PMID- 17588580
OWN - NLM
STAT- MEDLINE
DCOM- 20080930
LR  - 20080618
IS  - 0020-7489 (Print)
IS  - 0020-7489 (Linking)
VI  - 45
IP  - 7
DP  - 2008 Jul
TI  - Measuring the intensity of nursing care: making use of the Belgian Nursing 
      Minimum Data Set.
PG  - 1011-21
AB  - BACKGROUND: The Belgian Nursing Minimum Data Set (B-NMDS) is a nationwide 
      registration of 23 nursing activities. It was developed for the measurement of 
      nursing care in acute hospitals. It is used to support healthcare management & 
      policy decision making such as hospital financing and nurse staffing decisions. 
      OBJECTIVE: To develop a measure of the intensity of nursing care based on 
      information that is available in the B-NMDS. DESIGN-SETTING-PARTICIPANTS: 
      Retrospective analysis of the B-NMDS from all Belgian acute hospitals (n=115) for 
      the year 2003. The sample included 690,258 inpatient days for 298,691 patients 
      that were recorded from 1637 acute care nursing units. METHODS: The 23 nursing 
      activities were synthesized into one new latent variable by PRINQUAL analysis. 
      This variable was evaluated as a measure of nursing care intensity using key 
      characteristics of the San Joaquin patient classification system, which was 
      designed to measure the intensity of nursing care. RESULTS: The main NMDS 
      component from the PRINQUAL analysis accounted for 26.8% of the variance. The 
      distribution of inpatient days over all four San Joaquin categories is: 11.1% 
      (self-care); 40.4% (average care); 30.8% (above average care); 17.7% (intensive 
      care). In 97.5% of the nursing units the intensity of nursing care score of the 
      B-NMDS (main NMDS component) followed the ordinality of the San Joaquin 
      classification system. Furthermore, the San Joaquin categories alone explained 
      more variability--70.2% in the intensity of nursing care measure (main NMDS 
      component) than did other determinants, such as department type, age, 
      diagnostic-related groups (DRG) and severity of illness, hospital type and 
      hospital size together. CONCLUSION: The B-NMDS is an instrument that produces a 
      measure of the intensity of nursing care in acute hospitals.
FAU - Sermeus, Walter
AU  - Sermeus W
AD  - Center for Health Services and Nursing Research, Catholic University Leuven, 
      Belgium. walter.sermeus@med.kuleuven.be
FAU - Delesie, Luc
AU  - Delesie L
FAU - Van den Heede, Koen
AU  - Van den Heede K
FAU - Diya, Luwis
AU  - Diya L
FAU - Lesaffre, Emmanuel
AU  - Lesaffre E
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20070627
PL  - England
TA  - Int J Nurs Stud
JT  - International journal of nursing studies
JID - 0400675
SB  - IM
MH  - Belgium
MH  - *Nursing Care
MH  - Nursing Staff, Hospital
MH  - Retrospective Studies
EDAT- 2007/06/26 09:00
MHDA- 2008/10/01 09:00
CRDT- 2007/06/26 09:00
PHST- 2006/11/16 00:00 [received]
PHST- 2007/05/04 00:00 [revised]
PHST- 2007/05/08 00:00 [accepted]
PHST- 2007/06/26 09:00 [pubmed]
PHST- 2008/10/01 09:00 [medline]
PHST- 2007/06/26 09:00 [entrez]
AID - S0020-7489(07)00111-3 [pii]
AID - 10.1016/j.ijnurstu.2007.05.006 [doi]
PST - ppublish
SO  - Int J Nurs Stud. 2008 Jul;45(7):1011-21. doi: 10.1016/j.ijnurstu.2007.05.006. 
      Epub 2007 Jun 27.