Nursing Care Delivery Redesign: Using the Right Data to Make the Right Decisions

Area of Science:

• Nursing
• Healthcare Management
• Quality Improvement

Background:

• British Columbia Ministry of Health identified team-based care as a priority.
• Focus on care delivery redesign within healthcare organizations.
• Transition from total nursing care to team-based nursing care models.

Purpose of the Study:

• Describe data collection and analysis for a quality improvement initiative.
• Focus on redesigning care delivery from total to team-based nursing.
• Utilize a leadership-academic partnership to guide the initiative.

Main Methods:

• Employed the Canadian Nurses Association's "Staff Mix Decision-Making Framework."
• Collected data on patient, nurse, and organizational factors.
• Nurse-led teams used patient needs assessment, scope of practice surveys, and environmental profiling.

Main Results:

• Presents findings from pediatric medicine and surgery units in one organization.
• Data collection focused on patient needs, nurse scope of practice, teamwork, and unit characteristics.

Conclusions:

• Quality improvement data facilitates proactive human resource planning and professional development.
• Provides resources and examples to guide future care delivery redesign efforts.
• Highlights the value of data-driven approaches in nursing practice transformation.