Tool for Nursing Acuity Measurement - Swedish version (NAM-S) for somatic in-patient care: development, validity, and reliability
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Published on: September 1, 2016
Kristin Dellesjö1,2, Maria Engström3, Annica Björkman3
1Faculty of Health and Occupational Studies, Department of Caring Sciences, University of Gävle, Gävle, Sweden. kristin.dellesjo@hig.se.
Abstract:
BACKGROUND: Nursing acuity measurements refer to the assessments of the intensity of nursing care required by a patient, helping to determine appropriate levels of nursing resources and staffing requirements. The aim of this paper is to describe the development and validation of a tool for measuring nursing acuity within adult somatic in-patient care settings, distinguishing between advanced nursing tasks and basic nursing tasks. METHOD: The nursing acuity tool was developed through an iterative process in the context of a Swedish healthcare region. The methodological process involved a literature search, exploration of non-validated tools used within Swedish healthcare, and nursing staff discussions to reach a conceptual tool. This tool underwent pilot testing across five wards, as well as testing for content- and construct validity, and inter-rater reliability. RESULTS: After an iterative process of development and testing, we reached a final version of a tool, subsequently named the Swedish Nursing Acuity Measurement (NAM-S). The results demonstrated acceptable validity and inter-rater reliability. CONCLUSIONS: Our study provided support that the NAM-S can be used for assessing nursing acuity within adult somatic in-patient care. To refine the model, further examinations of its usefulness and experiences of the practical use of NAM-S are warranted.
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