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Pod Nursing on a Medical/Surgical Unit: Implementation and Outcomes Evaluation

Friese, Christopher R. PhD, RN, AOCN, FAAN; Grunawalt, Julie C. MS, RN, GCNS-BC; Bhullar, Sara PhD, MS, RN; Bihlmeyer, Karen BSN, RN; Chang, Robert MD; Wood, Winnie MSN, RN

Journal of Nursing Administration: April 2014 - Volume 44 - Issue 4 - p 207–211
doi: 10.1097/NNA.0000000000000051

A medical/surgical unit at the University of Michigan Health System implemented a pod nursing model of care to improve efficiency and patient and staff satisfaction. One centralized station was replaced with 4 satellites and supplies were relocated next to patient rooms. Patients were assigned to 2 nurses who worked as partners. Three patient (satisfaction, call lights, and falls) and nurse (satisfaction and overtime) outcomes improved after implementation. Efforts should be focused on addressing patient acuity imbalances across assignments and strengthening communication among the healthcare team. Studies are needed to test the model in larger and more diverse settings.

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Author Affiliations: Assistant Professor (Dr Friese), Division of Systems Leadership and Effectiveness Science, School of Nursing, University of Michigan; Nurse Manager (Ms Grunawalt), Staff Nurse (Ms Bihlmeyer and Dr Bhullar), and Clinical Nurse Specialist (Ms Wood), University of Michigan Hospitals and Health Centers; and Assistant Professor of Internal Medicine (Dr Chang), University of Michigan Medical School, Ann Arbor.

This research was supported in part by a Pathway to Independence award from the National Institute of Nursing Research, National Institutes of Health (R00 NR01570).

The authors declare no conflicts of interest.

Correspondence: Dr Friese, Division of Systems Leadership and Effectiveness Science, School of Nursing, University of Michigan, 400 N Ingalls, #4162, Ann Arbor, MI 48109 (

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