{"title":"护理监管委员会学科案例管理运作效率评价","authors":"Brendan Martin PhD, Nicole Kaminski-Ozturk PhD","doi":"10.1016/S2155-8256(22)00035-7","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>In the United States and across the globe, differences in staffing, operations, terminology, and other critical measures have historically made it difficult for nursing regulatory bodies (NRBs) to create a standardized method for objectively evaluating nurse performance.</p></div><div><h3>Purpose</h3><p>To identify indicators of operational efficiency that transcend individual jurisdictions for the disciplinary process.</p></div><div><h3>Methods</h3><p><span>Investigative staff at 10<span> U.S. NRBs entered detailed de-identified discipline case management information into a secure online database between June 2018 and June 2020. Generalized estimating equation models, receiver operating characteristic curves, and </span></span>natural language processing techniques were then used to assess the efficiency of case resolution.</p></div><div><h3>Results</h3><p>A total of 55 cases from 10 states in various regions of the United States were submitted. Nearly three-quarters of all cases (73%) were resolved, and the median closure time was 177 calendar days. On multivariable analysis, the volume of open caseloads (adjusted OR = 1.12, 95% CI = 1.06, 1.19, <em>p <</em> .001), number of case steps (adjusted OR = 1.08, 95% CI = 1.03, 1.13, <em>p <</em> .001), and umbrella agency type (adjusted OR = 1.71, 95% CI = 1.06, 2.78, <em>p =</em> .02) had the strongest associations with inefficient case resolution.</p></div><div><h3>Conclusion</h3><p>To achieve their mandate of ensuring public safety, NRBs must remain agile and utilize evidence-based approaches to manage disciplinary cases. In the United States and internationally, NRBs that efficiently and effectively execute the disciplinary process facilitate the appropriate and safe return to practice of effective nurses.</p></div>","PeriodicalId":46153,"journal":{"name":"Journal of Nursing Regulation","volume":null,"pages":null},"PeriodicalIF":4.2000,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluating the Operational Efficiency of Nursing Regulatory Boards’ Discipline Case Management\",\"authors\":\"Brendan Martin PhD, Nicole Kaminski-Ozturk PhD\",\"doi\":\"10.1016/S2155-8256(22)00035-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>In the United States and across the globe, differences in staffing, operations, terminology, and other critical measures have historically made it difficult for nursing regulatory bodies (NRBs) to create a standardized method for objectively evaluating nurse performance.</p></div><div><h3>Purpose</h3><p>To identify indicators of operational efficiency that transcend individual jurisdictions for the disciplinary process.</p></div><div><h3>Methods</h3><p><span>Investigative staff at 10<span> U.S. NRBs entered detailed de-identified discipline case management information into a secure online database between June 2018 and June 2020. Generalized estimating equation models, receiver operating characteristic curves, and </span></span>natural language processing techniques were then used to assess the efficiency of case resolution.</p></div><div><h3>Results</h3><p>A total of 55 cases from 10 states in various regions of the United States were submitted. Nearly three-quarters of all cases (73%) were resolved, and the median closure time was 177 calendar days. On multivariable analysis, the volume of open caseloads (adjusted OR = 1.12, 95% CI = 1.06, 1.19, <em>p <</em> .001), number of case steps (adjusted OR = 1.08, 95% CI = 1.03, 1.13, <em>p <</em> .001), and umbrella agency type (adjusted OR = 1.71, 95% CI = 1.06, 2.78, <em>p =</em> .02) had the strongest associations with inefficient case resolution.</p></div><div><h3>Conclusion</h3><p>To achieve their mandate of ensuring public safety, NRBs must remain agile and utilize evidence-based approaches to manage disciplinary cases. In the United States and internationally, NRBs that efficiently and effectively execute the disciplinary process facilitate the appropriate and safe return to practice of effective nurses.</p></div>\",\"PeriodicalId\":46153,\"journal\":{\"name\":\"Journal of Nursing Regulation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2022-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Regulation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2155825622000357\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Regulation","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2155825622000357","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
在美国和全球范围内,由于人员配置、操作、术语和其他关键措施的差异,护理监管机构(nrb)很难建立一个客观评估护士绩效的标准化方法。目的为纪律处分程序确定超越个别司法管辖区的运作效率指标。方法2018年6月至2020年6月期间,10家美国国家银行的调查人员将详细的去身份化纪律案件管理信息输入安全的在线数据库。然后使用广义估计方程模型、接受者工作特征曲线和自然语言处理技术来评估病例解决的效率。结果共收到来自美国不同地区10个州的55例病例。近四分之三的病例(73%)得到解决,关闭时间中位数为177个日历日。在多变量分析中,开放病例量(调整后OR = 1.12, 95% CI = 1.06, 1.19, p <.001),病例步骤数(调整后OR = 1.08, 95% CI = 1.03, 1.13, p <.001)和伞形机构类型(调整后OR = 1.71, 95% CI = 1.06, 2.78, p = 0.02)与低效的病例解决最相关。为了实现其确保公共安全的使命,国家警察机构必须保持敏捷,并利用基于证据的方法来管理纪律案件。在美国和国际上,有效和有效地执行纪律程序的nrb促进了有效护士适当和安全的回归实践。
Evaluating the Operational Efficiency of Nursing Regulatory Boards’ Discipline Case Management
Background
In the United States and across the globe, differences in staffing, operations, terminology, and other critical measures have historically made it difficult for nursing regulatory bodies (NRBs) to create a standardized method for objectively evaluating nurse performance.
Purpose
To identify indicators of operational efficiency that transcend individual jurisdictions for the disciplinary process.
Methods
Investigative staff at 10 U.S. NRBs entered detailed de-identified discipline case management information into a secure online database between June 2018 and June 2020. Generalized estimating equation models, receiver operating characteristic curves, and natural language processing techniques were then used to assess the efficiency of case resolution.
Results
A total of 55 cases from 10 states in various regions of the United States were submitted. Nearly three-quarters of all cases (73%) were resolved, and the median closure time was 177 calendar days. On multivariable analysis, the volume of open caseloads (adjusted OR = 1.12, 95% CI = 1.06, 1.19, p < .001), number of case steps (adjusted OR = 1.08, 95% CI = 1.03, 1.13, p < .001), and umbrella agency type (adjusted OR = 1.71, 95% CI = 1.06, 2.78, p = .02) had the strongest associations with inefficient case resolution.
Conclusion
To achieve their mandate of ensuring public safety, NRBs must remain agile and utilize evidence-based approaches to manage disciplinary cases. In the United States and internationally, NRBs that efficiently and effectively execute the disciplinary process facilitate the appropriate and safe return to practice of effective nurses.
期刊介绍:
Journal of Nursing Regulation (JNR), the official journal of the National Council of State Boards of Nursing (NCSBN®), is a quarterly, peer-reviewed, academic and professional journal. It publishes scholarly articles that advance the science of nursing regulation, promote the mission and vision of NCSBN, and enhance communication and collaboration among nurse regulators, educators, practitioners, and the scientific community. The journal supports evidence-based regulation, addresses issues related to patient safety, and highlights current nursing regulatory issues, programs, and projects in both the United States and the international community. In publishing JNR, NCSBN''s goal is to develop and share knowledge related to nursing and other healthcare regulation across continents and to promote a greater awareness of regulatory issues among all nurses.