Developing a Nursing Workload Intensity Staffing Model: Evaluating the Perceptions of Nurses and the Effect on Nursing-Sensitive Indicators.

IF 1.8 4区医学 Q2 NURSING

Journal of Nursing Administration Pub Date : 2024-10-01 DOI:10.1097/NNA.0000000000001490

Cynthia Thornton Bacon, Thomas P McCoy, Marjorie Jenkins, JoAnna Gontarz, Amita Mittal

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引用次数: 0

Abstract

Objective: To explore a workload intensity staffing (WIS) model's effect on nurse and patient outcomes.

Background: Little is known about the relationship between WIS and nurse and patient outcomes.

Methods: A point-based workload intensity tool was developed and implemented to determine the level of care for adult inpatients. Before and after implementation, nurses provided feedback on staffing practices. Rates for catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABSI), and patient fall rates were collected.

Results: Nurses indicated that patients were equally distributed among nurses (pre-score mean [M] = 3.7 vs post M = 3.6, P = 0.609) and that patient work intensity was incorporated into patient assignments (pre M = 3.4 vs post M = 3.5, P = 0.717). A significant negative trend was revealed for patient falls per 1000 patient-days (b = -0.063, P = 0.010) with fewer falls post-WIS implementation and a significant decrease in falls with injury (b = -0.085, P = 0.002). There was no significant difference in CAUTI and CLABSI rates for pre- versus post-WIS and WIS implementation.

Conclusions: Although these initial results are promising, more research is needed on WIS and nurse and patient outcomes.

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开发护理工作量强度人员配置模型：评估护士的认知及其对护理敏感指标的影响。

目的：探讨工作量强度配备（WIS）模式对护士和患者预后的影响。背景：关于WIS与护士和患者预后之间的关系知之甚少。方法：开发并实施了基于点的工作量强度工具来确定成人住院患者的护理水平。实施前后，护士对人员配置实践提供反馈。收集导管相关尿路感染（CAUTIs）、中央静脉相关血流感染（CLABSI）和患者跌倒率。结果：护士表示患者在护士之间分布均匀（评分前均值[M] = 3.7 vs评分后均值[M] = 3.6, P = 0.609），并将患者的工作强度纳入患者分配（评分前均值[M] = 3.4 vs评分后均值[M] = 3.5, P = 0.717）。每1000患者日跌倒次数呈显著负相关趋势（b = -0.063, P = 0.010），实施wis后跌倒次数减少，受伤后跌倒次数显著减少（b = -0.085, P = 0.002）。WIS前后和实施WIS前后的CAUTI和CLABSI发生率无显著差异。结论：虽然这些初步结果是有希望的，但需要对WIS和护士和患者的结果进行更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nursing Administration 医学-护理

CiteScore

2.90

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.