Weathering the storm: nurses’ satisfaction with a mobile admission nurse service
Article first published online: 8 JUL 2011
© 2011 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Improving quality in healthcare - current trends and innovations Issue editors: Martha A. Riehle and Kristiina Hyrkas
Volume 20, Issue 3, pages 344–353, April 2012
How to Cite
KIRKBRIDE, G., FLOYD, V., TATE, C. and WENDLER, M. C. (2012), Weathering the storm: nurses’ satisfaction with a mobile admission nurse service. Journal of Nursing Management, 20: 344–353. doi: 10.1111/j.1365-2834.2011.01273.x
- Issue published online: 23 APR 2012
- Article first published online: 8 JUL 2011
- Accepted for publication: 3 May 2011
- acute care;
- job satisfaction;
- nursing role;
- patient admission;
- patient satisfaction
kirkbride g., floyd v., tate c. & wendler m.c. (2012) Journal of Nursing Management 20, 344–353 Weathering the storm: nurses’ satisfaction with a mobile admission nurse service
Aim To evaluate nurses’ satisfaction with, and perceptions of, a practice innovation introducing a Mobile Admission Nurse service.
Background Staff nurses identified that the admission process, while crucial to initiating safe and appropriate acute care, can be disruptive and interfere with care in progress. A pilot project implementing the role of a Mobile Admission Nurse was introduced to address this need.
Method A self-developed web-based survey was administered to a convenience sample of 104 RNs who had used the services during the pilot project.
Results Staff nurses (n = 78) reported a chaotic, demanding work environment within which the admission process disrupts the flow of care. The Mobile Admission Nurse helped them in ‘weathering the storm’, which was the overarching theme that emerged during data analysis.
Conclusions Having an admission nurse complete the admission process steadied workflow processes for nurses. Improved patient safety and increased staff and family satisfaction were also reported. The strongly positive feedback led to expansion of the service.
Implications for nursing management Proactively redesigning work processes, using a structured theoretical model such as the (Plan–Do–Study–Act) PDSA approach, may improve outcomes in a chaotic practice environment.