Abstract:
AIM/S:To assess implementation of the Veterans Health Administration staffing methodology directive. BACKGROUND:In 2010 the Veterans Health Administration promulgated a staffing methodology directive for inpatient nursing units to address staffing and budget forecasting. DESIGN:A qualitative multi-case evaluation approach assessed staffing methodology implementation. METHODS:Semi-structured telephone interviews were conducted from March - June 2014 with Nurse Executives and their teams at 21 facilities. Interviews focused on the budgeting process, implementation experiences, use of data, leadership support, and training. An implementation score was created for each facility using a 4-point rating scale. The scores were used to select three facilities (low, medium and high implementation) for more detailed case studies. RESULTS/FINDINGS:After analysing interview summaries, the evaluation team developed a four domain scoring structure: (1) integration of staffing methodology into budget development; (2) implementation of the Directive elements; (3) engagement of leadership and staff; and (4) use of data to support the staffing methodology process. The high implementation facility had leadership understanding and endorsement of staffing methodology, confidence in and ability to work with data, and integration of staffing methodology results into the budgeting process. The low implementation facility reported poor leadership engagement and little understanding of data sources and interpretation. CONCLUSION:Implementation varies widely across facilities. Implementing staffing methodology in facilities with complex and changing staffing needs requires substantial commitment at all organizational levels especially for facilities that have traditionally relied on historical levels to budget for staffing.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Robinson CH,Annis AM,Forman J,Krein SL,Yankey N,Duffy SA,Taylor B,Sales AEdoi
10.1111/jan.12961subject
Has Abstractpub_date
2016-08-01 00:00:00pages
1886-98issue
8eissn
0309-2402issn
1365-2648journal_volume
72pub_type
杂志文章abstract:AIMS:To assess the reliance on intuitive and analytical approaches during clinical decision-making among novice clinicians and whether that reliance is associated with accurate decision-making. BACKGROUND:Nurse educators and managers tend to emphasize analysis over intuition during clinical decision-making though nurs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13202
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND:District nurses are frequently involved in the care of patients immediately prior to death and could therefore provide support to bereaved relatives. However, little is known about nurses' views on bereavement support or their actual involvement. AIMS OF THE STUDY:To survey a representative sample of distri...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02208.x
更新日期:2002-06-01 00:00:00
abstract:AIMS:To provide a comprehensive collection of evidence on the effectiveness of exercise interventions to prevent falls and support clinical decision-making. DESIGN:A systematic literature review and meta-analysis of randomized controlled trails were performed by combining trials from published systematic reviews and m...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析
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更新日期:2020-01-01 00:00:00
abstract::Staff nurse involvement in clinical nursing research is dependent on the attitudes nurses hold toward research. An exploration of these attitudes was undertaken in a 464-bed midwestern teaching hospital as it developed its nursing research procedures. A questionnaire was developed which incorporated the Boothe Attitud...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1989.tb01480.x
更新日期:1989-11-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2020-10-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2020-12-17 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04727.x
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Intuition has been described as an important type of nursing knowledge and has gained acceptance as a valid way of knowing in clinical nursing. Use of intuition has become one way of explaining professional expertise. Measures of the use of intuition have been developed primarily for experienced nurses, but ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2004.03149.x
更新日期:2004-09-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:1993-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1996.tb03131.x
更新日期:1996-01-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00618.x
更新日期:1998-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2018-05-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.04133.x
更新日期:2007-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb02739.x
更新日期:1995-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1995.tb02519.x
更新日期:1995-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2002.02299.x
更新日期:2002-08-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/j.1365-2648.2007.04564.x
更新日期:2008-04-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.05961.x
更新日期:2012-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2020-11-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
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更新日期:2002-12-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2012.06047.x
更新日期:2013-02-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.13242
更新日期:2017-06-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2019-12-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04418.x
更新日期:2007-11-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
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更新日期:2020-12-14 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1996.16620.x
更新日期:1996-07-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:1993-03-01 00:00:00
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journal_title:Journal of advanced nursing
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00