title: Weathering the storm: nurses' satisfaction with a mobile admission nurse service.
abstract: OBJECTIVE
  To evaluate nurses' satisfaction with, and perceptions of, a practice innovation introducing a Mobile Admission Nurse service.
  
  
  BACKGROUND
  Staff nurses identified that the admission process, while crucial to initiating safe and appropriate acute care, can be disruptive and interfere with care in progress. A pilot project implementing the role of a Mobile Admission Nurse was introduced to address this need.
  
  
  METHODS
  A self-developed web-based survey was administered to a convenience sample of 104 RNs who had used the services during the pilot project.
  
  
  RESULTS
  Staff nurses (n = 78) reported a chaotic, demanding work environment within which the admission process disrupts the flow of care. The Mobile Admission Nurse helped them in 'weathering the storm', which was the overarching theme that emerged during data analysis.
  
  
  CONCLUSIONS
  Having an admission nurse complete the admission process steadied workflow processes for nurses. Improved patient safety and increased staff and family satisfaction were also reported. The strongly positive feedback led to expansion of the service.
  
  
  CONCLUSIONS
  Proactively redesigning work processes, using a structured theoretical model such as the (Plan-Do-Study-Act) PDSA approach, may improve outcomes in a chaotic practice environment.
authors.affiliation: Memorial Medical Center, Springfield, Illinois 62781, USA. Kirkbride.geri@mhsil.com
authors.forename: Geri
authors.initials: G
authors.lastname: Kirkbride
authors.forename: Valerie
authors.initials: V
authors.lastname: Floyd
authors.forename: Cheryl
authors.initials: C
authors.lastname: Tate
authors.forename: M Cecilia
authors.initials: MC
authors.lastname: Wendler
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D005260:Female; D006757:Hospital Units / Q000458:organization & administration*; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010343:Patient Admission; D010865:Pilot Projects; D036301:Qualitative Research; D058996:Quality Improvement; D057188:Workflow; D055815:Young Adult