LMI Announces Publication of New Study in the Journal of Nursing Management Comparing Staffing Using MN Census, Turnover Adjustment Based on ALOS & ADT Work Intensity
“The Labor Management Institute is delighted to announce the publication of a new article by the Journal of Nursing Management Wiley Online Library titled “Comparison of Nurse Staffing Based on Changes in Unit Level Workload Associated with Patient Churn” by Ronda G. Hughes PhD, MHS, RN, FAAN Associate Professor, Kathleen L. Bobay PhD, RN, NEWA-BC Associate Professor, Nicholas A. Jolly PhD Assistant Professor, ChrysMarie Suby MS, RN President/CEO. The article was first published online: October 11, 2013. (DOI: 10.1111/jonm.12147).
This study compares the staffing implications of using the midnight census, turnover adjustment based on length of stay and the volume of admissions, discharges and transfers. We looked at 160 patient care units from 32 hospitals grouped by intensive care, intermediate care and adult general medical surgical unit types.
We found that the midnight census alone did not address RN workload intensity associated to patient churn using length of stay. On average units staffing varied to their budgets and adjusting for patient churn using the ADT Work Intensity formula best identified the need for increased nurse staffing across all units and shifts. The results of this study are important to unit leaders in their daily staffing decision making. If you would like to obtain the abstract or full article please follow this link http://onlinelibrary.wiley.com/doi/10.1111/jonm.12147/abstract to the Journal of Nursing Management at the Wiley Online Library.”