Developing a Patient Classification System for a Neonatal ICU. (December 2016)

• Record Type: Journal Article
• Authors: Daraiseh, Nancy M.; Vidonish, William P.; Kiessling, Pam; Lin, Li
• Is Part Of: Journal of nursing administration. Volume 46:Number 12(2016)
• Publication Date: 2016-12
• Subjects: Nursing services -- Administration -- Periodicals; 610.7305
• DOI: 10.1097/NNA.0000000000000419
• Languages: English
• ISSNs: 0002-0443

Abstract

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.