Abstract
In this evidence-based project, the team developed a model of patient assignments for nurses in a pediatric acute care setting based on workload and acuity as opposed to hours per patient day (HPPD). The team used a plan-do-study-act, or PDSA, cycle of quality improvement methodology to demonstrate that assignments based on acuity as opposed to ratios would improve patient outcomes. The outcome measure was peripheral intravenous infiltrations and extravasations (PIVIEs). In the 6-week time frame only two PIVIEs were identified, and they occurred on shifts in which the ideal acuity score was not met for the nursing assignments due to record high census in the hospital.
Sigma Membership
Omicron Gamma
Type
Dissertation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Other
Keywords:
Nurse Staffing, Patient Outcomes, Patient Workload, Acuity
Advisor
Lisa Drews
Second Advisor
Maeve Sheehan
Degree
DNP
Degree Grantor
Wilmington University
Degree Year
2024
Recommended Citation
Dike, Cassandra D., "Development and evaluation of a nurse leader-led acuity-based nursing assignment program and its outcome on peripheral intravenous infiltrations and extravasations in pediatric patients" (2024). Dissertations. 1947.
https://www.sigmarepository.org/dissertations/1947
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Review Type
None: Degree-based Submission
Acquisition
Proxy-submission
Full Text of Presentation
wf_yes
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 30993870; ProQuest document ID: 2955216845. The author still retains copyright.