J Med Syst - Data envelopment analysis model for the appraisal and relative performance evaluation of nurses at an intensive care unit.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ model(2341) predict(2261) use(1141) }
{ chang(1828) time(1643) increas(1301) }
{ patient(2837) hospit(1953) medic(668) }
{ activ(1138) subject(705) human(624) }
{ can(774) often(719) complex(702) }
{ cost(1906) reduc(1198) effect(832) }
{ method(1219) similar(1157) match(930) }
{ data(1714) softwar(1251) tool(1186) }
{ perform(999) metric(946) measur(919) }
{ health(3367) inform(1360) care(1135) }
{ analysi(2126) use(1163) compon(1037) }
{ inform(2794) health(2639) internet(1427) }
{ featur(3375) classif(2383) classifi(1994) }
{ patient(2315) diseas(1263) diabet(1191) }
{ data(3963) clinic(1234) research(1004) }
{ sampl(1606) size(1419) use(1276) }
{ use(1733) differ(960) four(931) }
{ take(945) account(800) differ(722) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ concept(1167) ontolog(924) domain(897) }
{ control(1307) perform(991) simul(935) }
{ general(901) number(790) one(736) }
{ case(1353) use(1143) diagnosi(1136) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(1821) servic(1111) care(1106) }
{ process(1125) use(805) approach(778) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ imag(2830) propos(1344) filter(1198) }
{ studi(2440) review(1878) systemat(933) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(984) reconstruct(947) comput(926) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ compound(1573) activ(1297) structur(1058) }
{ use(2086) technolog(871) perceiv(783) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ model(3404) distribut(989) bayesian(671) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

The appraisal and relative performance evaluation of nurses are very important and beneficial for both nurses and employers in an era of clinical governance, increased accountability and high standards of health care services. They enhance and consolidate the knowledge and practical skills of nurses by identification of training and career development plans as well as improvement in health care quality services, increase in job satisfaction and use of cost-effective resources. In this paper, a data envelopment analysis (DEA) model is proposed for the appraisal and relative performance evaluation of nurses. The model is validated on thirty-two nurses working at an Intensive Care Unit (ICU) at one of the most recognized hospitals in Lebanon. The DEA was able to classify nurses into efficient and inefficient ones. The set of efficient nurses was used to establish an internal best practice benchmark to project career development plans for improving the performance of other inefficient nurses. The DEA result confirmed the ranking of some nurses and highlighted injustice in other cases that were produced by the currently practiced appraisal system. Further, the DEA model is shown to be an effective talent management and motivational tool as it can provide clear managerial plans related to promoting, training and development activities from the perspective of nurses, hence increasing their satisfaction, motivation and acceptance of appraisal results. Due to such features, the model is currently being considered for implementation at ICU. Finally, the ratio of the number DEA units to the number of input/output measures is revisited with new suggested values on its upper and lower limits depending on the type of DEA models and the desired number of efficient units from a managerial perspective.

Resumo Limpo

apprais relat perform evalu nurs import benefici nurs employ era clinic govern increas account high standard health care servic enhanc consolid knowledg practic skill nurs identif train career develop plan well improv health care qualiti servic increas job satisfact use costeffect resourc paper data envelop analysi dea model propos apprais relat perform evalu nurs model valid thirtytwo nurs work intens care unit icu one recogn hospit lebanon dea abl classifi nurs effici ineffici one set effici nurs use establish intern best practic benchmark project career develop plan improv perform ineffici nurs dea result confirm rank nurs highlight injustic case produc current practic apprais system dea model shown effect talent manag motiv tool can provid clear manageri plan relat promot train develop activ perspect nurs henc increas satisfact motiv accept apprais result due featur model current consid implement icu final ratio number dea unit number inputoutput measur revisit new suggest valu upper lower limit depend type dea model desir number effici unit manageri perspect

Resumos Similares

J Biomed Inform - Bridging gaps in handoffs: a continuity of care based approach. ( 0,808300047357087 )
BMC Med Inform Decis Mak - National survey focusing on the crucial information needs of intensive care charge nurses and intensivists: same goal, different demands. ( 0,796078692110307 )
Health Informatics J - The coordination hub: Toward patient-centered and collaborative care processes. ( 0,794410765736692 )
BMC Med Inform Decis Mak - The status of IT service management in health care - ITIL? in selected European countries. ( 0,791235813681025 )
J Am Med Inform Assoc - Intensive care unit nurses' information needs and recommendations for integrated displays to improve nurses' situation awareness. ( 0,78355526453788 )
Int J Med Inform - Managing variations from surgical care plans: challenges for coordination. ( 0,775637798684257 )
AMIA Annu Symp Proc - Development of a nursing handoff tool: a web-based application to enhance patient safety. ( 0,767744893269413 )
AMIA Annu Symp Proc - Falling through the cracks: information breakdowns in critical care handoff communication. ( 0,754143983173679 )
Int J Med Inform - Going paperless at the emergency department: a socio-technical study of an information system for patient tracking. ( 0,74577996547483 )
Int J Med Inform - Use of electronic information systems in nursing management. ( 0,73906421200107 )
Int J Med Inform - Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue. ( 0,735410050312563 )
J. Med. Internet Res. - An evaluation of the use of smartphones to communicate between clinicians: a mixed-methods study. ( 0,73532142954938 )
J Innov Health Inform - Using information to deliver safer care: a mixed-methods study exploring general practitioners' information needs in North West London primary care. ( 0,734221385064184 )
Int J Med Inform - A model of awareness to enhance our understanding of interprofessional collaborative care delivery and health information system design to support it. ( 0,733827666259612 )
Int J Med Inform - Effect of a nursing information system on the quality of information processing in nursing: An evaluation study using the HIS-monitor instrument. ( 0,732865592576872 )
Int J Med Inform - Guidelines for maternal and neonatal point of care: needs of and attitudes towards a computerized clinical decision support system in rural Burkina Faso. ( 0,731723714003906 )
Int J Med Inform - The impact of medical record technologies on collaboration in emergency medicine. ( 0,730874310734649 )
AMIA Annu Symp Proc - A software communication tool for the tele-ICU. ( 0,729940352722141 )
J Am Med Inform Assoc - The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. ( 0,72941740126257 )
AMIA Annu Symp Proc - Examining the Multi-level Fit between Work and Technology in a Secure Messaging Implementation. ( 0,728861076498524 )
AMIA Annu Symp Proc - To talk or not to talk: exploring culturally diverse patients' health information communication choices. ( 0,728462777949825 )
Telemed J E Health - Communication strategies and timeliness of response to life critical telemetry alarms. ( 0,726847249495549 )
Int J Med Inform - Using Cognitive Work Analysis to fit decision support tools to nurse managers' work flow. ( 0,726686768719279 )
J Med Syst - Understanding critical barriers to implementing a clinical information system in a nursing home through the lens of a socio-technical perspective. ( 0,725781456937585 )
Int J Med Inform - Can technology change the work of nurses? Evaluation of a drug monitoring system for ambulatory chronic disease patients. ( 0,724356492305902 )
Telemed J E Health - Task-technology fit of video telehealth for nurses in an outpatient clinic setting. ( 0,724321741452102 )
AMIA Annu Symp Proc - Describing the Clinical Communication Space through a Model of Common Ground: 'you don't know what you don't know'. ( 0,723375015373965 )
Healthc (Amst) - When scaling prevention means scaling demand: Voluntary medical male circumcision in Nyanza Province, Kenya. ( 0,723278419834205 )
Healthc (Amst) - Flexible implementation and integration of new team members to support patient-centered care. ( 0,722540817914317 )
Healthc (Amst) - Doubling down: Lessons learned from building a new electronic health record as part of primary care practice redesign. ( 0,721692439132061 )
Int J Med Inform - Multi-disciplinary communication networks for skin risk assessment in nursing homes with high IT sophistication. ( 0,720729835482786 )
Telemed J E Health - Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned. ( 0,719995044410748 )
BMC Med Inform Decis Mak - Successful implementation of new technologies in nursing care: a questionnaire survey of nurse-users. ( 0,717184818307818 )
BMC Med Inform Decis Mak - The role of ICT in supporting disruptive innovation: a multi-site qualitative study of nurse practitioners in emergency departments. ( 0,715463127668938 )
J Am Med Inform Assoc - Patient-centered care requires a patient-oriented workflow model. ( 0,713570272435676 )
Healthc (Amst) - Implementing a patient centered medical home in the Veterans health administration: Perspectives of primary care providers. ( 0,712084836984026 )
Telemed J E Health - A systematic review of clinician and staff views on the acceptability of incorporating remote monitoring technology into primary care. ( 0,7109148363484 )
J Am Med Inform Assoc - The impact of PACS on clinician work practices in the intensive care unit: a systematic review of the literature. ( 0,71089442368723 )
Appl Clin Inform - A case report in health information exchange for inter-organizational patient transfers. ( 0,710316910290532 )
Int J Med Inform - Does e-pain plan improve management of sickle cell disease associated vaso-occlusive pain crisis? a mixed methods evaluation. ( 0,70838908483939 )
Int J Med Inform - Organizational routines, innovation, and flexibility: the application of narrative networks to dynamic workflow. ( 0,703748761321873 )
J. Med. Internet Res. - Experiences of multidisciplinary development team members during user-centered design of telecare products and services: a qualitative study. ( 0,702189619145099 )
Int J Med Inform - The importance of the verbal shift handover report: a multi-site case study. ( 0,70123714208172 )
AMIA Annu Symp Proc - A Framework for Incorporating Patient Preferences to Deliver Participatory Medicine via Interdisciplinary Healthcare Teams. ( 0,699356243753143 )
Int J Med Inform - Health information exchange interventions can enhance quality and continuity of HIV care. ( 0,698927143177131 )
Int J Med Inform - Impact of IT-supported clinical pathways on medical staff satisfaction. A prospective longitudinal cohort study. ( 0,697950172129743 )
BMC Med Inform Decis Mak - Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. ( 0,69418092452228 )
Int J Med Inform - Effects of clinical communication interventions in hospitals: a systematic review of information and communication technology adoptions for improved communication between clinicians. ( 0,693238009464703 )
Inform Health Soc Care - Information exchange between registered nurses and district nurses during the discharge planning process: cross-sectional analysis of survey data. ( 0,692342429292552 )
Health Info Libr J - Information needs of clinicians and non-clinicians in the Emergency Department: a qualitative study. ( 0,691283629098507 )
Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future. ( 0,688161947019793 )
Inform Health Soc Care - Information practices of health care professionals related to patient discharge from hospital. ( 0,687919117048442 )
Healthc (Amst) - Association of medical home team-based care functions and perceived improvements in patient-centered care at VHA primary care clinics. ( 0,683115955596138 )
Healthc (Amst) - The EFECT framework for interprofessional education in the patient centered medical home. ( 0,682699191285851 )
Perspect Health Inf Manag - Assessment of success on the RHIA certification examination: a comparison of baccalaureate program graduates and postbaccalaureate certificate program graduates. ( 0,68115439967076 )
BMC Med Inform Decis Mak - Quality of prenatal and maternal care: bridging the know-do gap (QUALMAT study): an electronic clinical decision support system for rural Sub-Saharan Africa. ( 0,67888471826295 )
AMIA Annu Symp Proc - Coordination of care for complex pediatric patients: perspectives from providers and parents. ( 0,678855366367597 )
J Am Med Inform Assoc - Health information exchange technology on the front lines of healthcare: workflow factors and patterns of use. ( 0,676707580863412 )
Appl Clin Inform - Dealing with the archetypes development process for a regional EHR system. ( 0,675106950280024 )
Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients. ( 0,674744997426079 )
J Med Syst - Advanced nurse-patient communication system. ( 0,672606873895105 )
Int J Med Inform - Using a sociotechnical framework to understand adaptations in health IT implementation. ( 0,670525363192186 )
Healthc (Amst) - An exploration of management practices in hospitals. ( 0,669885775126596 )
J Biomed Inform - Informing the design of clinical decision support services for evaluation of children with minor blunt head trauma in the emergency department: a sociotechnical analysis. ( 0,667732750963516 )
BMC Med Inform Decis Mak - Participatory eHealth development to support nurses in antimicrobial stewardship. ( 0,664957576711412 )
Telemed J E Health - Analysis of the impact of the Birmingham OwnHealth program on secondary care utilization and cost: a retrospective cohort study. ( 0,664736832797188 )
J. Med. Internet Res. - Researchers' needs for resource discovery and collaboration tools: a qualitative investigation of translational scientists. ( 0,664687986704062 )
Int J Med Inform - Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes. ( 0,663952024897958 )
J Telemed Telecare - Telehealth in palliative care in the UK: a review of the evidence. ( 0,661904148833087 )
Inform Health Soc Care - Patients' contribution to the development of a web-based plan for integrated care - a participatory design study. ( 0,661524344824009 )
Int J Med Inform - The fungibility of time in claims of efficiency: the case of making transmission of prescriptions electronic in English general practice. ( 0,661438100773662 )
Int J Med Inform - Lost in translation: the challenges of seamless integration in nursing practices. ( 0,660782309430821 )
Appl Clin Inform - CAH to CAH: EHR implementation advice to critical access hospitals from peer experts and other key informants. ( 0,660470416792786 )
BMC Med Inform Decis Mak - Qualitative evaluation of a diabetes electronic decision support tool: views of users. ( 0,660166883253356 )
Int J Med Inform - Barriers and facilitators to the use of computer-based intensive insulin therapy. ( 0,658941711081799 )
AMIA Annu Symp Proc - A mixed methods approach for measuring the impact of delivery-centric interventions on clinician workflow. ( 0,65875714181678 )
J Biomed Inform - Proclets in healthcare. ( 0,65836899595317 )
AMIA Annu Symp Proc - Cognitive design of a digital desk for the emergency room setting. ( 0,656384621726583 )
BMC Med Inform Decis Mak - A qualitative evaluation of general practitioners' views on protocol-driven eReferral in Scotland. ( 0,655326950091675 )
J Am Med Inform Assoc - Quantifying care coordination using natural language processing and domain-specific ontology. ( 0,654780297866534 )
Int J Med Inform - The benefits of introducing electronic health records in residential aged care facilities: a multiple case study. ( 0,654560550652486 )
Health Info Libr J - Information professionals' participation in interdisciplinary research: a preliminary study of factors affecting successful collaborations. ( 0,653500693188628 )
J Am Med Inform Assoc - Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. ( 0,653086271532104 )
AMIA Annu Symp Proc - Clinical Workflow Observations to Identify Opportunities for Nurse, Physicians and Patients to Share a Patient-centered Plan of Care. ( 0,651615079709598 )
Int J Med Inform - CareCoor: augmenting the coordination of cooperative home care work. ( 0,65102214896183 )
J Clin Monit Comput - Clinical refinement of the automatic lung parameter estimator (ALPE). ( 0,650775987179655 )
AMIA Annu Symp Proc - Support for contextual control in primary care: a qualitative analysis. ( 0,650716290062023 )
BMC Med Inform Decis Mak - Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. ( 0,650389896905177 )
Comput. Biol. Med. - Smart medical environment at the point of care: auto-tracking clinical interventions at the bed side using RFID technology. ( 0,649738256899299 )
J Telemed Telecare - The benefits of e-health support for older family caregivers in rural areas. ( 0,649475891442984 )
Health Informatics J - Using integrated bio-physiotherapy informatics in home health-care settings: A qualitative analysis of a point-of-care decision support system. ( 0,64928404875539 )
J Biomed Inform - Intra-operative decision making: more than meets the eye. ( 0,648719765799072 )
Int J Med Inform - Evaluation of a comprehensive EHR based on the DeLone and McLean model for IS success: approach, results, and success factors. ( 0,64792889370566 )
Health Info Libr J - Health education for Somali Bantu refugees via home visits. ( 0,645465397594546 )
Appl Clin Inform - Advice for Decision Makers Based on an Electronic Health Record Evaluation at a Program for All-inclusive Care for Elders Site. ( 0,645145634017774 )
Inform Health Soc Care - 'The web is not enough, it's a base'--an explorative study of what needs a web-based support system for young carers must meet. ( 0,643525465765659 )
Int J Med Inform - Technology-mediated awareness: facilitating the handling of (un)wanted interruptions in a hospital setting. ( 0,643186409668194 )
J Am Med Inform Assoc - Computerized provider documentation: findings and implications of a multisite study of clinicians and administrators. ( 0,641815459881588 )
J. Med. Internet Res. - Aligning medication reconciliation and secure messaging: qualitative study of primary care providers' perspectives. ( 0,641281857056456 )
Telemed J E Health - Telemonitoring increases patient awareness of health and prompts health-related action: initial evaluation of the TELE-ERA study. ( 0,640498666919813 )