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Demonstrating The Value Of The Rn In Ambulatory Care, Beth Ann Swan, Regina Conway-Phillips, Karen F. Griffin

College of Nursing Faculty Papers & Presentations

During 2003, an estimated 906 million visits were made to physician offices in the United States (Hing, Cherry, & Woodwell, 2005).

Overall, 42% of visits to outpatient settings were attended by a registered nurse (Middleton & Hing, 2005).

Despite ambulatory care being the fastest growing site for care, it is the least studied.

The purpose of this article is to provide an overview of the role of the RN in ambulatory care and describe the direct and indirect economic value of RNs in ambulatory care settings.

The Use Of Contract Licensed Nursing Staff In U.S. Nursing Homes., Meg Bourbonniere, Zhanlian Feng, Orna Intrator, Joseph Angelelli, Vincent Mor, Jacqueline S. Zinn

College of Nursing Faculty Papers & Presentations

The extent to which nursing homes rely on the use of contracted licensed staff, factors associated with this staffing practice, and the resultant effect on the quality of resident care has received little public attention. Merging the On-line Survey Certification and Reporting System database with the Area Resource File from 1992 through 2002, the authors regressed organizational and market-level variables on the use of 5 percent or more contract full-time equivalent registered nurses and licensed practical nurses. Since 1997, the proportion of facilities using 5 percent or more contract licensed staff more than tripled. Use of contract nurses was associated …

Linking Nursing Workload And Performance Indicators In Ambulatory Care, Karen F. Griffin Msn, Rn, Cnaa, Beth Ann Swan Phd, Crnp, Faan

College of Nursing Faculty Papers & Presentations

More and more ambulatory care organizations are using nursing report cards to monitor and evaluate the quality and effectiveness of nursing care in the ambulatory setting.

Nurse staffing levels is usually one of the items included in a nursing report card and the one most scrutinized by ambulatory care administrators.

One strategy employed by the nursing leadership at the South Texas Veterans Healthcare System to justify nurse staffing levels is linking administrative staffing monitors with nurse-sensitive outcomes via workload and performance indicators.

Through this approach, nurse leaders are able to justify nurse staffing level changes, needed technology changes, process improvements, …