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Utility of the nursing intensity index in a community hospital in southeastern North Carolina / by Donna D. Bost.

Author/creator Bost, Donna D. author.
Other author/creatorLawler, Therese G., degree supervisor.
Other author/creatorEast Carolina University. School of Nursing.
Format Theses and dissertations and Archival & Manuscript Material
Production Info 1986.
Description57 leaves : illustrations ; 28 cm.
Supplemental Content Access via ScholarShip
Subject(s)
Series ECU School of Nursing thesis
ECU School of Nursing thesis. UNAUTHORIZED
Summary The purpose of this study was to replicate portions of research performed by Dr. Judy Reitz at Johns Hopkins Medical Center, using the Nursing Intensity Index (NII) as a patient classification instrument. The ability to generalize findings in different health care settings was a primary goal of the work. The NII was compared to patient charges, length of stay and Diagnostic Related Groups. All were found to be heterogeneous in terms of NII, consistent with Reitz's findings. Additionally, the Nil was compared to a standard patient classification system. Concurrent validity between the two tools was found. The NII appeared to be most efficient in terms of time consumption to determine the The sound conceptual basis of the NII, its ability to be generalized across institutions and its efficiency indicated the tool's usefulness in classifying patients. The NII used eleven functional Health Parameters in its measurement. Four parameters are behavioral in nature, a broad area omitted from most patient classification systems. This research found all eleven Parameters to be predictors of the final Nil score with Emotional Response having the highest correlation. This demonstrated a major weakness of most other systems. Further research needs to be performed for further generalization of these findings. Time allocations need to be associated with the NII scores so that nursing services may be billed separately from room rates. The NII seemed a valid and reliable measurement instrument for variable billing.
General note"Presented to the faculty of the School of Nursing ... in partial fulfillment of the requirements for the degree Master of Science in Nursing."
General noteAdvisor: Therese G. Lawler
Dissertation noteM.S. East Carolina University 1986
Bibliography noteIncludes bibliographical references (leaves 52-57).
Genre/formmasters theses.
Genre/formtheses.
Genre/formdissertations.
Genre/formdoctoral dissertations.
Genre/formAcademic theses.
Genre/formClassification.
Genre/formAcademic theses.
Genre/formThèses et écrits académiques.

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