Graduation Semester and Year
Summer 2024
Language
English
Document Type
Dissertation
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Kimberly Hatchel
Abstract
Background
Equitable nurse-patient assignments have been associated with improved nurse well-being, patient satisfaction and outcomes. Despite this, in an academic medical center in the southwestern United States, there is no standardized process to create equitable nurse-patient assignments.
Objectives
The aim of this project was to improve inpatient oncology nurse well-being and satisfaction through the implementation of an EMR based nurse-patient assignment tool.
Methods
The IOWA Model-Revised for evidence-based practice was used as the basis for this project. Data collected included demographics, the Well-Being Index Survey, perception of satisfaction with manual workload tool, along with knowledge and use of the EMR assignment tool, and perception of satisfaction with EMR workload.
Findings
A significant decrease in the proportion of participants reporting their physical health interfered with their ability to work post-implementation (OR = 0.3, 95% CI: 0.1-0.9, p = 0.0469) was noted. Additionally, a highly significant negative association with years of oncology experience (p = 0.0001), suggesting more years of oncology experience are associated with less depression and anxiety. The use of the EMR nurse patient assignment tool may be a useful component of a nurse well-being toolkit.
Keywords
Workload, Electronic medical record, Nurse-patient assignment, Well-being, Stress
Disciplines
Health Information Technology | Oncology | Other Nursing
License
This work is licensed under a Creative Commons Attribution-Share Alike 4.0 International License.
Recommended Citation
Le Roux, Sharon C., "Using the electronic medical record to improve nurse workload" (2024). Doctor of Nursing Practice (DNP) Scholarly Projects. 60.
https://mavmatrix.uta.edu/nursing_dnpprojects/60