An Approach for Patient Classification and Nurse Staffing in Nigerian Hospitals

  • Kareem Adeyemi Akande University of Ilorin Ilorin, Kwara State. Nigeria
Keywords: Hospitals, Monitoring, Nigeria, Nursing staffing, Patient classification, Utilization.

Abstract

Abstract

 

The delivery of institutional nursing care in Nigeria is changing rapidly. Many hospitals are experiencing heavier patient loads in terms of patient care requirements due to population increase, especially in the cities. Today's inpatients typically require more inten­sive nursing care than those in the past due to new technology and therapies, specialization of nursing units, changes in policies and procedures in ancillary support departments.  As a result, the intensity and complexity of activities on nursing units have increased enormously. The  use of a patient classification system as a means of assessing, evaluating, monitoring and responding to the nursing require­ments of patients in Nigerian hospitals could be a significant alternative to historical practices based on patient daily census. Any patient classification and nurse staffing system used should therefore consider all these complexities over and above patients' requirements for care to accurately reflect total nursing workload. Review of the literature did not reveal much on studies done on the use of patient classification systems and influences on nurse staffing policy in Nigerian hospitals. Hence, this paper addresses the approach for the proper method of patient classification and nurse staffing system that can be adopted in Nigerian hospitals.

Author Biography

Kareem Adeyemi Akande, University of Ilorin Ilorin, Kwara State. Nigeria
Senior Research Fellow

References

REFERENCES

Ayayi, F. (2009). Classification of mistakes in patient care in a Nigerian hospital. East Afr J Public Health. 2009 Dec; 6(3):256-62.

Bond, C.A., Raehl, C.L, Pitterle, M. E., Frank, T. (1999). Health care professional staffing, hospital characteristics and hospital mortality rates. Pharmacotherapy. 19(2):130–8. PubMed: 10030762.

Buerhaus, P.I. (1997). What is the Harm in Imposing Mandatory Hospital Nurse

Staffing Regulations. Nursing Economics 15 (2): 66–72.

Cho, S.H., Hwang, J.H., Kim, J. (2008). Nurse staffing and patient mortality in intensive care units. Nurs Res. 2008 Sep-Oct; 57(5):322-30.

Fugulin, F. (2002). Dimensionamento de pessoal de enfermagem: avaliação do quadro de pessoal das unidades de internação de um hospital de ensino [tese doutorado]. São Paulo: Escola de Enfermagem, Universidade de São Paulo.

Gioventti, R., Mayer, G. (1984). Building confidence in patient classification systems. Nursing Management, 15(8), 31-34.

Jennings, B.M. (2008). Patient Acuity - Patient Safety and Quality. NCBI Bookshelf

www.ncbi.nlm.nih.gov/pubmed/21328779 Accessed 22 February 2012.

Kane, R.L., Shamliyan, T., Mueller, C., Duval, S., Wilt, T.J. (2007) Nurse Staffing and Quality of Patient Care. Evidence Reports/Technology Assessments, No. 151. Investigators: Rockville (MD): Agency for Healthcare Research and Quality (US); Report No.: 07-E005.

Kovner, C., Cheryl, J., Zhan, C., Gergen, J., Basu, J. (2002). Nurse Staffing and Postsurgical Adverse Events: An Analysis of Administrative Data from a Sample of U.S. Hospitals, 1990–1996HSR: Health Services Research 37:3.

Needleman, J., Buerhaus, P., Mattke, S. (2002). Nurse-staffing levels and the quality of care in hospitals. N Engl J Med. Vol. 346(22):1715–22. PubMed: 12037152

Purdum, T.S. 1999. California to Set Level of Staffing for Nursing Care. New York

Times, 12th October. Available at http://www.calnurse.org/cna/new2/nyt101299.html. Accessed 22 February 2012.

Prescott, P. (1991). Nursing intensity: Needed today for more than staffing. Nursing Economics, 9(6), 409-414.

Prescott, P.A., Soeken, K.L. (1996) Approaches to and uses of patient classification systems, FindArticles / Health / Nursing Economics /. www.FindArticle.com Accessed 22 February 2012.

Rogers, A.E., Hwang, W.T., Scott, L.D. (2004). The working hours of hospital staff nurses and patient safety. Health Aff. (Millwood). 23(4):202–12. PubMed: 15318582

Rundle, R.L. 1999. ‘‘California Becomes First State to Spell Out Nurse–Patient

Ratios.’’ Wall Street Journal, 12 October. Available at http://www.Calnurse.

org/cna/new2/wsj101299.html. Accessed 22 February 2012.

Sasichay-Akkadechanunt, T., Scalzi, C.C., Jawad, A.F. (2003). The relationship between nurse staffing and patient outcomes. Journal of Nursing Administration. 2003 Sep; 33(9):478-85.

Simborg, D.W. (1976). Rational Staffing of Hospital Nursing Services by Functional Activity Budgeting. Public Health Reports, March-April, 9(2), 118.

Stone, S., Plumb, R. (2011). Patient Classification Systems Address Nurse Staffing Balance. HealthLeaders Media, May 24, 2011.

Spetz, J., Seago, J., Coffman, J., Rosenoff, E., O’Neil, E. (2000). Minimum Nurse staffing Rations in California Acute Care Hospitals. Oakland: California Health Care

Foundation.

Tanos, M.A.A., Massarollo, M.C.K.B., Gaidzinski, R.R. (2000). Dimensionamento de pessoal de enfermagem em uma unidade especializada em transplante de fígado: comparação do real com o preconizado. Rev Esc Enferm USP; 34(4):376-82.

Published
2013-06-12
Section
Medical Surgical Nursing