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Nursing Care Delivery Redesign: Using the Right Data to Make the Right Decisions
Maura MacPhee1, Barbara Fitzgerald2, Farinaz Havaei3
1Professor, School of Nursing, University of British Columbia, Vancouver, BC.
Background:
In British Columbia, the Nursing Policy Secretariat of the Ministry of Health recently issued a series of priority nursing recommendations, including team-based care delivery models.
Aim:
This paper will describe the data collection and analysis phase of a quality improvement initiative focused on care delivery redesign within three healthcare organizations. The focus of the care delivery redesign was a transition from total nursing care to team-based nursing care.
Methods:
Our leadership-academic partnership used the Canadian Nurses Association's "Staff Mix Decision-Making Framework for Quality Nursing Care" to guide data collection and analysis on patient, nurse and organizational factors. Data were collected by nurse-led project teams using a patient needs assessment tool, surveys of nurses' scope of practice and teamwork and an environmental profile tool with nurse demographics and unit/facility-level characteristics.
Results:
Findings from one organization's pediatric medicine and surgery units are presented in this paper.
Conclusion:
Quality improvement data provide multiple opportunities for proactive human resource planning and professional development. Resources and examples are provided to guide others' redesign efforts.
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