Nancy M Daraiseh1, William P Vidonish, Pam Kiessling, Li Lin. 1. Author Affiliations: Assistant Professor (Dr Daraiseh), Research in Patient Services and James M. Anderson Center for Health Systems Excellence; Project Manager (Mr Vidonish and Ms Keissling), Center for Professional Excellence; Statistician, Research in Patient Services (Ms Lin), Cincinnati Children's Hospital Medical Center, Ohio.
Abstract
OBJECTIVE: The purpose of this study was to develop a valid and reliable patient classification system (PCS) for a neonatal ICU (NICU). BACKGROUND: PCSs have been widely used to determine required care hours, budgeting, and staffing. There is a lack of and a vital need for a valid and reliable pediatric PCS because of differences in needs and treatment from adults. METHODS: Data were collected in a NICU using work sampling, chart reviews, and expert opinion. The resulting PCS was assessed for validity and reliability, ease of use, effectiveness, and satisfaction. RESULTS: The PCS showed significantly high reliability and validity. Survey scores revealed nurses perceived the tool to be easy to use and effective. CONCLUSIONS: Using subjective and objective methods, a NICU PCS was shown to be a valid and reliable measure to determine the hours per patient day required to provide care.
OBJECTIVE: The purpose of this study was to develop a valid and reliable patient classification system (PCS) for a neonatal ICU (NICU). BACKGROUND: PCSs have been widely used to determine required care hours, budgeting, and staffing. There is a lack of and a vital need for a valid and reliable pediatric PCS because of differences in needs and treatment from adults. METHODS: Data were collected in a NICU using work sampling, chart reviews, and expert opinion. The resulting PCS was assessed for validity and reliability, ease of use, effectiveness, and satisfaction. RESULTS: The PCS showed significantly high reliability and validity. Survey scores revealed nurses perceived the tool to be easy to use and effective. CONCLUSIONS: Using subjective and objective methods, a NICU PCS was shown to be a valid and reliable measure to determine the hours per patient day required to provide care.
Authors: Heather L Tubbs-Cooley; Constance A Mara; Adam C Carle; Barbara A Mark; Rita H Pickler Journal: JAMA Pediatr Date: 2019-01-01 Impact factor: 16.193