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Biomedical subjects

M K Pabst

Publications and source records attributed to M K Pabst.

5 recordsLinked to original sources

Improving the ability to detect the impact of labor on patient outcomes.

A key part of resource allocation decisions is determining the impact of staffing on clinical outcomes. A national study involving eight hospitals and 77 units lends support for a previously identified labor assignment phenomena that may contribute to an underestimation of the impact of nursing labor on outcomes if only traditional labor measurement methods are used. The authors suggest actions for nurse administrators and researchers who must address frequent queries as to the adequacy of nursing staffing.

Health Care Rationing↗

Methodological considerations: using large data sets.

Studies in the field of outcomes research often use very large data sets. Before data collection, specific issues related to data storage, data collection, and data retrieval should receive careful consideration. New technologies have made the process more cost-effective, efficient, and under the direct control of the researcher.

Data Collection↗

Span of control on nursing inpatient units.

Managerial span of control is a concept that is receiving increased attention as nurse executives attempt to maximize human resources within tight fiscal controls. Data are presented to demonstrate variations in spans of control as well as highlight underlying issues that need further clarification.

Humans↗

The impact of computerized documentation on nurses' use of time.

With increased consideration being given to technological supports as a way to increase productivity, much attention is being paid to automated documentation systems. The purpose of this study was to determine (A) if bedside documentation technology decreased the time nurses spent in documentation activities and (B) if time of day, location, and quality of documentation differed between automated and nonautomated units. Nurses on the automated unit were able to decrease time spent in documentation activities and they were able to increase time spent in direct patient care. Some increase in standby time also was reported. Nurses were not able to increase patient loads as a result of this technology alone. Managers must consider ways to maximize use of time saved as a result of technology. Nurses on the automated unit were able to update care plans more easily and, along with other professionals, reported both positive and negative aspects of the printed output.

Efficiency, Organizational↗