Category: Nursing Productivity

Introduction Infusion preparation in British PICUs uses the Rule of Six (ROS) which was developed for administration without infusion devices. This method is inaccurate.1 Regulators recommend standardised approaches to IV infusions to improve patient safety and quality of care.2 Administration set changes also have an association with resource use and central line infections. 3 We report the impact of fixed concentration infusions and reduced administration set changes on nursing time and infusion equipment cost.

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The introduction of nurse endoscopy in Australia has been contentious with one of the criticisms being the quality of the procedure. We report the quality of the procedures performed by nurse endoscopists (NE) in our institution and the subsequent benefit of increased utilization of the endoscopy facilities reducing lost capacity. Atricle’s conclusion: Nurse endoscopy is an effective high-quality service initiative, with NEs’ endoscopic performance meeting the required standards of all endoscopists. Along with recruitment strategies for medical staff, the nurse endoscopist model has resulted in 97% utilization of endoscopy sessions.

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An assumption in nursing education is that clinical experience equals competent practice. Knowing the extent of learning acquired during these experiences is important, and in graduate education, this is not always known. This study examined the nature of clinical hours that nurse practitioner students complete during practicum courses and explored activities of students when not engaged in direct patient care.

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This study tries to examine the effectiveness of social skills training on feeling of loneliness and achievement motivation in nurses.

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Aim of this study was to explore the perceptions of nurses in an acute care setting on factors influencing the effectiveness of audit and feedback. Results: Three themes were identified: the relevance of audit and feedback, particularly understanding the purpose of audit and feedback and the prioritisation of audit criteria; the audit and feedback process, including its timing and feedback characteristics; and individual factors, such as personality and perceived accountability. Conclusion: According to participants, they were likely to have a better response to audit and feedback when they perceived that it was relevant and that the process fitted their preferences. This study benefits nursing leaders and managers involved in quality improvement by providing a better understanding of nurses’ perceptions on how best to use audit and feedback as a strategy to promote evidence-based practice.

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Infusion preparation in British PICUs uses the Rule of Six (ROS) which was developed for administration without infusion devices. This method is inaccurate.1 Regulators recommend standardised approaches to IV infusions to improve patient safety and quality of care.2 Administration set changes also have an association with resource use and central line infections.3 We report the impact of fixed concentration infusions and reduced administration set changes on nursing time and infusion equipment cost. Conclusion: FC syringes are more efficient than ROS. FC preparations have released 0.5 WTE nurses back to patient care. Changing administration sets 72 hrly realises significant cost efficiencies.

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The aims of this study were to examine hospital performance based on nursing-sensitive screening indicators and to assess associations with hospital characteristics and nursing-sensitive outcomes for patients. The findings of this paper suggest that nursing-sensitive screening indicators may be relevant measures for benchmarking nursing quality in hospitals. Time-trend studies are required to support our findings and to further investigate relations with nursing-sensitive outcomes.

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This project demonstrates how QI methodology was used to identify potential cost savings and improvements. Cost/benefit ratios from this evidence provided a powerful argument to our Trust Board, resulting in a successful business case. This successful long term service improvement will not only improve the allergy services provided by the region, but has also taught the trainee a great deal about health care management and quality improvement.

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The findings from this study showed that implementing a nurse practitioner-led pain team can significantly improve resident pain and functional status as well as clinical practice behaviours of LTC staff. LTC homes should employ a nurse practitioner, ideally located onsite as opposed to an offsite consultative role, to enhance inter-professional collaboration and facilitate more consistent and timely access to pain management.

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This systematic review aimed to synthesise the existing evidence of working time use and the division of labour among nurses and health-care workers in hospital wards. Conclusions: Despite nurses’ different educational backgrounds, certain similarities could be observed. All working groups seem to spend less than half of their working time in direct patient care. Implications for nursing management: Nurse managers could influence the increasing nursing workload by supporting the right division of labour and focusing the nurses’ working time use so that it benefits the patient.

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