American Journal of Nursing Research
ISSN (Print): 2378-5594 ISSN (Online): 2378-5586 Website: http://www.sciepub.com/journal/ajnr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Nursing Research. 2020, 8(4), 452-462
DOI: 10.12691/ajnr-8-4-5
Open AccessArticle

Nurses’ Satisfaction Related to Implementing Patient Acuity Tool-Based Assignment

Marwa Hassan Ageiz1, and Hind Hassan Abd El-mageed1

1Nursing Administration, Faculty of Nursing, Menoufia University, Menoufia, Egypt

Pub. Date: May 15, 2020

Cite this paper:
Marwa Hassan Ageiz and Hind Hassan Abd El-mageed. Nurses’ Satisfaction Related to Implementing Patient Acuity Tool-Based Assignment. American Journal of Nursing Research. 2020; 8(4):452-462. doi: 10.12691/ajnr-8-4-5

Abstract

Nurses’ assignment that based on patient acuity tool scores regulates the number of nurses on a shift according to the patients' needs, thus balancing nurses’ workload and enhancing nurses’ satisfaction with assignment. This study aimed at assessing nurses' satisfaction related to implementing of patient acuity tool-based assignment. Experimental posttest only design was used. This study was conducted in critical care units at the Menoufia University Hospitals in Shebin Elkom. Simple random sample of nurses was selected from the previous units that was divided equally into two groups: experimental group (n=89) and control group (n=89). Additionally, all first line managers of the same units were selected (n=33). Tools used for data collection included: (1): Nurses’ Satisfaction with the Methods of Assignment questionnaire (posttest only). (2): First line managers Opinion Sheet to measure their opinion regarding implementation of the acuity tool-based nurses’ assignment. Results of the current study revealed that the majority of nurses in the experimental group were satisfied with method of assignment that based on acuity scores after implementation of the program. Also, there was no statistically significant difference between nurses’ satisfaction in the experimental group and their personal data except regarding their educational level and years of experience that was highly statistical. In conclusion, implementation of Kidd et al., new patient acuity tool was effective in improving nurses’ satisfaction with assignment. Moreover, the highest percentage of first line managers agreed on implementation of the patient acuity- tool based assignment. Continuous incorporation of the patient acuity tool in nurses’ assignment and generalization in other nursing units is a significant implication to promote proper distribution of nursing shift assignments and better nurses’ satisfaction.

Keywords:
nurses’ assignment patient acuity nurses’ satisfaction critical care units

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Allen, S.B., “The nurse-patient assignment: Purposes and decision factors,” JONA: The Journal of Nursing Administration, 45 (12). 628-35. Dec.2015.
 
[2]  Cathro, H. A, “Practical guide to makingnurses’ assignments in acute care,” JONA: The Journal of Nursing Administration, 43 (1). 6-9. Jan.2013.
 
[3]  Sir, M., Dundar, B., Steege, L., and Pasupathy, K., “Nurse–patient assignment models considering patient acuity metrics and nurses’ perceived workload,” Journal of Biomedical Informatics, 55. 237-248. Jun.2015.
 
[4]  Allen SB. Nurse-Patient Assignments: Moving Beyond Nurse-Patient Ratios for Better Patient, Staff and Organizational Outcomes. March 2016.
 
[5]  Allen, S., “The nurse-patient assignment process: What clinical nurses and patients think,” Medsurg Nursing, 27 (2). 77-82. Mar. 2018.
 
[6]  Johnston, M., Arora, S., Anderson, O., King, D., Behar, N. and Darzi, A., “Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients,” Annals of surgery, 261 (5). 831-8. May.2015.
 
[7]  Tomic, K., “Nursing assignments based on patient acuity: The road to nursing job satisfaction,” Evidence-Based Practice Project Reports, 106, Valparaiso, Indiana: Valparaiso University. 2017. Available: http://scholar.valpo.edu/ebpr/106.
 
[8]  Hui, J., Chen, L., Yan, G., Haiyan, L. and Wenqin, Y., “Status of nurse staffing and nursing care delivery in Pudong, Shanghai,” Contemporary Nurse, 50 (1). 104-114. Jan.2015.
 
[9]  Vortherms, J., Spoden, B. and Wilcken, J., “From evidence to practice: Developing an out-patient acuity-based staffing model,” Clinical Journal Oncology Nursing, 19 (3), 332-337. Jun.2015.
 
[10]  Kidd, M., Grove, K., Kaiser, M., Swoboda, B. and Taylor, A., “A new patient-acuity tool promotes equitable nurse-patient assignments,” American Nurse Today, 9 (3). 1-4. Mar.2014.
 
[11]  Chiulli, K., Thompson, J. and Reguin-Hartman, K.L., “Development and implementation of a Patient Acuity Tool for a Medical-Surgical Unit,” Academy of Medical-Surgical Nurses, 23 (2). 9-12. 2014.
 
[12]  Liang, B. and Turkcan, A., “Acuity-based nurse assignment and patient scheduling in oncology clinics,” Health Care Management Science, 19 (3). 207-226. Sep.2016.
 
[13]  Leineweber, C., Chungkham, H.S., Lindqvist, R., Westerlund, H., Runesdotter, S., Smeds Alenius, L. and Tishelman, C., “Nurses’ practice environment and satisfaction with schedule flexibility is related to intention to leave due to dis-satisfaction: A multi-country, multilevel study,” International Journal of Nursing Studies, 58. 47-58. Jun. 2016.
 
[14]  Cohen, L., Manion, L., & Morrison, K. (2007). Research methods in education. (6th ed.). New York: Routledge
 
[15]  Sobaski, T., The Effect of Implementation of an Acuity Tool for Medical- Surgical Patients in an Acute Care Setting. Scholarly Project. Andrews University Spring 2017.
 
[16]  Morrow, A. & Powell, J. (2018). Patient acuity tool on a medical-surgical unit. American Nurse Today, 13(4). Retrieved from https://www.americannursetoday.com/patient-acuity-meidcal-surgical-unit.
 
[17]  Acar, I., “A decision model for nurse-to-patient assignment. Doctoral dissertation”. 2010. Available: https://scholarworks.wmich.edu/dissertations/492/.
 
[18]  Thomasos, E., Brathwaite, E., Cohn, T., Nerey, J., Lindgren, C. L. and Williams, S., “Clinical partners’ perceptions ofnurses’ assignments according to acuity,” MEDSURG Nursing, 24 (1). 39-45. 2015.
 
[19]  Al-Dweik, Gh. And Ahmad, M., “Matching Nursing Assignment to Patients' Acuity Level: The Road to Nurses' Satisfaction,” Journal of Nursing Measurement, 27 (1). 34-47. May.2019.
 
[20]  Riboldi, C., Macedo, A., Mergent, T., Dias, V., Costa, D., Malvezzi, M., et al., “Classification of Patient Care Complexity: Cloud Technology,” Studies in health technology and informatics, 225, 834-835. 2016.
 
[21]  Forton and Melissa L., "Effects of Incorporating Patient Acuity into the RN Assignment Process," Evidence-Based Practice Project Reports, 116. 2018. Available: https://scholar.valpo.edu/ebpr/116.
 
[22]  Health Research and Educational Trust, Failure to Rescue Change Package: Chicago, IL: Health Research & Educational Trust, 2016, (2016a). Available: www.hret-hen.org.
 
[23]  Elsherbeny, E.E. and El-Masry, R.., “Job Satisfaction Among Nurses Working in Mansoura University Hospital: Effect of Socio-Demographic and Work Characteristics,” Egyptian Journal of Occupational Medicine, 42 (2). 227-240. May.2018.
 
[24]  Rahnavard, F., Sadati, A., Hemmati, S., Ebrahimzade, N., Sarikhani, Y., Heydari, S. and Lankarani, K., “The impact of environmental and demographic factors on nursing job satisfaction,” Electron Physician, 10 (4). 6712-6717. Apr.2018.
 
[25]  Tarcan, M., Hikmet, N., Schooley, B., Top, M. and Tarcan, G. Y., “An analysis of the relationship between burnout, socio-demographic and workplace factors and job satisfaction among emergency department health professionals,” Applied nursing research, 34. 40-7. Apr.2017.
 
[26]  Semachew, A., Belachew, T., Tesfaye, T. and Adinew, Y. M., “Predictors of job satisfaction among nurses working in Ethiopian public hospitals, institution-based cross-sectional study,” Human Resources for Health, 15 (1). 15- 31. Dec.2017.
 
[27]  Mousazadeh, S., Yektatalab, S., Momennasab, M. and Parvizy, S., “Job satisfaction and related factors among Iranian intensive care unit nurses,”. BMC research notes, 11 (1). 823. Dec.2018.
 
[28]  Mastaneh, Z., Mouseli, L., Zamani, M., Boromand, E., Dadipoor, S., Beizaei, F., et al, “Investigation of nursing job satisfaction in university hospitals affiliated to Hormozgan University of Medical Sciences,” Hormozgan medical journal, 8 (3). 260-6. 2014.
 
[29]  Hustad, N., Helleso, R. and Andersen, M. A., “Qualitative study of manager experiences using the RAFAELA System,” Open Journal of Nursing, 5, 1024-1032. 2015.