Implementation and case-study results of potentially better practices for staffing in neonatal intensive care units
| Autor: | Betty Beverly Brown, Barbara Bauman, Joan Rikli, Paul E. Plsek, Lori Norton, Elaine Hartmann, Pat Hegwood, Joel Secrest, Pam Sprague, Shadin Hilton, Laura Michael, Amy Atwater, Pat Carteaux |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Quality management
Inservice Training Quality Assurance Health Care media_common.quotation_subject Staffing Personnel Staffing and Scheduling Personnel Turnover Job Satisfaction Unit (housing) Nursing Reward Intensive care Intensive Care Units Neonatal Neonatal Nursing Nurse retention Medicine Humans Professional Autonomy Workplace Unit level media_common business.industry Physician-Nurse Relations Focus Groups United States Pediatrics Perinatology and Child Health Tracking (education) business Autonomy |
| Zdroj: | Pediatrics. 118 |
| ISSN: | 1098-4275 |
| Popis: | Objective. Five NICUs that participate in the Vermont Oxford Network Quality Improvement Collaborative have implemented several potentially better practices in an attempt to decrease nurse turnover by 50%. These potentially better practices focus on orientation, rewards and recognition, healthy work environment, nurse–physician collaboration, and nursing autonomy. Methods. Each unit implemented some or all of the potentially better practices. An Excel spreadsheet tool for tracking turnover rates was developed and used to measure the impact of the potentially better practices on retention. Rates were measured quarterly. Results. After implementation of the potentially better practices, turnover rates fell at all of the NICUs ranging from 13% to 64%. Conclusions. Nurse retention is multifactorial. Implementation of the potentially better practices had a positive influence on nurse satisfaction but a varied impact on nurse retention. The impact of larger issues such as pay and staffing levels is significant and may not be influenced at the unit level. |
| Databáze: | OpenAIRE |
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