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Document Type
DNP - University Access Only
Award Date
2021
Degree Name
Doctor of Nursing Practice (DNP)
Department
Graduate Nursing
First Advisor
Robin Arends
Keywords
nurse satisfaction, overtime, Ambulatory Nursing Intensity System, PES-NWI
Abstract
Background: Evidence-based intensity staffing tools are necessary to provide balanced nurse workload and safe staffing assignments. Nursing intensity combines indirect, direct, and nursing care time to meet patient needs.
Methods: Nurses completed the pre-intervention PES-NWI questionnaire. The Ambulatory Nursing Intensity System was implemented for 90 days. Following implementation, 2019 and 2021 overtime hours were collected, the PES-NWI questionnaire was repeated, and nursing feedback was obtained.
Results: PES-NWI survey score results were analyzed utilizing the Wilcoxon signed-rank test. While the overall PES-NWI survey average scores increased from 2.81 to 2.88, the increase was not statistically significant. One out of the eight individually measured questions showed statistical significance. Question 26 specifically addressed that nursing care is based on a nursing rather than medical theory model.
Discussion: Results of this project were skewed due to increased staffing demand and inconsistent tool use. Nurse satisfaction did improve despite increased overtime hours in 2021. The increased overall hospital patient numbers and COVID may have also impacted project implementation and results.
Implications: The implementation of an evidence-based staffing intensity model has the potential to improve the quality and cost of staffing workflow in the ambulatory setting with sufficient nurse staffing and consistent use.
Library of Congress Subject Headings
Nursing services -- Personnel management.
Ambulatory medical care.
Number of Pages
96
Publisher
South Dakota State University
Rights
C0pyright © 2021 The Author
Recommended Citation
Thomas, Laura, "Implementation of a Nursing Intensity Tool on an Ambulatory Cardiovascular Unit" (2021). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 172.
https://openprairie.sdstate.edu/con_dnp/172