Abstract

Background and Review of Literature: Job satisfaction and nursing stress are important aspects for an organization to investigate to reduce the amount of turnover and improve patient outcomes. Acuity tools can be used to help equally distribute patient acuity amongst staff to reduce nursing stress, increase patient safety, and improve nursing job satisfaction.

Purpose: The purpose of this study was to implement Harper and McCully's Patient Classification acuity tool on a medical-observation unit at an urban acute care hospital to improve nursing job satisfaction, nursing stress, and nursing perception of patient safety as evidenced by evaluating pre and post-survey data.

Methods: This study was implemented in an acute-care hospital on a medical-observation unit. Three phases of the study include recruitment, intervention, and evaluation. Implementation Plan/Procedure: A pre and post-survey design was implemented and evaluated using a paired t-test. Three surveys were used to evaluate job satisfaction, nursing stress, and nursing perception of patient safety.

Results: There were 14 pre-survey participants with 4 drop outs. The Job Satisfaction Survey and Practice Environment Scale of the Nursing Working Index scores did improve slightly post-survey, but they did not show statistical significance.

Implications/Conclusion: No significance was found between the pre and post-surveys. Additional research using a longer implementation period would be beneficial before determining whether the acuity tool should be implemented on the unit.

Author Details

Danielle Rischling BSN, RN-BC and Alice Kindschuh, DNP, APRN-CNS, CNE

Sigma Membership

Theta Tau

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Quantitative Research

Keywords:

Acuity Tool, Job Satisfaction, Nurses' Stress, Patient Safety, Work Environment

Advisor

Kindschuh, Alice

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2020

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

Full Text of Presentation

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