Nursing intensity and costs of nurse staffing demonstrated by the RAFAELA system: liver vs. kidney transplant recipients
Aim To compare nursing intensity and nurse staffing costs for liver transplant (LTx) vs. kidney transplant (KTx) patients through the use of the RAFAELA system (the OPCq instrument). Background High‐quality patient care correlates with the correct allocation of nursing staff. Valid systems for obtai...
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| Veröffentlicht in: | Journal of nursing management 2016-09, Vol.24 (6), p.798-805 |
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| container_title | Journal of nursing management |
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| creator | Andersen, Marit Helen Lønning, Kjersti Bjørnelv, Gudrun Maria Waaler Fagerström, Lisbeth |
| description | Aim
To compare nursing intensity and nurse staffing costs for liver transplant (LTx) vs. kidney transplant (KTx) patients through the use of the RAFAELA system (the OPCq instrument).
Background
High‐quality patient care correlates with the correct allocation of nursing staff. Valid systems for obtaining data on nursing intensity, in relation to actual patient care needs, are needed to ensure correct staffing.
Methods
A prospective, comparative study of 85 liver and 85 kidney transplant patients. Nursing intensity was calculated using the Oulu Patient Classification (OPCq) instrument. The cost per nursing intensity point was calculated by dividing annual total nursing wage costs with annual total nursing intensity points.
Results
The results showed significantly higher nursing intensity per day for liver transplant patients compared to kidney transplant patients. The length of stay was the most important variable in relation to nursing intensity points per day.
Conclusions
The study demonstrated differences in nursing intensity and nurse staffing costs between the two patient groups.
Implications for Nursing Management
When defending nurse staffing decisions, it is essential that nurse managers have evidence‐based knowledge of nursing intensity and nurse staffing costs. |
| doi_str_mv | 10.1111/jonm.12384 |
| format | Article |
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To compare nursing intensity and nurse staffing costs for liver transplant (LTx) vs. kidney transplant (KTx) patients through the use of the RAFAELA system (the OPCq instrument).
Background
High‐quality patient care correlates with the correct allocation of nursing staff. Valid systems for obtaining data on nursing intensity, in relation to actual patient care needs, are needed to ensure correct staffing.
Methods
A prospective, comparative study of 85 liver and 85 kidney transplant patients. Nursing intensity was calculated using the Oulu Patient Classification (OPCq) instrument. The cost per nursing intensity point was calculated by dividing annual total nursing wage costs with annual total nursing intensity points.
Results
The results showed significantly higher nursing intensity per day for liver transplant patients compared to kidney transplant patients. The length of stay was the most important variable in relation to nursing intensity points per day.
Conclusions
The study demonstrated differences in nursing intensity and nurse staffing costs between the two patient groups.
Implications for Nursing Management
When defending nurse staffing decisions, it is essential that nurse managers have evidence‐based knowledge of nursing intensity and nurse staffing costs.</description><identifier>ISSN: 0966-0429</identifier><identifier>EISSN: 1365-2834</identifier><identifier>DOI: 10.1111/jonm.12384</identifier><identifier>PMID: 27162168</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adult ; Female ; Humans ; kidney transplant recipients ; Kidney Transplantation - economics ; Kidney Transplantation - nursing ; liver transplant recipients ; Liver Transplantation - economics ; Liver Transplantation - nursing ; Male ; Middle Aged ; nurse staffing costs ; Nurses - standards ; Nurses - supply & distribution ; Nursing ; nursing intensity ; Patient Satisfaction ; Personnel Staffing and Scheduling - economics ; Planning Techniques ; Prospective Studies ; Resource Allocation - methods ; the RAFAELA system ; Workload - psychology ; Workload - standards</subject><ispartof>Journal of nursing management, 2016-09, Vol.24 (6), p.798-805</ispartof><rights>2016 The Authors. Published by John Wiley & Sons Ltd.</rights><rights>2016 The Authors. Journal of Nursing Management Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2016 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4644-2d3cee281cd26d2bd5e7d5f34642865eb9f6202a5c4530089534e69faefa93f93</citedby><cites>FETCH-LOGICAL-c4644-2d3cee281cd26d2bd5e7d5f34642865eb9f6202a5c4530089534e69faefa93f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjonm.12384$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjonm.12384$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,30980,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27162168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Andersen, Marit Helen</creatorcontrib><creatorcontrib>Lønning, Kjersti</creatorcontrib><creatorcontrib>Bjørnelv, Gudrun Maria Waaler</creatorcontrib><creatorcontrib>Fagerström, Lisbeth</creatorcontrib><title>Nursing intensity and costs of nurse staffing demonstrated by the RAFAELA system: liver vs. kidney transplant recipients</title><title>Journal of nursing management</title><addtitle>J Nurs Manag</addtitle><description>Aim
To compare nursing intensity and nurse staffing costs for liver transplant (LTx) vs. kidney transplant (KTx) patients through the use of the RAFAELA system (the OPCq instrument).
Background
High‐quality patient care correlates with the correct allocation of nursing staff. Valid systems for obtaining data on nursing intensity, in relation to actual patient care needs, are needed to ensure correct staffing.
Methods
A prospective, comparative study of 85 liver and 85 kidney transplant patients. Nursing intensity was calculated using the Oulu Patient Classification (OPCq) instrument. The cost per nursing intensity point was calculated by dividing annual total nursing wage costs with annual total nursing intensity points.
Results
The results showed significantly higher nursing intensity per day for liver transplant patients compared to kidney transplant patients. The length of stay was the most important variable in relation to nursing intensity points per day.
Conclusions
The study demonstrated differences in nursing intensity and nurse staffing costs between the two patient groups.
Implications for Nursing Management
When defending nurse staffing decisions, it is essential that nurse managers have evidence‐based knowledge of nursing intensity and nurse staffing costs.</description><subject>Adult</subject><subject>Female</subject><subject>Humans</subject><subject>kidney transplant recipients</subject><subject>Kidney Transplantation - economics</subject><subject>Kidney Transplantation - nursing</subject><subject>liver transplant recipients</subject><subject>Liver Transplantation - economics</subject><subject>Liver Transplantation - nursing</subject><subject>Male</subject><subject>Middle Aged</subject><subject>nurse staffing costs</subject><subject>Nurses - standards</subject><subject>Nurses - supply & distribution</subject><subject>Nursing</subject><subject>nursing intensity</subject><subject>Patient Satisfaction</subject><subject>Personnel Staffing and Scheduling - economics</subject><subject>Planning Techniques</subject><subject>Prospective Studies</subject><subject>Resource Allocation - methods</subject><subject>the RAFAELA system</subject><subject>Workload - psychology</subject><subject>Workload - standards</subject><issn>0966-0429</issn><issn>1365-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqN0U9v0zAYBnALgVgZXPgAyBKXCSnF_5Nwq8o2GKVDCMTRcpPX4K5xiu2M5dvj0G0HDghffHh_7yNbD0LPKZnTfF5ve9_NKeOVeIBmlCtZsIqLh2hGaqUKIlh9hJ7EuCWEcsblY3TESqoYVdUM3ayHEJ3_jp1P4KNLIza-xU0fU8S9xT6PAcdkrJ1UC13vYwomQYs3I04_AH9enC1OVwscx5ige4N37hoCvo5zfOVaDxkF4-N-Z3zCARq3d-BTfIoeWbOL8Oz2PkZfz06_LN8Vq8vz98vFqmiEEqJgLW8AWEWblqmWbVoJZSstz0NWKQmb2ipGmJGNkJyQqpZcgKqtAWtqbmt-jE4OufvQ_xwgJt252MAuPwf6IWpasVJIVZX0PygtieSsVJm-_Itu-yH4_JFJKSk5F1Pgq4NqQh9jAKv3wXUmjJoSPVWnp-r0n-oyfnEbOWw6aO_pXVcZ0AP45XYw_iNKX1yuP96FFocdl7u5ud8x4UqrkpdSf1uf65V8e_Fh-WmpK_4bTMKy9A</recordid><startdate>201609</startdate><enddate>201609</enddate><creator>Andersen, Marit Helen</creator><creator>Lønning, Kjersti</creator><creator>Bjørnelv, Gudrun Maria Waaler</creator><creator>Fagerström, Lisbeth</creator><general>Blackwell Publishing Ltd</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201609</creationdate><title>Nursing intensity and costs of nurse staffing demonstrated by the RAFAELA system: liver vs. kidney transplant recipients</title><author>Andersen, Marit Helen ; Lønning, Kjersti ; Bjørnelv, Gudrun Maria Waaler ; Fagerström, Lisbeth</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4644-2d3cee281cd26d2bd5e7d5f34642865eb9f6202a5c4530089534e69faefa93f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Female</topic><topic>Humans</topic><topic>kidney transplant recipients</topic><topic>Kidney Transplantation - economics</topic><topic>Kidney Transplantation - nursing</topic><topic>liver transplant recipients</topic><topic>Liver Transplantation - economics</topic><topic>Liver Transplantation - nursing</topic><topic>Male</topic><topic>Middle Aged</topic><topic>nurse staffing costs</topic><topic>Nurses - standards</topic><topic>Nurses - supply & distribution</topic><topic>Nursing</topic><topic>nursing intensity</topic><topic>Patient Satisfaction</topic><topic>Personnel Staffing and Scheduling - economics</topic><topic>Planning Techniques</topic><topic>Prospective Studies</topic><topic>Resource Allocation - methods</topic><topic>the RAFAELA system</topic><topic>Workload - psychology</topic><topic>Workload - standards</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Andersen, Marit Helen</creatorcontrib><creatorcontrib>Lønning, Kjersti</creatorcontrib><creatorcontrib>Bjørnelv, Gudrun Maria Waaler</creatorcontrib><creatorcontrib>Fagerström, Lisbeth</creatorcontrib><collection>Istex</collection><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Andersen, Marit Helen</au><au>Lønning, Kjersti</au><au>Bjørnelv, Gudrun Maria Waaler</au><au>Fagerström, Lisbeth</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing intensity and costs of nurse staffing demonstrated by the RAFAELA system: liver vs. kidney transplant recipients</atitle><jtitle>Journal of nursing management</jtitle><addtitle>J Nurs Manag</addtitle><date>2016-09</date><risdate>2016</risdate><volume>24</volume><issue>6</issue><spage>798</spage><epage>805</epage><pages>798-805</pages><issn>0966-0429</issn><eissn>1365-2834</eissn><abstract>Aim
To compare nursing intensity and nurse staffing costs for liver transplant (LTx) vs. kidney transplant (KTx) patients through the use of the RAFAELA system (the OPCq instrument).
Background
High‐quality patient care correlates with the correct allocation of nursing staff. Valid systems for obtaining data on nursing intensity, in relation to actual patient care needs, are needed to ensure correct staffing.
Methods
A prospective, comparative study of 85 liver and 85 kidney transplant patients. Nursing intensity was calculated using the Oulu Patient Classification (OPCq) instrument. The cost per nursing intensity point was calculated by dividing annual total nursing wage costs with annual total nursing intensity points.
Results
The results showed significantly higher nursing intensity per day for liver transplant patients compared to kidney transplant patients. The length of stay was the most important variable in relation to nursing intensity points per day.
Conclusions
The study demonstrated differences in nursing intensity and nurse staffing costs between the two patient groups.
Implications for Nursing Management
When defending nurse staffing decisions, it is essential that nurse managers have evidence‐based knowledge of nursing intensity and nurse staffing costs.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>27162168</pmid><doi>10.1111/jonm.12384</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of nursing management, 2016-09, Vol.24 (6), p.798-805 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adult Female Humans kidney transplant recipients Kidney Transplantation - economics Kidney Transplantation - nursing liver transplant recipients Liver Transplantation - economics Liver Transplantation - nursing Male Middle Aged nurse staffing costs Nurses - standards Nurses - supply & distribution Nursing nursing intensity Patient Satisfaction Personnel Staffing and Scheduling - economics Planning Techniques Prospective Studies Resource Allocation - methods the RAFAELA system Workload - psychology Workload - standards |
| title | Nursing intensity and costs of nurse staffing demonstrated by the RAFAELA system: liver vs. kidney transplant recipients |
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