title: Exploring Nurses' Perception of Dynamic Patient Events.
abstract: OBJECTIVE
  The study aim was to describe nurses' perceptions of dynamic patient events (DPEs) impact on workflow and patient care.
  
  
  BACKGROUND
  The process of determining optimal nurse staffing has challenged nurse leaders for decades.
  
  
  METHODS
  This study took place on 3 inpatient units in 3 hospitals at a large academic medical center. A qualitative design that included focus groups composed of RNs with a minimum of 1-year experience was used.
  
  
  RESULTS
  The most commonly identified DPEs were patient travel, code blues, rapid emergency response events, and requirement for an unplanned 1-on-1 sitter. The impact of DPEs influences the nurse's perception on job satisfaction, workflow, patient's safety/satisfaction, and delayed/missed care.
  
  
  CONCLUSIONS
  It is incumbent upon nursing leaders to understand DPEs and anticipate how these events impact nursing workload, staffing, and care delivery.
authors.affiliation: Author Affiliations: Nursing Informatics Consultant (Ms Moore), The Ohio State University Wexner Medical Center; Staff Nurse (Ms Allen), Riverside Methodist Hospital, OhioHealth; Chief Nursing Executive, Health System, The Ohio State University Wexner Medical Center, and Assistant Dean, OSU College of Nursing (Dr Nash); Administrator Health System Nursing Quality, Research, Education, Evidence-Based Practice, and Clinical Professor (Dr Buck), The Ohio State University Wexner Medical Center, OSU College of Nursing; and Clinical Nurse Scientist, The Ohio State University Wexner Medical Center, and Assistant Professor of Practice, OSU College of Nursing, Columbus (Dr Chipps).
authors.forename: Valerie
authors.initials: V
authors.lastname: Moore
authors.forename: Laura
authors.initials: L
authors.lastname: Allen
authors.forename: Mary G
authors.initials: MG
authors.lastname: Nash
authors.forename: Jacalyn
authors.initials: J
authors.lastname: Buck
authors.forename: Esther
authors.initials: E
authors.lastname: Chipps
mesh_terms: D000046:Academic Medical Centers; D001291:Attitude of Health Personnel; D006801:Humans; D007407:Interviews as Topic; D009736:Nursing Process; D009741:Nursing Staff, Hospital / Q000523:psychology*; D009820:Ohio; D010346:Patient Care Management; D016526:Workload