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Estimating Nursing Intensity and Direct Cost Using the Nurse-Patient Assignment

Welton, John M.; Zone-Smith, Laurie; Bandyopadhyay, Dipankar

JONA: The Journal of Nursing Administration. 39(6):276-284, June 2009.

This study examines the feasibility of using the nurse-patient assignment (NPA) to calculate direct nursing hours and costs for each inpatient-day. The NPA data are collected at every hospital and therefore represent a readily available information source that can establish the intensity and economic value of nursing care at US hospitals.

Mitigating Knowledge Loss: A Strategic Imperative for Nurse Leaders

Bleich, Michael R.; Cleary, Brenda L.; Davis, Kathleen; More

JONA: The Journal of Nursing Administration. 39(4):160-164, April 2009.

With the aging of the nursing workforce and expected retirement of large numbers of experienced nurses in the next decade, mitigating the impact that lost knowledge will have on organizational performance and patient outcomes is critical. The authors raise awareness of the problem, summarize observations procured from hospital nurse executive regarding approaches for knowledge transfer through workforce development, and pose proactive strategies for nurse leaders who can provide direction to offset the issue before it becomes a crisis.

Creating a Positive Work Environment: Implementation of the Nurse-Friendly Hospital Criteria

Meraviglia, Martha; Grobe, Susan J.; Tabone, Stephanie; More

JONA: The Journal of Nursing Administration. 39(2):64-70, February 2009.

The Nurse-Friendly (NF) Hospital Project assisted 30 rural or small hospitals implement 12 NF criteria into hospital policies to create a positive work environment. The NF criteria represent organizational attributes necessary for ensuring quality patient care, positive work environment, professional development, and nurse satisfaction. The authors discuss nurses' perception of presence of NF criteria before and after they were incorporated at each hospital and the implementation outcomes.