Post Anesthesia Care Unit Patient Classification System: The Direct Care Nursing Time Component. Executive Summary
Final rept. Sep 87-Nov 90,
ARMY HEALTH CARE STUDIES AND CLINICAL INVESTIGATION ACTIVITY FORT SAM HOUSTON TX
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The intent of the study was to quantify the time Post Anesthesia Care Unit PACU nurses spend in direct patient care i.e., that care provided in the presence of the patient. The quantified PACU direct care time would provide one critical component necessary for the development of an acuity based Patient Classification System PCS. The study was conducted in three broad phases over a period of two years. Phase I, a panel of clinical nursing experts identified 62 direct care nursing tasks that reflected the full range of PACU nursing. The average time mean time to complete each of the 62 direct care tasks was established by actual stopwatch timed measurements. In Phase II a PACU data collection instrument was developed that contained the 62 PACU direct care tasks. A pilot test of this 62 task instrument revealed a reliability of r .93 and a validity of r .82. A field study was initiated at six Army Medical Treatment Facilities MTFs with 4018 data collection instruments completed over a period of 14 weeks. Analysis of the data revealed three naturally occurring patient acuity categories category I 0-29 min, category II 30-69 min, and category III 70 min or greater. Regression analysis identified 25 tasks as the fewest best set of direct care predictor tasks.
- Personnel Management and Labor Relations
- Medicine and Medical Research