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  1. Spiva, LeeAnna PhD, RN, PLNC
  2. Johnson, Donna BSN, RN


The admission and discharge (AD) process involves a significant amount of nursing time. The organization explored the use of an AD nurse team on the basis on recommendations from the organization's aging nurse workforce and in an effort to provide bedside nurses more time in direct patient care. A pre-post design was used to evaluate the intervention. Postimplementation patient and nurse satisfaction and the quality of the AD process significantly improved. Findings support the use of an AD team as a method to improve patient and nurse satisfaction and nursing documentation and promote retention of older nurses.