An Evaluative Study of the Navy Medical Department's Patient Classification System and Staffing Allocation.
Preliminary rept. Oct 83-Aug 84,
NAVAL SCHOOL OF HEALTH SCIENCES BETHESDA MD
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This is a preliminary report to evaluate the validity and reliability of the Workload Management System WMS for Nursing. The system is currently being used as the basis for nurse staffing decisions within the Navy Medical Department. This report presents the background information for the study, including hypothesis, literature review and instrumentation, and the results from the first of six test sites. To evaluate reliability, 37 patients on six nursing units in the first test hospital were classified by the nurse expert using the patient classification Critical Indicator tool. To gather subjective information from charge nurses about their perceptions of staffing adequacy, Unit Staffing Evaluation tools were completed for a total of 63 shifts. Perceptions of care given during these shifts were obtained from charge nurses and staff nurses using the Nursing Care Evaluation form. Demographic data to characterize the respondents and to evaluate user acceptance were collected using a staff questionnaire n 64. Inter-rater reliability was examined using Kappa Statistic and Intra-class correlations. The relationship between recommended staff numbers and nurses perceptions of staffing adequacy was measured using correlational statistics. Descriptive statistics were used to determine user acceptability of the system. Inter-tater reliability between staff nurses and the nurse investigator exceeded th 80 agreement level with a Pearson correlation of .93.
- Personnel Management and Labor Relations
- Medicine and Medical Research