Fram Nancy, Morgan Beverley
Hamilton Health Sciences, Hamilton, ON.
Nurs Leadersh (Tor Ont). 2012 Mar;25 Spec No 2012:114-25. doi: 10.12927/cjnl.2012.22801.
Research shows that nurses want to provide more input into assessing patient acuity, changes in patient needs and staffing requirements. The Dashboard Project involved the further development and application of an electronic monitoring tool that offers a single source of nursing, patient and organizational information. It is designed to help inform nurse staffing decisions within a hospital setting. The Dashboard access link was installed in computers in eight nursing units within the Hamilton Health Sciences (HHS) network. The Dashboard indicators are populated from existing information/patient databases within the Decision Support Department at HHS. Committees composed of the unit manager, staff nurses, project coordinator, financial controller and an information controller met regularly to review the Dashboard indicators. Participants discussed the ability of the indicators to reflect their patients' needs and the feasibility of using the indicators to inform their clinical staffing plans. Project findings suggest that the Dashboard is a work in progress. Many of the indicators that had originally been incorporated were refined and will continue to be revised based on suggestions from project participants and further testing across HHS. Participants suggested the need for additional data, such as the time that nurses are off the unit (for code blue response, patient transfers and accompanying patients for tests); internal transfers/bed moves to accommodate patient-specific issues and particularly to address infection control issues; deaths and specific unit-centred data in addition to the generic indicators. The collaborative nature of the project enabled staff nurses and management to work together on a matter of high importance to both, providing valuable recommendations for shared nursing and interprofessional planning, further Dashboard development and project management.
研究表明，护士希望在评估患者病情严重程度、患者需求变化和人员配备要求方面提供更多意见。仪表盘项目涉及一种电子监测工具的进一步开发和应用，该工具提供护理、患者和组织信息的单一来源。其旨在帮助为医院环境中的护士人员配备决策提供信息。仪表盘访问链接安装在汉密尔顿健康科学（HHS）网络内八个护理单元的计算机中。仪表盘指标来自HHS决策支持部门内的现有信息/患者数据库。由单元经理、护士、项目协调员、财务主管和信息管理员组成的委员会定期开会审查仪表盘指标。参与者讨论了这些指标反映患者需求的能力以及使用这些指标为其临床人员配备计划提供信息的可行性。项目结果表明，仪表盘仍在不断完善中。许多最初纳入的指标得到了完善，并将根据项目参与者的建议和在HHS进行的进一步测试继续进行修订。参与者建议需要额外的数据，例如护士离开单元的时间（用于急救响应、患者转运以及陪同患者进行检查）；内部转运/床位移动以解决特定患者问题，特别是解决感染控制问题；除了一般指标外的死亡情况和特定单元中心数据。该项目的协作性质使护士和管理层能够共同处理对双方都至关重要的问题，为共享护理和跨专业规划、仪表盘的进一步开发以及项目管理提供了有价值的建议。
