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Changing Nursing Practice: Letting Go of the Nursing History on Admission

Ackman, Martha MAM, RN; Perry, Leonard A. PhD; Wolfard, Eileen MSN, RN; Steckel, Cynthia PhD, RN; Hill, Carol BSN, RN

Journal of Nursing Administration: September 2012 - Volume 42 - Issue 9 - p 435–441
doi: 10.1097/NNA.0b013e318266835f

In this project, 2 performance improvement (PI) methodologies were used to evaluate the process of nursing admission and history collection. Nurses have a responsibility to methodically assess bedside care, ensuring that practice changes do not merely add on to an often inefficient workload but add value. This article illustrates the use of PI to modify the initial nursing inpatient admission assessment process.

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Author Affiliations: Stroke Coordinator (Ms. Ackman), Project Manager (Ms Wolfard), Chief Nurse Operating Executive (Dr Steckel), Nursing, Scripps Memorial Hospital, La Jolla; Professor (Dr Perry), Industrial & Systems Engineering, University of San Diego, San Diego; Manager (Ms Hill), Scripps Memorial Hospital, Encinitas, California.

The authors declare no conflicts of interest.

Correspondence: Ms Ackman, 3830 Trieste Dr, Carlsbad, CA 92010 (

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© 2012 Lippincott Williams & Wilkins, Inc.