PMID- 9362868
OWN - NLM
STAT- MEDLINE
DCOM- 19971211
LR  - 20181201
IS  - 0746-1739 (Print)
IS  - 0746-1739 (Linking)
VI  - 15
IP  - 5
DP  - 1997 Sep-Oct
TI  - Differentiated nursing practice: assessing the state-of-the-science.
PG  - 253-61, 264
AB  - The authors present their findings following an exhaustive literature review of 
      research on differentiated nursing practice (DNP) that used a number of tools to 
      measure various aspects of DNP that are applicable across the health care 
      delivery continuum. Issues related to DNP include: optimal nursing care, matching 
      patient needs with nurse competencies, effective use of nursing resources, 
      equitable compensation, career satisfaction, loyalty to employers, and enhanced 
      prestige of the nursing profession. One 1992 Massachusetts study of a three-role 
      oncology unit project (including patient care manager, clinical nurse, and 
      patient care technician), showed positive change in five criteria including: 
      standards of nursing care, actual care hours, average labor costs, job 
      satisfaction and patient satisfaction. A 1990 Arizona study that included unit 
      assistants concluded that DNP supported a decline in the use of supplemental 
      staff and staff overtime which led to cost savings, and increases in the actual 
      hours of care and nurse satisfaction.
FAU - Baker, C M
AU  - Baker CM
AD  - Indiana University School of Nursing, Indianapolis, USA.
FAU - Lamm, G M
AU  - Lamm GM
FAU - Winter, A R
AU  - Winter AR
FAU - Robbeloth, V B
AU  - Robbeloth VB
FAU - Ransom, C A
AU  - Ransom CA
FAU - Conly, F
AU  - Conly F
FAU - Carpenter, K C
AU  - Carpenter KC
FAU - McCoy, L E
AU  - McCoy LE
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Nurs Econ
JT  - Nursing economic$
JID - 8404213
MH  - Cost Savings
MH  - Education, Nursing, Associate
MH  - Education, Nursing, Baccalaureate
MH  - Humans
MH  - *Job Description
MH  - Job Satisfaction
MH  - *Models, Nursing
MH  - Nurse Administrators/*organization & administration
MH  - Nursing Assistants/*organization & administration
MH  - Nursing Staff, Hospital/*education/*organization & administration
MH  - Nursing, Team/*organization & administration
RF  - 48
EDAT- 1997/11/18 00:00
MHDA- 1997/11/18 00:01
CRDT- 1997/11/18 00:00
PHST- 1997/11/18 00:00 [pubmed]
PHST- 1997/11/18 00:01 [medline]
PHST- 1997/11/18 00:00 [entrez]
PST - ppublish
SO  - Nurs Econ. 1997 Sep-Oct;15(5):253-61, 264.