New tools and techniques for responding to staffing and skill-mix demands pose their own difficult challenges for nurse administrators. The authors use the data from one graduate student's project to emphasize the utility of the Work Complexity Assessment. It tells the story of the authors' own experience in piloting the process in a community hospital setting. Finally, they offer some specific recommendations to others who would pursue the use of the Work Complexity Assessment process.
Nurse administrators, in response to budget imperatives, have made decisions that, rather than solve their difficulties, magnify them. Finding solutions that address cost as well as culture changes in nursing is crucial if we are to remain financially and professionally viable. In this article, the authors describe a tool for reconstructing reality for both cost reduction and relationship development.
Nurses are credentialed as individuals; recruited, selected, and retained as individuals; and judged by managers and peers on the basis of individual practice. Developing a collective practice, which requires different ways of knowing, collaborating, and measuring success as well as a different perspective on our work, allows us to adhere to standards, achieve best practices, reduce variability, and enhance the predictability of patient outcomes.
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