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The Effects of Implementation of a Patient Classification System on Nursing Satisfaction

Dobson, Brighid
Rowland, Molly
Seitz, Katherine
Wattanodam, Kam
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Genre
Poster (Research)
Date
2015
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Committee member
Department
Nursing
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DOI
http://dx.doi.org/10.34944/dspace/9087
Abstract
The purpose of our project is to examine the effects of utilizing a Patient Classification System (PCS) to establish efficient and equitable patient assignmentsto increase nursing satisfaction. The alternative to using a PCS to determine staffing needs and creating patient assignment would be using a patient-to-nurse ration,which identifies the minimum staffing level (Malloch, 2012). Factors which areconsidered when creating a patient assignment include a patient-to-nurse ration, continuity of care, unit geography, anticipated admissions/discharged, and patientacuity. Brennan and Daly (2008) defined “patient acuity as a measure of the severityof illness of the patient and the intensity of nursing care that a patient requires”.Many studies have been conducted regarding either one or the other. A large varietyof tools have been created to measure how sick a patient is, as there are time-motion studies regarding nursing care. Harper and McCully (2007) suggest that aneffective patient classification system (PCS) is holistic and takes both into accountwhen assessing nursing workload. The following is a review of acuity tools used forthe purpose of assignment composition, operating under the premise that accurate representation of nursing workload lends itself to equitable assignment composition.
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