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Updating and normalization of the Nursing Management Minimum Data Set element 6: patient/client accessibility
Dorcas Elisabeth Kunkel1, Bonnie L Westra, Colleen M Hart
1Department of Nursing, Minot State University, Minot, ND 58707, USA. dorcas.kunkel@minotstateu.edu
Computers, Informatics, Nursing : CIN
|December 14, 2011
Summary
Improving patient/client accessibility in nursing is crucial. Updated data elements provide quantifiable insights into nursing time, distance, and methods, supporting better healthcare management and outcomes.
Area of Science:
- Nursing Management
- Healthcare Informatics
- Health Services Research
Background:
- Patient/client accessibility is a key factor in nursing management, influencing direct care time and potentially impacting patient outcomes, nurse retention, and organizational finances.
- Existing Nursing Management Minimum Data Set (NMMDS) data elements, including NMMDS 06 patient/client accessibility, have been integrated into the Logical Observation Identifier Names and Codes (LOINC) dataset since 2005 for empirical use.
- Current healthcare challenges include rising costs and worsening outcomes, highlighting the need for improved management and funding of nursing care.
Purpose of the Study:
- To update the NMMDS 06 patient/client accessibility data element through a critical literature review and expert consensus.
- To refine the conceptual and operational definitions and measures of client accessibility to enhance data collection validity and reliability.
- To provide quantifiable data for managing and financing nursing resources, identifying areas for improvement in nursing care delivery.
Main Methods:
- A critical review of existing literature and healthcare resources was performed.
- An interdisciplinary panel of experts utilized a consensus approach to finalize revisions.
- The data element was renamed to 'client accessibility,' with expanded definitions and revised measures.
Main Results:
- The data element was updated and retitled 'client accessibility.'
- Conceptual and operational definitions were expanded to encompass time, distance, and method for nurse-client connection, including necessary resources.
- Measures for data collection were revised to improve validity and reliability.
Conclusions:
- The updated 'client accessibility' data element offers quantifiable data for nursing resource management and financing.
- This revised data can help identify issues related to nursing time, travel, and care delivery methods.
- Empirical evidence from this data element can inform decisions on caseloads, hospital design, care methods, and financial requirements, potentially improving healthcare efficiency and outcomes.
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