inform all persons in your institution so that they are aware of the closing dates for the SANC.

Nursing change project

The American Hospital Association also reported in that growing labor costs are the most important factor increasing hospital care costs, and found that wages and benefits accounted for more than 59 percent of hospital costs in Wasteful practices must be scrutinized and contained to control hospital staffing costs while maximizing operational efficiency.

One area of opportunity involves the shift changes for nursing staff, a process that too frequently results in nurses staying later than their scheduled departure time.

Nursing change project

In the U. Department of Health and Human Services reported 54 percent of registered nurses surveyed said they worked more than 39 hours per week.


This hospital has a formal operational excellence department that primarily uses Lean Six Sigma methodology, following the define, measure, analyze, improve, control DMAIC approach.

The project was approved and facilitated by this department as well as the service line director of nursing. Working with Mark J. Davis, a Lean Six Sigma Black Belt as their mentor, the nurse manager and day nurse supervisor for a medicine and surgery med-surg unit led the project.

The DMAIC approach helped the team uncover solutions that would allow nurses to leave work on time and encourage greater efficiency in the shift-change process.

Define The shift-change nursing report is the primary tool used to ensure continuity of care as staff change happens every 12 hours. The report contains pertinent patient information, and is given to the arriving nurse before the previous nurse on duty leaves at the end of a shift.

Nursing change project

Nursing assignments are given to the arriving nurse, and include the list of patients they are to care for. The charge nurse is responsible for making these assignments, which are typically subjective and based on many variables patient acuity, blood sugar levels, and proximity to the nursing station, along with overall scheduling for the nursing floor, such as number of admissions and discharges, etc.

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On this particular med-surg unit, there are typically five registered nurses staffing the team. Often the five nurses from the day shift have to interact with each of the five nurses on the night shift as dictated by the patient assignments.

If these nurses were to spend less time working on the shift-change nursing report, they could use the extra time to work with their patients, which would have a more direct impact on hospital consumer assessment of healthcare providers and systems HCAHPS scores.

Medicare payments to hospitals are, in part, tied to these scores—making them very important. Any report requiring more than 30 minutes was considered a defect.

During any shift change, five nurses delivered the report and five received it.

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Therefore, each report involved an opportunity for five defects. Measure In order to measure improvement, the team decided to call upon the overall time it took to produce the nursing report.

Conclusions were drawn from a total of 30 timed observations. These 30 observations were gathered by the nurse manager and day nurse supervisor.PARADOXICAL THEORY OF CHANGE Change occurs when one becomes what he/she is, not when he tries to become what he/she is not. Beisser, A. (). Paradoxical Theory of Change.


Read chapter Summary: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased.

Earn an RN to BSN online from GCU to increase your healthcare knowledge and become a leader in the nursing profession. Learn more and apply to our program. Welcome to the Ohio Board of Nursing. The mission of the Ohio Board of Nursing is to actively safeguard the health of the public through the effective regulation of nursing care.

NINR's Graduate Partnerships Program (GPP) The NINR GPP is an Institutional Partnership that combines the academic environment of a university with the comprehensive research resources available at the National Institutes of Health. The United States has the opportunity to transform its health care system, and nurses, as the largest segment of the nation’s health care workforce, can and should play a fundamental role in this transformation.

In this report the IOM makes recommendations for an action-oriented blueprint for the future of nursing.

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