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Nursing Value User Stories: A Value Measurement Method for Linking Nurse Contribution to Patient Outcomes
Lisa A Moon1, Greg Clancy, John Welton
1Author Affiliations: School of Nursing, University of Minnesota, Minneapolis (Drs Moon and Clancy); and Advocate Consulting (Dr Moon), Apple Valley, MN; School of Nursing, University of Colorado-Denver (Dr Welton); and University of Kansas, School of Nursing (Dr Harper), Kansas City.
Computers, Informatics, Nursing : CIN
|February 15, 2019
Summary
Nursing value measurement requires standardized electronic health record data. Novel methods using agile project management and user stories are being developed to capture nursing actions and patient outcomes for better value assessment.
Area of Science:
- Nursing informatics
- Health data science
- Value-based healthcare
Background:
- Nursing value measurement is novel and relies on accessible electronic health record (EHR) data attributes.
- Current healthcare information systems lack structured data to capture unique nursing care attributes and support value measurement.
- The complexity of nursing knowledge work hinders the development of nursing data science for value-based discussions.
Purpose of the Study:
- To describe nursing value measurement.
- To present an approach utilizing agile project management methods, including user stories, for nursing value measurement.
- To recognize nurses as key contributors to patient outcomes and value generation.
Main Methods:
- Adapted agile project management methods, including user stories and business analysis processes.
- Deconstructing complex nursing scenarios into user stories to standardize nursing actions.
- Mapping user stories to a common nursing data model for analysis.
Main Results:
- Pilot research is underway at Los Angeles Children's Hospital.
- Results demonstrating the effectiveness of the Nursing Value User Story methods are anticipated in 2019.
- The approach aims to standardize nursing data for value-based measurement.
Conclusions:
- Standardized nursing data is crucial for accurate value-based measurement.
- Agile project management methods, specifically user stories, offer a viable approach to deconstruct and standardize nursing care data.
- This methodology has the potential to enhance nursing data science and support value-based healthcare discussions.
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