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

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  • Additional Information
    • Source:
      Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1263116 Publication Model: Print Cited Medium: Internet ISSN: 1539-0721 (Electronic) Linking ISSN: 00020443 NLM ISO Abbreviation: J Nurs Adm Subsets: MEDLINE
    • Publication Information:
      Publication: Hagerstown, MD : Lippincott Williams & Wilkins
      Original Publication: [Billerica, Mass., Contemporary Publishing Associates]
    • Subject Terms:
      Workload* ; Nursing Staff, Hospital*/psychology ; Personnel Staffing and Scheduling*; Humans ; Adult ; Catheter-Related Infections/prevention & control ; Female ; Accidental Falls/statistics & numerical data ; Accidental Falls/prevention & control ; Attitude of Health Personnel ; Male ; Models, Nursing
    • 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.
      Competing Interests: The authors declare no conflicts of interest.
      (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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    • Publication Date:
      Date Created: 20241210 Date Completed: 20241210 Latest Revision: 20241210
    • Publication Date:
      20241210
    • Accession Number:
      10.1097/NNA.0000000000001490
    • Accession Number:
      39654461