This study investigated nurse perspectives on the work impacts of a decentralized inpatient unit model. The study involved two rural acute-care hospitals in rural Nebraska that moved from a centralized to a decentralized inpatient unit design. The researcher conducted focus group discussions with staff and nursing management at both facilities with a total of 28 participants. In addition, the participants completed a 12-item questionnaire using a five-point Likert scale for responding. Focus group discussion and questionnaire were designed to investigate the areas of quality of care, communication, documentation, stress and wellbeing, and transition. Data gathered revealed that on all survey questions but one, a centralized unit design was preferred, with the exception of supporting nurses’ chart documentation. The survey data collected aligned with the focus group findings.
","abstract_html":"<p>This study investigated nurse perspectives on the work impacts of a decentralized inpatient unit model. The study involved two rural acute-care hospitals in rural Nebraska that moved from a centralized to a decentralized inpatient unit design. The researcher conducted focus group discussions with staff and nursing management at both facilities with a total of 28 participants. In addition, the participants completed a 12-item questionnaire using a five-point Likert scale for responding. Focus group discussion and questionnaire were designed to investigate the areas of quality of care, communication, documentation, stress and wellbeing, and transition. Data gathered revealed that on all survey questions but one, a centralized unit design was preferred, with the exception of supporting nurses’ chart documentation. The survey data collected aligned with the focus group findings. </p>","abstract_has_math":false,"creators":["Mcdevitt, Susan"],"institution":null,"degree_name":"Master of Science - Human Sciences","degree_level":"Thesis","degree_discipline":"Human Sciences","degree_department":null,"school":null,"contributors":["Dr. Mitzi Perritt","Dr, Ray Darville","Dr. Karen Migl"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-12-01T08:00:00Z","date_published":"2017-12-01T08:00:00Z","updated_at":"2026-07-24T04:30:15Z","subjects":["nurse","decentralized","centralized","design","Other Nursing"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarworks.sfasu.edu/etds/136","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Dr. Mitzi Perritt","Dr, Ray Darville","Dr. Karen Migl"]},{"key":"dc:creator","label":"Author","values":["Mcdevitt, Susan"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2018-12-13T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Human Sciences"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science - Human Sciences"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["nurse","decentralized","centralized","design","Other Nursing"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarworks.sfasu.edu/etds/136"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This study investigated nurse perspectives on the work impacts of a decentralized inpatient unit model. The study involved two rural acute-care hospitals in rural Nebraska that moved from a centralized to a decentralized inpatient unit design. The researcher conducted focus group discussions with staff and nursing management at both facilities with a total of 28 participants. In addition, the participants completed a 12-item questionnaire using a five-point Likert scale for responding. Focus group discussion and questionnaire were designed to investigate the areas of quality of care, communication, documentation, stress and wellbeing, and transition. Data gathered revealed that on all survey questions but one, a centralized unit design was preferred, with the exception of supporting nurses’ chart documentation. The survey data collected aligned with the focus group findings.
"]},{"key":"dc:title","label":"Title","values":["Nurse Perspectives on the Work Impacts of Decentralized Nursing Unit Design"]}]}],"canonical_facts":{"dc:contributor":["Dr. Mitzi Perritt","Dr, Ray Darville","Dr. Karen Migl"],"dc:creator":["Mcdevitt, Susan"],"dc:date.available":["2018-12-13T08:00:00Z"],"dc:description.abstract":["This study investigated nurse perspectives on the work impacts of a decentralized inpatient unit model. The study involved two rural acute-care hospitals in rural Nebraska that moved from a centralized to a decentralized inpatient unit design. The researcher conducted focus group discussions with staff and nursing management at both facilities with a total of 28 participants. In addition, the participants completed a 12-item questionnaire using a five-point Likert scale for responding. Focus group discussion and questionnaire were designed to investigate the areas of quality of care, communication, documentation, stress and wellbeing, and transition. Data gathered revealed that on all survey questions but one, a centralized unit design was preferred, with the exception of supporting nurses’ chart documentation. The survey data collected aligned with the focus group findings.
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