Assessing Intensity of Nursing Care Needs Using Electronically Available Data

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review

7 Scopus Citations
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Author(s)

  • Elaine L. Larson
  • Bevin Cohen
  • Jianfang Liu
  • Philip Zachariah
  • Jingjing Shang

Detail(s)

Original languageEnglish
Pages (from-to)617-623
Journal / PublicationCIN - Computers Informatics Nursing
Volume35
Issue number12
Publication statusPublished - 1 Dec 2017
Externally publishedYes

Abstract

Although previous research has confirmed that nurse staffing affects patient outcomes, some potentially important factors have not been accounted for in tools to assess relationships between staffing and outcomes. The aim of this project was to develop and test a Nursing Intensity of Care Index using electronically available data from 152 072 patient discharges from three hospitals. Initially, 1765 procedure codes were reviewed; 69 were confirmed as directly increasing nursing workload by at least 15 minutes per shift. Two research staff independently reviewed a random sample of 5 patient days to assess interrater reliability with complete scoring agreement. To assess face validity, eight nurse clinician experts reviewed factors included in the Nursing Intensity of Care Index to assess the accuracy of the nursing time estimates in the tool. To examine concurrent validity, Nursing Intensity of Care Index scores for a random sample of 28 patients from four clinical units were compared with assessments made by a unit-based clinical nurse (low/medium/high intensity) for the same patients on the same day with a Spearman correlation of 0.94. In preliminary testing, data for the Nursing Intensity of Care Index, which accurately reflect nursing care intensity, can be obtained electronically in real time. The next steps will be a discrete-event simulation model and large-scale field trials.

Research Area(s)

  • Electronic health records, Nursing care, Nursing workload, Psychometrics

Bibliographic Note

Publication details (e.g. title, author(s), publication statuses and dates) are captured on an “AS IS” and “AS AVAILABLE” basis at the time of record harvesting from the data source. Suggestions for further amendments or supplementary information can be sent to lbscholars@cityu.edu.hk.

Citation Format(s)

Assessing Intensity of Nursing Care Needs Using Electronically Available Data. / Larson, Elaine L.; Cohen, Bevin; Liu, Jianfang; Zachariah, Philip; Yao, David; Shang, Jingjing.

In: CIN - Computers Informatics Nursing, Vol. 35, No. 12, 01.12.2017, p. 617-623.

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review