Nurse-Patient Relations, Nurse's Role, Patient Fall, Satisfaction
Conditions
Brief summary
To determine whether implementation of Rehab MATRIX will improve patient safety, patient satisfaction and nursing indices.
Detailed description
The provision of efficient and conscientious nursing care is at the forefront of health care quality. Unfortunately, a lack of objectivity in the assignment of patients to nurses can lead to inequalities of care. Such inequalities translate to poor patient outcomes and diminished patient satisfaction. Furthermore, staff attrition related to nursing fatigue increases the cost of care due to a reliance on supplemental nurses. Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.
Interventions
OTHERRehab MATRIX
Rehab MATRIX is a patient assignment tool that objectively categorizes patients undergoing inpatient rehabilitation based on nurse identified acuity variables.
Sponsors
Memorial Hermann Texas Medical Center
Memorial Hermann Health System
The University of Texas Health Science Center, Houston
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Rehabilitation Nursing Staff within Six Study Centers * Patient hospitalized within the Rehabilitation Unit during the study period
Exclusion criteria
* Other Nursing Staff * Patients hospitalized on non-rehabilitation units
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the number of falls per 1000 patient days (falls per 100 patient days is a standardized proportion) | Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Patient Satisfaction as assessed by the Press Ganey Survey | Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months | — |
| Change in Nursing Fatigue as assessed by number of unexcused nurse absences | Baseline, 1 month, 2 months, 3 months, 4 months, 5 months, 6 months | — |
| Change in Nursing Satisfaction as assessed by a survey | Two weeks prior to initiation, 6 months | Two weeks prior to Rehab MATRIX initiation, a six question pre-implementation survey will be distributed via Survey Monkey to the nursing staff, evaluating nurse perceptions of the traditional nursing assignment. Questions 1 to 4 will be measured on a Likert Scale of 1 to 5; 1 - strongly disagree, 2 - disagree, 3 - neutral, 4 - agree, 5 - strongly agree. At the end of the six month study period, a post-implementation Rehab MATRIX survey will be distributed at each center via Survey Monkey, examining the impact of Rehab MATRIX on workload equity, fairness, the role of seniority and overall satisfaction with the nurse assignment process. |
Countries
United States
Outcome results
None listed