The effect of an acuity tool on job satisfaction for medical-surgical nurses on a medical-observation unit
Review TypeFaculty Approved: Degree-based Submission
Repository Posting Date2020-07-21T22:06:11Z
Author DetailsDanielle Rischling BSN, RN-BC and Alice Kindschuh, DNP, APRN-CNS, CNE
Lead Author Sigma AffliationTheta Tau
Level of EvidenceOther
Research ApproachQuantitative Research
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.
Degree GrantorNebraska Methodist College
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