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Dissertation
Team-based Nursing Care Delivery Model in an Acute Care Hospital
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Current nursing care delivery models aren’t keeping up with nursing workforce demands. The American Hospital Association predicts 22% of nurses are considering leaving their job. A team-based care delivery model may improve job satisfaction and influence patient outcomes. Purpose: Validating that a team-based care delivery model increases a feeling of job satisfaction and results in better patient outcomes: decreasing falls and increase the patient’s perception of staff responsiveness. Methods: Three measures evaluated the impact of the HUB (Helping Us Belong) model: Job satisfaction, patient fall rates and responsiveness of staff. Job satisfaction was measured utilizing both dichotomous questions and open-ended anonymous surveys with HUB RN’s and care technicians. Learning sessions and focus groups with key stakeholders were held to understand the reason for action, vision, and Iowa Model framework for the modular care delivery model, called HUB. Each HUB, consisting of two RN’s and one care technician, cared for 10-12 patients. On the acute care, neurology-oncology nursing unit there were multiple HUB’s, census dependent. The HUB was implemented in a medium-sized community hospital on February 26, 2023. Real-time rounding, listening sessions and surveys were used to gather feedback. Findings: Job satisfaction surveys resulted in an increase, from 70% to 80%, of staff feeling satisfied with their job. Job satisfaction themes from qualitative data included: teamwork, increased communication, and collaboration. Patient outcomes of unpaired two-tailed t-test were insignificant: falls (p=0.34) and staff responsiveness (p=0.35). Discussion: Care model redesign is a priority for workforce strategic plans. A HUB team-based care model suggests increased staff satisfaction when working as a team. Future work should include a selection of different patient outcomes to measure that could be directly correlated to HUB design. Workforce redesign is necessary to support a fragile nursing profession.
Details
- Title: Subtitle
- Team-based Nursing Care Delivery Model in an Acute Care Hospital
- Creators
- Joel M. Moore - University of Iowa
- Contributors
- Amany Farag (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Health Systems/Administration
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Joel M. Moore
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627255802771
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