Comparison of nurse workload approaches

Journal of Nursing Management
Susan BeswickMary Ann Anderson

Abstract

For hospitals in the United States, the number of patients who lie in beds at midnight is considered to be the standard indicator of nursing workload; relatively little attention is given to the total number of patients cared for in a 24-hour day. Staffing decisions are related to cost of care. Such decisions are made on a per-shift basis, calculating hours per patient day (HPPD) based upon midnight census provides little decision-making support about variable staffing needs over a 24-hour period. The discrepancy between nurse managers' staffing based on real-time patient needs and financial analysts looking only at units of service captured at midnight clearly speaks to the need for a new metric of measurement. To describe the variations in nursing workload across two medical units using a comparison of intra-day census recommendations for staffing and those projected based on the midnight census alone. Data were retrieved from a primary data set that included: (1) the number of patients lying in beds at four different times during a 24-hour period: 06.00, 14.00, 22.00 hours and at midnight; (2) projected nursing hours needed based on the numbers of patients lying in beds at different times during the 24-hour period; and (3) t...Continue Reading

References

Oct 22, 2002·JAMA : the Journal of the American Medical Association·Linda H AikenJeffrey H Silber
Apr 11, 2006·Nursing Management·Kathleen M White
Apr 13, 2006·The Journal of Nursing Administration·John M WeltonLaurie Zone-Smith
Oct 28, 2006·The American Journal of Nursing·John Welton
Jan 24, 2007·Policy, Politics & Nursing Practice·David M Keepnews
Jan 24, 2007·Policy, Politics & Nursing Practice·John M WeltonMary H Fischer
May 2, 2007·Policy, Politics & Nursing Practice·Valda V UpenieksMyha J Ngo
Jul 19, 2008·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Michael Clark

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Citations

Jan 20, 2012·International Journal of Nursing Practice·Liza Heslop
Nov 13, 2014·Iranian Red Crescent Medical Journal·Mohammadkarim BahadoriFardin Mehrabian
Jul 20, 2010·Journal of Nursing Management·David Newbold, Kristiina Hyrkäs
Mar 30, 2012·Research in Nursing & Health·Shin Hye ParkHolly De Groot
Sep 3, 2013·Journal of Advanced Nursing·Robert G Drake
Oct 15, 2013·Journal of Nursing Management·Ronda G HughesChrysmarie Suby
Apr 3, 2014·International Journal of Nursing Practice·Nicole BlayMichael Roche
Feb 15, 2011·Western Journal of Nursing Research·Deleise S WilsonKristy Martyn
Apr 7, 2017·Journal of Clinical Nursing·Nicole BlayRobyn Gallagher
Feb 12, 2011·The Journal of Perinatal & Neonatal Nursing·Jackie Tillett, Patricia Senger
Mar 8, 2017·ANS. Advances in Nursing Science·Christopher A VanFossonTerry L Jones
Sep 4, 2020·Nursing Administration Quarterly·Thomas R Clancy
Jun 18, 2019·Hospital Pharmacy·Sarah FawazShereen Nabhani-Gebara

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