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Using workload analysis and acuity systems to facilitate quality and productivity.

R Kirk1

  • 1Roey Kirk Associates, Miami, Florida 33183.

The Journal of Nursing Administration
|March 1, 1990
PubMed
Summary

Healthcare budget constraints necessitate a shift from quality-at-any-cost nursing. Defining outcomes, responsibilities, and time targets helps nurses manage workloads and update acuity systems for better care delivery.

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Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Quality Improvement

Background:

  • Current healthcare economic pressures challenge the traditional quality-at-any-cost nursing model.
  • Reimbursement, budget limitations, and nurse staffing levels necessitate a re-evaluation of care delivery standards.

Purpose of the Study:

  • To provide nurse executives and managers with methods to adapt nursing care standards and acuity systems.
  • To guide the integration of quality-based time standards into nursing workload management.
  • To enable data-driven management of nursing care quality.

Main Methods:

  • Defining clear clinical and patient satisfaction outcomes.
  • Identifying specific nursing responsibilities linked to desired outcomes.

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  • Establishing reasonable time targets for nursing staff contributions.
  • Involving nursing staff in developing standards and updating acuity systems.

    • Main Results:

    • Development of a framework for analyzing and prioritizing nursing workloads.
    • Successful integration of quality-based time standards into existing acuity systems.
    • Empowerment of nursing staff to contribute to workload and quality standard setting.

    Conclusions:

    • Nurse leaders can effectively guide staff in creating realistic care standards and updating acuity systems.
    • Integrating workload analysis and time standards improves resource productivity and quality of care.
    • Acuity systems can be optimized to manage and deliver targeted levels of ongoing nursing care quality.