Rehab MATRIX: Content Validity of a Nursing-Led Patient Assignment Algorithm

Nneka L. Ifejika, Munachi N. Okpala, Hope A. Moser, Jeffrey N. Watkins, Elizabeth A. Noser

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Purpose: The provision of conscientious nursing care is at the forefront of health quality. Unfortunately, a lack of standardization in the assignment of patients to nurses can lead to care inequities. Rehab MATRIX is a nursing-led tool that equitably assigns patients using select acuity variables. Design and Methods: In this initial study, we asked focus groups of 19 registered nurses and 8 patient care assistants to identify medical interventions that increase the effort of nursing care at a 24-bed inpatient rehabilitation facility (IRF). This IRF is affiliated with a comprehensive heart and vascular institute, a level I trauma center, and a The Joint Commission (TJC) Comprehensive Stroke Center. Findings: Thirteen acuity variables were included in the Rehab MATRIX patient assignment grid. High-acuity patients with greater than 6 variables were color-coded "red," medium-acuity patients with 3 to 5 variables were color-coded "yellow," and low-acuity patients with less than 3 variables were color-coded "green." Each registered nurse and patient care assistant were assigned an equitable number of red-, yellow-, and green-coded patients per shift. New admissions were Rehab MATRIX color-coded during nursing report and assigned objectively. Conclusions: Nursing staff at a wide-ranging IRF created Rehab MATRIX, an equitable patient assignment tool, representative of nursing effort needed to provide quality care. Clinical Relevance: Nursing-led patient assignment tools increase autonomy and provide the opportunity for all nursing staff to influence healthcare practice. These factors may lead to increased nursing satisfaction and decreased burnout.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalJournal of Neuroscience Nursing
Volume51
Issue number1
DOIs
StatePublished - Feb 1 2019

Fingerprint

Nursing
Patient Acuity
Color
Inpatients
Rehabilitation
Nursing Staff
Nurses
Nursing Care
Patient Care
Quality of Health Care
Trauma Centers
Focus Groups
Blood Vessels
Joints
Stroke
Delivery of Health Care
Health

Keywords

  • acuity
  • assignment
  • nursing
  • rehabilitation

ASJC Scopus subject areas

  • Surgery
  • Endocrine and Autonomic Systems
  • Clinical Neurology
  • Medical–Surgical

Cite this

Rehab MATRIX : Content Validity of a Nursing-Led Patient Assignment Algorithm. / Ifejika, Nneka L.; Okpala, Munachi N.; Moser, Hope A.; Watkins, Jeffrey N.; Noser, Elizabeth A.

In: Journal of Neuroscience Nursing, Vol. 51, No. 1, 01.02.2019, p. 33-36.

Research output: Contribution to journalArticle

Ifejika, Nneka L. ; Okpala, Munachi N. ; Moser, Hope A. ; Watkins, Jeffrey N. ; Noser, Elizabeth A. / Rehab MATRIX : Content Validity of a Nursing-Led Patient Assignment Algorithm. In: Journal of Neuroscience Nursing. 2019 ; Vol. 51, No. 1. pp. 33-36.
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