Effects of Implementing an Acuity Tool on a Psychiatric Intensive Care Unit.
J Nurs Care Qual
; 37(4): 313-318, 2022.
Article
in English
| MEDLINE | ID: covidwho-2001515
ABSTRACT
BACKGROUND:
Staff shortages, reduced budgets, and high acuity of violent psychiatric patients can create challenges in psychiatric intensive care units (PICUs). LOCALPROBLEM:
Staffing of the psychiatric unit was based on patient census rather than evidence-based practices.METHODS:
A pre-/postintervention design was used to examine changes in nursing satisfaction and patient outcomes as measured with the National Database of Nursing Quality Indicators (NDNQI) survey results.INTERVENTIONS:
A psychiatric specific acuity tool was implemented on the PICU of a Veterans Administration hospital.RESULTS:
After an initial decrease related to the COVID-19 pandemic, total acuity and the total number of nurses remained relatively stable while the unit census declined. NDNQI survey results improved with the largest being a 52-percentile increase for the quality-of-care summary measure.CONCLUSIONS:
An acuity tool can help standardize practice, determine fair patient assignments among staff, increase nurse satisfaction, and promote best practices for patient safety.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
COVID-19
/
Nursing Staff, Hospital
Type of study:
Experimental Studies
/
Observational study
/
Qualitative research
Limits:
Humans
Language:
English
Journal:
J Nurs Care Qual
Journal subject:
Nursing
Year:
2022
Document Type:
Article
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