title: Pod nursing on a medical/surgical unit: implementation and outcomes evaluation.
abstract: A medical/surgical unit at the University of Michigan Health System implemented a pod nursing model of care to improve efficiency and patient and staff satisfaction. One centralized station was replaced with 4 satellites and supplies were relocated next to patient rooms. Patients were assigned to 2 nurses who worked as partners. Three patient (satisfaction, call lights, and falls) and nurse (satisfaction and overtime) outcomes improved after implementation. Efforts should be focused on addressing patient acuity imbalances across assignments and strengthening communication among the healthcare team. Studies are needed to test the model in larger and more diverse settings.
authors.affiliation: Author Affiliations: Assistant Professor (Dr Friese), Division of Systems Leadership and Effectiveness Science, School of Nursing, University of Michigan; Nurse Manager (Ms Grunawalt), Staff Nurse (Ms Bihlmeyer and Dr Bhullar), and Clinical Nurse Specialist (Ms Wood), University of Michigan Hospitals and Health Centers; and Assistant Professor of Internal Medicine (Dr Chang), University of Michigan Medical School, Ann Arbor.
authors.forename: Christopher R
authors.initials: CR
authors.lastname: Friese
authors.forename: Julie C
authors.initials: JC
authors.lastname: Grunawalt
authors.forename: Sara
authors.initials: S
authors.lastname: Bhullar
authors.forename: Karen
authors.initials: K
authors.lastname: Bihlmeyer
authors.forename: Robert
authors.initials: R
authors.lastname: Chang
authors.forename: Winnie
authors.initials: W
authors.lastname: Wood
mesh_terms: D006801:Humans; D007588:Job Satisfaction; D008824:Michigan; D016294:Models, Nursing; D009741:Nursing Staff, Hospital / Q000523:psychology; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D017060:Patient Satisfaction; D013503:Surgery Department, Hospital