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Updated: Mar 12, 2026
Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Developing a Patient Classification System for a Neonatal ICU
Nancy M Daraiseh1, William P Vidonish, Pam Kiessling
1Author Affiliations: Assistant Professor (Dr Daraiseh), Research in Patient Services and James M. Anderson Center for Health Systems Excellence; Project Manager (Mr Vidonish and Ms Keissling), Center for Professional Excellence; Statistician, Research in Patient Services (Ms Lin), Cincinnati Children's Hospital Medical Center, Ohio.
Objective:
The purpose of this study was to develop a valid and reliable patient classification system (PCS) for a neonatal ICU (NICU).
Background:
PCSs have been widely used to determine required care hours, budgeting, and staffing. There is a lack of and a vital need for a valid and reliable pediatric PCS because of differences in needs and treatment from adults.
Methods:
Data were collected in a NICU using work sampling, chart reviews, and expert opinion. The resulting PCS was assessed for validity and reliability, ease of use, effectiveness, and satisfaction.
Results:
The PCS showed significantly high reliability and validity. Survey scores revealed nurses perceived the tool to be easy to use and effective.
Conclusions:
Using subjective and objective methods, a NICU PCS was shown to be a valid and reliable measure to determine the hours per patient day required to provide care.
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