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An equitable nursing assignment structure

R Davidhizar1, S B Dowd, K Brownson

  • 1Bethel College, Mishawaka, Indiana, USA.

Nursing Management
|August 11, 1998
PubMed
Summary
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Inconsistent nursing assignments create unsafe patient care and increase litigation risks. A holistic scheduling approach enhances accountability and continuity of care, improving patient safety.

Area of Science:

  • Nursing Administration
  • Patient Safety
  • Healthcare Management

Background:

  • Inconsistent nursing assignment structures are linked to increased risks of unsafe patient care.
  • These inconsistencies can lead to significant litigation involving both patients and healthcare staff.
  • Current scheduling practices often overlook the importance of a holistic perspective.

Purpose of the Study:

  • To identify the conflicts inherent in current nursing assignment structures.
  • To explore the implications of these structures for nursing managers.
  • To advocate for a holistic approach to nursing scheduling.

Main Methods:

  • Analysis of existing nursing assignment protocols.
  • Review of literature on scheduling best practices.

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  • Identification of key stakeholders and their perspectives.

    • Main Results:

    • Inconsistent assignments compromise patient safety and increase liability.
    • A holistic scheduling perspective values subjectivity, accountability, and continuity of care.
    • Nursing managers face significant challenges managing inconsistent assignment structures.

    Conclusions:

    • Adopting a holistic scheduling approach is crucial for improving nursing care quality.
    • Addressing assignment structure conflicts can mitigate patient and staff litigation.
    • Enhanced accountability and continuity of care are key outcomes of improved scheduling.