Nurse Leader Perceptions of Data in the Veterans Health Administration
被引:2
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作者:
Wong, Janine J.
论文数: 0引用数: 0
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机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Wong, Janine J.
[1
,3
]
Sorelle, Richard P.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Sorelle, Richard P.
[1
,3
]
Yang, Christine
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Yang, Christine
[1
,3
]
Knox, Melissa K.
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机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Knox, Melissa K.
[1
,3
]
Hysong, Sylvia J.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Hysong, Sylvia J.
[1
,3
]
Dorsey, Lynette E.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Patient Care Serv, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Dorsey, Lynette E.
[2
]
O'Mahen, Patrick N.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
O'Mahen, Patrick N.
[1
,3
]
Petersen, Laura A.
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Baylor Coll Med, Dept Med, Sect Hlth Serv Res, Houston, TX USA
Houston Vet Affairs Med Ctr, Hlth Serv Res & Dev 152, 2002 Holcombe Blvd, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
Petersen, Laura A.
[1
,3
,4
]
机构:
[1] Michael E DeBakey VA Med Ctr, Ctr Innovat Qual Effectiveness & Safety, Houston, TX USA
[2] Michael E DeBakey VA Med Ctr, Patient Care Serv, Houston, TX USA
Learning health system;
Nursing;
Qualitative research;
Workforce;
BIG DATA;
CARE;
IMPLEMENTATION;
D O I:
10.1097/CIN.0000000000001003
中图分类号:
TP39 [计算机的应用];
学科分类号:
081203 ;
0835 ;
摘要:
Healthcare systems and nursing leaders aim to make evidence-based nurse staffing decisions. Understanding how nurses use and perceive available data to support safe staffing can strengthen learning healthcare systems and support evidence-based practice, particularly given emerging data availability and specific nursing challenges in data usability. However, current literature offers sparse insight into the nature of data use and challenges in the inpatient nurse staffing management context. We aimed to investigate how nurse leaders experience using data to guide their inpatient staffing management decisions in the Veterans Health Administration, the largest integrated healthcare system in the United States. We conducted semistructured interviews with 27 Veterans Health Administration nurse leaders across five management levels, using a constant comparative approach for analysis. Participants primarily reported using data for quality improvement, organizational learning, and organizational monitoring and support. Challenges included data fragmentation, unavailability and unsuitability to user need, lack of knowledge about available data, and untimely reporting. Our findings suggest that prioritizing end-user experience and needs is necessary to better govern evidence-based data tools for improving nursing care. Continuous nurse leader involvement in data governance is integral to ensuring high-quality data for end-user nurses to guide their decisions impacting patient care.
机构:
Michael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
South Cent Mental Illness Res Educ & Clin Ctr Virt, Houston, TX USA
Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX USA
Michael E Bakey Vet Affairs Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, 2002 Holcombe Blvd 152, Houston, TX 77030 USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Cully, Jeffrey A.
Fischer, Ellen P.
论文数: 0引用数: 0
h-index: 0
机构:
South Cent Mental Illness Res Educ & Clin Ctr Virt, Houston, TX USA
Cent Arkansas Vet Healthcare Syst, Ctr Mental Healthcare & Outcomes Res, North Little Rock, AR USA
Univ Arkansas, Dept Psychiat, Med Sci, Little Rock, AR USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Fischer, Ellen P.
Gonzalez, Raquel
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
South Cent Mental Illness Res Educ & Clin Ctr Virt, Houston, TX USA
Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Gonzalez, Raquel
Williams, James S.
论文数: 0引用数: 0
h-index: 0
机构:
Cent Arkansas Vet Healthcare Syst, Ctr Mental Healthcare & Outcomes Res, North Little Rock, AR USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Williams, James S.
Sansgiry, Shubhada
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
South Cent Mental Illness Res Educ & Clin Ctr Virt, Houston, TX USA
Baylor Coll Med, Dept Med, Houston, TX USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Sansgiry, Shubhada
Zeno, Darrell
论文数: 0引用数: 0
h-index: 0
机构:
Michael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
South Cent Mental Illness Res Educ & Clin Ctr Virt, Houston, TX USA
Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Zeno, Darrell
Mittal, Dinesh
论文数: 0引用数: 0
h-index: 0
机构:
Univ Arkansas, Dept Psychiat, Med Sci, Little Rock, AR USA
South Cent VA Hlth Care Network VISN 16, Ridgeland, MS USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
Mittal, Dinesh
Kuo, Irving
论文数: 0引用数: 0
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机构:
South Cent VA Hlth Care Network VISN 16, Ridgeland, MS USAMichael E DeBakey VA Med Ctr, Houston VA HSR&D Ctr Innovat Qual Effectiveness &, Houston, TX USA
机构:
Rocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Univ Colorado Anschutz Med Campus, Dept Psychiat, Aurora, CO USARocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Monteith, Lindsey L.
Holliday, Ryan
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机构:
Rocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Univ Colorado Anschutz Med Campus, Dept Psychiat, Aurora, CO USARocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Holliday, Ryan
Hoffmire, Claire A.
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Rocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Univ Colorado Anschutz Med Campus, Dept Phys Med & Rehabil, Aurora, CO USARocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Hoffmire, Claire A.
Bahraini, Nazanin H.
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机构:
Rocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
Univ Colorado Anschutz Med Campus, Dept Psychiat, Aurora, CO USA
Univ Colorado Anschutz Med Campus, Dept Phys Med & Rehabil, Aurora, CO USARocky Mt Mental Illness Res Educ & Clin Ctr Suici, Aurora, CO USA
机构:
St Louis Univ, Sch Nursing, 3525 Caroline Mall,524, St Louis, MO 63104 USASt Louis Univ, Sch Nursing, 3525 Caroline Mall,524, St Louis, MO 63104 USA
Scaglione, Karen
Loyd, Vanessa
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机构:
Univ Missouri, St Louis, MO 63121 USASt Louis Univ, Sch Nursing, 3525 Caroline Mall,524, St Louis, MO 63104 USA
机构:
VA Northern Calif Hlth Care Syst, Primary Care Serv, Seattle, WA USA
Univ Washington, Sch Nursing, Seattle, WA 98195 USAVA Northern Calif Hlth Care Syst, Primary Care Serv, Seattle, WA USA
Brown, Kameka
Poppe, Anne
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VA Puget Sound Hlth Care Syst, Ctr Excellence Primary Care Educ, 1660 S Columbian Way S-123-COE, Seattle, WA 98108 USAVA Northern Calif Hlth Care Syst, Primary Care Serv, Seattle, WA USA
Poppe, Anne
Kaminetzky, Catherine P.
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VA Puget Sound Hlth Care Syst, Educ, Seattle, WA USA
Univ Washington, Sch Med, Seattle, WA USAVA Northern Calif Hlth Care Syst, Primary Care Serv, Seattle, WA USA
Kaminetzky, Catherine P.
Wipf, Joyce A.
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VA Puget Sound Hlth Care Syst, Ctr Excellence Primary Care Educ, 1660 S Columbian Way S-123-COE, Seattle, WA 98108 USA
Univ Washington, Sch Med, Seattle, WA USAVA Northern Calif Hlth Care Syst, Primary Care Serv, Seattle, WA USA
Wipf, Joyce A.
Woods, Nancy Fugate
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h-index: 0
机构:
Univ Washington, Sch Nursing, Seattle, WA 98195 USAVA Northern Calif Hlth Care Syst, Primary Care Serv, Seattle, WA USA
机构:
VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
VHA Vet Hlth Adm, 16111 Plummer St,Bldg 25, North Hills, CA 91343 USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Cannedy, Shay
Dyer, Karen E.
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Dyer, Karen E.
Oishi, Anneka
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Oishi, Anneka
Fenwick, Karissa M.
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Fenwick, Karissa M.
Olmos-Ochoa, Tanya T.
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Olmos-Ochoa, Tanya T.
Luger, Tana M.
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Covenant Hlth Network, Phoenix, AZ USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Luger, Tana M.
Gideonse, Theodore K.
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UCI Program Publ Hlth, Dept Hlth Soc & Behav, Irvine, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Gideonse, Theodore K.
Cheney, Ann M.
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UC Riverside Sch Med, Dept Social Med Populat & Publ Hlth, Riverside, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Cheney, Ann M.
Canelo, Ismelda
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Canelo, Ismelda
Yano, Elizabeth M.
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
UCLA Fielding Sch Publ Hlth, Dept Hlth Policy & Management, Los Angeles, CA USA
UCLA David Geffen Sch Med, Dept Med, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
Yano, Elizabeth M.
Hamilton, Alison B.
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VA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA
UCLA David Geffen Sch Med, Jane & Terry Semel Inst Neurosci & Human Behav, Dept Psychiat & Biobehav Sci, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Ctr Study Healthcare Innovat Implementat & Policy, Hlth Serv Res & Dev HSR & D, Los Angeles, CA USA