Development and Evaluation of an RN/RPN Utilization Toolkit
| Autor: | Kim Alvarado, Margaret Blastorah, Lenora Duhn, Frances Flint, Susan VanDeVelde-Coke, Petrina McGrath |
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| Rok vydání: | 2010 |
| Předmět: |
Evidence-based nursing
medicine.medical_specialty Educational measurement Psychometrics Computer science Nurses Validity Nurse Administrator Statistics Nonparametric Nursing Surveys and Questionnaires Acute care medicine Humans Nurse Administrators Program Development Ontario Inpatients Data collection Data Collection Reproducibility of Results Evidence-Based Nursing General Medicine Focus Groups Focus group Nursing Evaluation Research Tape Recording Needs assessment Educational Status Feasibility Studies Clinical Competence Educational Measurement |
| Zdroj: | Nursing Leadership. 23:33-50 |
| ISSN: | 1929-6355 |
| Popis: | Purpose To develop and evaluate a toolkit for Registered Nurse/Registered Practical Nurse (RN/RPN) staff mix decision-making based on the College of Nurses of Ontario's practice standard for utilization of RNs and RPNs. Methods Descriptive exploratory. The toolkit was tested in a sample of 2,069 inpatients on 36 medical/surgical units in five academic and two community acute care hospitals in southern Ontario. Survey and focus group data were used to evaluate the toolkit's psychometric properties, feasibility of use and utility. Results Results support the validity and reliability of the Patient Care Needs Assessment (PCNA) tool and the consensus-based process for conducting patient care reviews. Review participants valued the consensus approach. There was limited evidence for the validity and utility of the Unit Environmental Profile (UEP) tool. Nursing unit leaders reported confidence in planning unit staff mix ratios based on information generated through application of the toolkit, specifically the PCNA, although they were less clear about how to incorporate environmental data into staff mix decisions. Conclusions Results confirm that the toolkit consistently measured the constructs that it was intended to measure and was useful in informing RN/RPN staff mix decision-making. Further refinement and testing of the UEP is required. Future research is needed to evaluate the quality of decisions resulting from the application of the toolkit, illuminate processes for integrating data into decisions and adapt the toolkit for application in other sectors. |
| Databáze: | OpenAIRE |
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