Development and Implementation of an Inpatient CAMEO© Staffing Algorithm to Inform Nurse- Patient Assignments in a Pediatric Cardiac Inpatient Unit.

Algorithms Child Humans Inpatients Nurse-Patient Relations Nursing Staff, Hospital Personnel Staffing and Scheduling Retrospective Studies Workforce Workload
Nurse-patient assignments Nursing workload Pediatric acuity Pediatric cardiology

Journal

Journal of pediatric nursing
ISSN: 1532-8449
Titre abrégé: J Pediatr Nurs
Pays: United States
ID NLM: 8607529

Informations de publication

Date de publication:
Historique:
received: 15 04 2021
revised: 23 07 2021
accepted: 26 07 2021
pubmed: 14 8 2021
medline: 6 10 2021
entrez: 13 8 2021
Statut: ppublish

Résumé

Nursing workload measurement systems are vital to determine nurse staffing for safe care. The Inpatient Complexity and Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO©) acuity tool provides a standardized language to communicate the acuity and complexity of nursing care in the pediatric inpatient setting. A process improvement project was implemented on a pediatric cardiac inpatient unit to utilize the Inpatient CAMEO© tool to inform nurse-patient assignments. Development of the Inpatient CAMEO© Staffing Algorithm utilized a modified Delphi methodology. Six Delphi rounds were performed for algorithm development, addressing potential implementation barriers, educating nursing staff, piloting feasibility, and final full implementation. The cardiac inpatient unit's charge nurses' algorithm utilization was 86% (n = 12) during the feasibility pilot. The algorithm impacted and changed 28% (n = 4) of the shifts' assignments. One-year post algorithm implementation, CAMEO© documentation rates increased from 25 to 30% to >60%. A retrospective, two-week point-prevalence analysis one-year post-implementation described adherence to the Inpatient CAMEO© Staffing Algorithm for 87% (n = 375) of the nurses' patient assignments. The Inpatient CAMEO© Staffing Algorithm was developed based upon the Inpatient CAMEO© tool and the Inpatient CAMEO© Complexity Classification System to inform nurse-patient assignments and allocate nursing resources. The Inpatient CAMEO© Staffing Algorithm was feasible and sustainable for over one year following implementation at a single center's pediatric cardiac inpatient unit.

Sections du résumé

BACKGROUND BACKGROUND
Nursing workload measurement systems are vital to determine nurse staffing for safe care. The Inpatient Complexity and Assessment and Monitoring to Ensure Optimal Outcomes (CAMEO©) acuity tool provides a standardized language to communicate the acuity and complexity of nursing care in the pediatric inpatient setting.
DESIGN AND METHODS METHODS
A process improvement project was implemented on a pediatric cardiac inpatient unit to utilize the Inpatient CAMEO© tool to inform nurse-patient assignments. Development of the Inpatient CAMEO© Staffing Algorithm utilized a modified Delphi methodology. Six Delphi rounds were performed for algorithm development, addressing potential implementation barriers, educating nursing staff, piloting feasibility, and final full implementation.
RESULTS RESULTS
The cardiac inpatient unit's charge nurses' algorithm utilization was 86% (n = 12) during the feasibility pilot. The algorithm impacted and changed 28% (n = 4) of the shifts' assignments. One-year post algorithm implementation, CAMEO© documentation rates increased from 25 to 30% to >60%. A retrospective, two-week point-prevalence analysis one-year post-implementation described adherence to the Inpatient CAMEO© Staffing Algorithm for 87% (n = 375) of the nurses' patient assignments.
CONCLUSIONS CONCLUSIONS
The Inpatient CAMEO© Staffing Algorithm was developed based upon the Inpatient CAMEO© tool and the Inpatient CAMEO© Complexity Classification System to inform nurse-patient assignments and allocate nursing resources. The Inpatient CAMEO© Staffing Algorithm was feasible and sustainable for over one year following implementation at a single center's pediatric cardiac inpatient unit.

Identifiants

DOI: 10.1016/j.pedn.2021.07.025 PMID: 34388406
pubmed: 34388406
pii: S0882-5963(21)00229-3
doi: 10.1016/j.pedn.2021.07.025
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

275-280

Informations de copyright

Copyright © 2021. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest None.

Auteurs

Michelle Hurtig (M)

Nursing Director of Cardiovascular - Inpatient/ICP, Procedural Programs, Boston Children's Hospital, MA, United States. Electronic address: michelle.hurtig@cardio.chboston.org.

Stephanie Liseno (S)

Staff Nurse II, Cardiac Inpatient Unit, Boston Children's Hospital, MA 02115, United States.

Mary C McLellan (MC)

Cardiac Inpatient Unit, Boston Children's Hospital, MA, United States. Electronic address: Mary.McLellan@childrens.harvard.edu.

Adam Homoki (A)

Cardiac Inpatient Unit, Boston Children's Hospital, MA, United States. Electronic address: Adam.Homoki@childrens.harvard.edu.

Maeve Giangregorio (M)

Cardiac Inpatient Unit, Boston Children's Hospital, MA, United States. Electronic address: Maeve.Giangregorio@childrens.harvard.edu.

Jean Connor (J)

Cardiovascular & Critical Care Patient Care Operations, Boston Children's Hospital, Boston, Harvard Medical School, MA, United States. Electronic address: Jean.Connor@cardio.chboston.org.

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Classifications MeSH

questionsmedicales.fr › Sciences de l'information › Méthodologies informatiques › Algorithmes › Development and Implementation of an Inpatient...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Development and Implementation of an Inpatient...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Development and Implementation of an Inpatient...
questionsmedicales.fr › Personnes › Patients › Patients hospitalisés › Development and Implementation of an Inpatient...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Relations entre professionnels de santé et patients › Relations infirmier-patient › Development and Implementation of an Inpatient...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Personnel hospitalier › Personnel infirmier hospitalier › Development and Implementation of an Inpatient...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › Development and Implementation of an Inpatient...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Development and Implementation of an Inpatient...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Effectif › Development and Implementation of an Inpatient...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › Charge de travail › Development and Implementation of an Inpatient...