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Reliability and validity of the CCNCS: a dependency workload measurement system
Anne-Marie Brady1, Gobnait Byrne, Paul Horan
1Trinity College Dublin, Dublin, Ireland. anne-marie.brady@tcd.ie
Journal of Clinical Nursing
|April 18, 2008
Summary
The Community Client Need Classification System (CCNCS) effectively measures community nursing workload and client needs. This system provides objective data for workforce planning and standardized client assessments.
Area of Science:
- Nursing
- Healthcare Management
- Public Health
Background:
- Community nursing workload assessment is complex due to diverse patient interactions.
- The Community Client Need Classification System (CCNCS) was developed to capture direct and indirect nursing work.
- CCNCS is designed for applicability across all community care groups.
Purpose of the Study:
- To refine, test, and evaluate the Community Client Need Classification System (CCNCS).
- To assess the utility and reliability of CCNCS in community nursing practice.
Main Methods:
- A survey design was employed.
- Forty-four Public Health Nurses (PHNs) in the Irish Republic used CCNCS with their caseload for four weeks.
- PHNs recorded client contact time and provided feedback on their experience with CCNCS.
Main Results:
- Nurses found CCNCS useful for community nursing.
- High inter-rater and intra-rater reliability were observed.
- Time spent with clients correlated with increasing client need levels.
Conclusions:
- CCNCS offers insight into community nursing complexity and discriminates between client needs.
- The system has potential for standardized assessment across all community nursing clients.
- CCNCS provides objective evidence for community nursing workload, aiding workforce planning.
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