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Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Nursing Diagnosis01:22

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Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
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Documentation of Nursing Diagnosis01:10

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The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
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Methods of Documentation VI: Case Management Model01:15

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Nursing Assessment01:29

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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
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Predicting patient acuity according to their main problem.

Maria-Eulàlia Juvé-Udina1,2,3, Jordi Adamuz2,3,4, Maria-Magdalena López-Jimenez2,3

  • 1Nursing Executive Department, Catalan Institute of Health, Barcelona, Catalonia, Spain.

Journal of Nursing Management
|October 5, 2019
PubMed
Summary

Patient main problems strongly predict nursing acuity in hospitalized adults. Most patients require higher than acute care, impacting outcomes and highlighting the need for better staffing based on clinical judgment.

Keywords:
acuityclinical judgmentnursing intensitypatient classification systemspriority setting

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Area of Science:

  • Nursing research
  • Healthcare management
  • Patient classification

Background:

  • Patient acuity categorizes individuals by nursing care needs.
  • The link between acuity and nurses' clinical judgment on patient problems is understudied.

Purpose of the Study:

  • To evaluate how well the primary patient problem predicts nursing acuity in adult hospital and step-down unit patients.
  • To explore the relationship between patient problems and nursing intensity requirements.

Main Methods:

  • A cross-sectional, multi-center study involving 200,000 adult patients.
  • Multivariate analysis identified main problems associated with acuity levels above 'acute'.
  • Evaluated patient distribution and outcome variations across acuity clusters.

Main Results:

  • Identified main patient problems are significantly linked to acuity.
  • The predictive model for acuity demonstrated high accuracy (AUC: 0.814).
  • A majority of patients (64.8%) were classified into higher-than-acute acuity categories, with significant outcome differences (p < .005).

Conclusions:

  • The patient's primary problem effectively predicts nursing acuity.
  • Most inpatients necessitate care exceeding acute levels, negatively affecting outcomes.
  • Incorporating nurses' clinical judgment on patient problems for acuity measurement is feasible for workforce planning and optimizing outcomes.