Nurse satisfaction and creation of an ADT (admission, discharge, and teaching) nurse position

No Thumbnail Available
Authors
Betty Lane
Joanne Jackson
Sue Ellen Bingham
Laura Hinshaw
Kathleen Cannella
Issue Date
Type
Journal Article, Academic Journal
Language
Keywords
Research Projects
Organizational Units
Journal Issue
Alternative Title
Abstract
The purpose of this project was to develop, pilot, and evaluate the implementation of an ADT nurse position on an ortho/neuro unit. A pre post test design was used to assess nurse sensitive indicators, nurse work load, medication reconciliation, and nurse perceptions of the quality of the admission/discharge process. Data was collected from the NDNQI-RN survey, admission/discharge logs, retrospective chart audits, and ADT Nurse Process survey. Data analysis indicated improvement in the NDNQI-RN survey nurse sensitive indicators of job enjoyment and work context. Daily nurse work loads decreased by 1 hour and 12 minutes, medication reconciliation improved from 18% to 100%. A paired t-test conducted on the ADT Nurse Process survey revealed a correlation of -.838 (p<002). The study results supported the use of an ADT nurse as a method to increase overall nursing satisfaction, decrease work loads, improve medication reconciliation, and increase nurse satisfaction with the admission/discharge process. This study demonstrates how autonomy and self-governance at the staff nurse level can increase nurse satisfaction and quality of care.
Description
Citation
Publisher
License
Journal
Volume
Issue
PubMed ID
DOI
ISSN
EISSN
Collections