Time changes for scheduled nursing assessments: impact on clinical decisions and patient discharge.
Using a shared governance model, a clinical nursing practice change was implemented to increase collaborative decision making among health care providers at morning rounds. The goal of this project was to improve nursing workflow at the beginning of the shift and improve patient flow by discharging patients earlier. By changing the time of morning vital signs and nursing assessments from 0800 to 0600, staff reported increased collaboration among the multidisciplinary team and improved nursing workflow.
3 East Children's Seashore House, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. monfortok@yahoo.com
Kathleen
K
Monforto
Ana
A
Figueroa-Altmann
Christine
C
Stevens
Karen
K
Thiele
Elizabeth
E
Ely
D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007400:Interprofessional Relations; D016294:Models, Nursing; D015401:Nursing Administration Research; D009730:Nursing Assessment / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D015279:Organizational Culture; D010351:Patient Discharge; D010371:Pediatric Nursing / Q000458:organization & administration* / Q000592:standards; D058996:Quality Improvement / Q000458:organization & administration*; D013997:Time Factors; D057188:Workflow