Rethinking Nursing Productivity to Enhance Organizational Performance Joanne Disch, PhD, RN, FAAN, Professor ad Honorem, University of Minnesota School of Nursing Nanne M. Finis, RN, MS, Chief Nurse Executive, UKGExecutive Summary For more than 50 years, nursing productivity has been expressed simply as nursing hours per patient day, by the midnight census, or perhaps by the number of patients per nurse. In one early study published in 1984, productivity was even defined as the number of physician-written orders carried out by nurses each day.1 Intense pressure today to improve productivity at the organizational level requires revised mental models, definitions, and tools beyond those associated with nursing productivity. There is a growing need for organizations to deliver on val

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