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Changes related to care delivery patterns

F E McLaughlin1, S A Thomas, M Barter

  • 1School of Nursing, San Francisco State University, CA, USA.

The Journal of Nursing Administration
|May 1, 1995
PubMed
Summary
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Nurse administrators are restructuring care delivery systems to boost productivity and cut costs. This study surveys hospitals on changes in nursing models, staffing, and the roles of unlicensed assistive personnel.

Area of Science:

  • Healthcare Management
  • Nursing Administration
  • Health Services Research

Background:

  • Hospitals face pressure to increase productivity and reduce costs due to lower inpatient volumes and competition.
  • Nurse administrators are actively restructuring care delivery systems in response to these challenges.

Purpose of the Study:

  • To survey acute care hospitals regarding changes in nursing care delivery models.
  • To determine the extent of changes in skill mix and the use of unlicensed assistive personnel.
  • To examine registered nurse role changes within restructured healthcare delivery systems.

Main Methods:

  • A survey was conducted among acute care hospitals.
  • The survey focused on identifying shifts in nursing care delivery and staffing.

Related Experiment Videos

  • Data collection included information on the integration of unlicensed assistive personnel.

    • Main Results:

    • Hospitals are implementing diverse changes in nursing care delivery models.
    • Significant shifts in skill mix and the utilization of unlicensed assistive personnel are evident.
    • Registered nurse roles are evolving within these new healthcare delivery systems.

    Conclusions:

    • Restructuring of care delivery systems is a widespread strategy among hospitals.
    • The integration of unlicensed assistive personnel is a key component of these changes.
    • Further research is needed to understand the full impact of these evolving roles and models.