Authors

  1. Moore, Valerie MSN, RN
  2. Allen, Laura BSN, RN
  3. Nash, Mary G. PhD, RN, NEA-BC, FACHE, FAAN
  4. Buck, Jacalyn PhD, RN, NEA-BC
  5. Chipps, Esther PhD, RN, NEA-BC

Abstract

OBJECTIVE: The study aim was to describe nurses' perceptions of dynamic patient events (DPEs) impact on workflow and patient care.

 

BACKGROUND: The process of determining optimal nurse staffing has challenged nurse leaders for decades.

 

METHODS: This study took place on 3 inpatient units in 3 hospitals at a large academic medical center. A qualitative design that included focus groups composed of RNs with a minimum of 1-year experience was used.

 

RESULTS: The most commonly identified DPEs were patient travel, code blues, rapid emergency response events, and requirement for an unplanned 1-on-1 sitter. The impact of DPEs influences the nurse's perception on job satisfaction, workflow, patient's safety/satisfaction, and delayed/missed care.

 

CONCLUSION: It is incumbent upon nursing leaders to understand DPEs and anticipate how these events impact nursing workload, staffing, and care delivery.