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Improving Nursing Satisfaction and Quality Through the Creation of Admission and Discharge Nurse Team

Spiva, LeeAnna PhD, RN, PLNC; Johnson, Donna BSN, RN

doi: 10.1097/NCQ.0b013e318227d645

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.

WellStar Health System, Marietta, Georgia.

Correspondence: LeeAnna Spiva, PhD, RN, PLNC, WellStar Health System, 677 Church St, Marietta, GA 30060 (

The authors declare no conflict of interest.

Accepted for publication: June 10, 2011.

Published online before print: July 5, 2011.

© 2012 Lippincott Williams & Wilkins, Inc.