Maximizing limited resources through TEAMCARE

Area of Science:

• Nursing
• Healthcare Management
• Health Services Research

Background:

• Orthopedic units often face staffing challenges impacting care delivery.
• Optimizing nursing roles is crucial for efficient healthcare operations.

Purpose of the Study:

• To describe a staffing restructuring initiative in a 30-bed orthopedic unit.
• To evaluate the impact of a team nursing approach on staff roles and productivity.

Main Methods:

• Implemented a team nursing model with clearly defined roles for all nursing personnel.
• Provided specific training to non-registered nurses (non-RNs) to broaden their skill sets.
• Monitored changes in staff productivity and the focus of registered nurse (RN) activities.

Main Results:

• Non-licensed nursing staff productivity significantly increased post-restructuring.
• Registered nurses (RNs) shifted their focus from task completion to care management and direction.
• The team nursing approach enhanced versatility and skill utilization among nursing staff.

Conclusions:

• Staffing restructuring and team nursing can effectively improve efficiency in orthopedic units.
• Investing in training for non-RNs enhances their contribution and allows RNs to focus on higher-level care coordination.
• This model demonstrates a successful strategy for optimizing nursing resources and care management.