Date of Graduation

Fall 12-16-2016

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

First Advisor

Dr. Marjorie Barter, EdD, RN, CENP, CNL

Second Advisor

Dr. KT Waxman, DNP, RN, CNL, CENP, CHSE, FAAN

Abstract

Health care is on the threshold of major reform. Central to this reform will be the ability to maximize patient outcomes and resource allocation. The delivery of nursing care is essential to these concepts. Nursing care delivery impacts both patient outcomes and labor costs. Every aspect of care delivery has changed over time: length of stay, acuity, payment methodologies, documentation, technology, and regulatory requirements. Yet the model by which we allocate resources to the bedside is based on an archaic notion and forecasting model around one variable. The development of effective nurse staffing strategies will ensure those delivering care are engaged and able to meet the present day demands. Understanding the complex environment in which care is being delivered and the increasing demands put on those delivering care, Legacy Health, in Portland, Oregon, has embarked on an innovative project to redesign their nurse staffing model; building on current advancements in technology and more importantly engaging those closest to the work.

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