Cost-effectiveness of clustered unit vs. unclustered nurse floating.
This study evaluated costs and staffing balance outcomes comparing unrestricted unit floating (UUF) with cluster [by related patient population or technical requirements] unit floating (CUF) practices. Researchers used a computer simulation model with data from a 400 bed VA hospital. Literature sugg...
| Publicado en: | Nursing Economic$ Vol. 15; no. 6; pp. 294 - 301 |
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| Autor principal: | |
| Formato: | exam questions research tables/charts Journal Article |
| Publicado: |
Jannetti Publications, Inc.
Nov/Dec97
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107241878&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107241878 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07461739 22R jtl: Nursing Economic$ issn: 07461739 maglogo: N pubinfo: dt: Nov/Dec97 vid: 15 iid: 6 pid: 4135 pub: Jannetti Publications, Inc. place: Pitman, New Jersey artinfo: ui: 107241878 107241878 1998011523 NLM9416095 107241878 ppf: 294 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Cost-effectiveness of clustered unit vs. unclustered nurse floating. aug: au: McHugh ML affil: Wichita State University, School of Nursing, Wichita, KS sug: subj: Personnel Staffing and Scheduling Methods Personnel Staffing and Scheduling Economics Cost Benefit Analysis Computer Simulation Midwestern United States Software Data Analysis Software T-Tests Nurses Human ab: This study evaluated costs and staffing balance outcomes comparing unrestricted unit floating (UUF) with cluster [by related patient population or technical requirements] unit floating (CUF) practices. Researchers used a computer simulation model with data from a 400 bed VA hospital. Literature suggested a high nurse turnover rate associated with dissatisfaction engendered by forced floating to unfamiliar units. Direct wage cost differences were negligible when UUF and CUF floating patterns were compared, so absolute costs were not the defining issue. UUF staffing patterns produced significantly fewer understaffed shifts (by nursing hours) than CUF floating permitted. The essential quality of care trade-off is between the UUF pattern that provided sufficient nursing hours of care vs. the CUF pattern that provided less absolute availability in hours of nursing care, but a better oriented staff. The author suggests seeking staff input when deciding which of these two floating patterns would be most acceptable in a particular institution. pubtype: Academic Journal doctype: exam questions research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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