Abstract
Growth of price competition among hospitals has renewed interest in nursing workload measures as administrative aids to control personnel costs. Nurse administrators use workload estimates primarily to justify daily staffing decisions across hospital units. The Individual Care Requirement Scale (ICRS) was designed as a brief generic direct nursing care workload scale for hospitals not currently using other standardized workload measures. The ICRS consists of three items, rated on 4-point response scale, that assess distinct aspects of care, assistance with activities of daily living, assessment of health status, and implementation of interventions. The total nursing workload (sum of the three items) was designed to represent the time and intellectual effort expended by nursing personnel to promote positive patient outcomes. Reliability and validity of the ICRS were examined in a correlational, observation study conducted on seven medical and surgical units. The time nurses spent in interactions with patients was recorded for each nurse-patient interaction occurring during five 2-hour observation periods each day for 7 days. The nurse rated the complexity of care performed.
Sigma Membership
Eta Omicron
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Cross-Sectional
Research Approach
Quantitative Research
Keywords:
Health Care, Management, Nursing Workloads
Advisor
Mary R. Lynn
Degree
PhD
Degree Grantor
The University of North Carolina at Chapel Hill
Degree Year
1999
Recommended Citation
Layman, Eve Lynn, "A brief nursing workload scale: Development and evaluation" (2019). Dissertations. 569.
https://www.sigmarepository.org/dissertations/569
Rights Holder
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Date of Issue
2019-03-01
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9938175; ProQuest document ID: 304528859. The author still retains copyright.