Testing Validity and Reliability in a Psychiatric Patient Classification System

Schroder, Patricia J; Washington, W P; Deering, C. David; Coyne, Lolafaye

doi:10.1097/00006247-198601000-00018

Cited by 4 publications

(4 citation statements)

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“…[6][7][8][9][10][11] The publication dates for these reports ranged from 1983 through 1991. Its first task was to conduct a literature search for existing PCSs that could be easily revised and retested for use with this facility's inpatient pediatric population.…”

Section: Project Overviewmentioning

confidence: 99%

“…[6][7][8][9][10] In addition, the use of theoretically based nursing practice models has become obsolete as these meta-models of care have been replaced by evidence-based frameworks and interdisciplinary approaches to the delivery of patient care in today's psychiatric inpatient settings. Areas of major concern were related to the relatively weak psychometric properties of several of the instruments, the small number of child and adolescent subjects included in pilot testing five of the instruments, and the age of the instruments in view of the significant changes that have occurred over the last two decades in both the delivery of inpatient psychiatric and mental health services and the needs of child and adolescent inpatient populations.…”

Section: Project Overviewmentioning

confidence: 99%

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Classifying psychiatric inpatient pediatric populations

Anderson

Davis²,

Keehn³

et al. 2012

Nursing Management

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Section: Project Overviewmentioning

confidence: 99%

Section: Project Overviewmentioning

confidence: 99%

Classifying psychiatric inpatient pediatric populations

Anderson

Davis²,

Keehn³

et al. 2012

Nursing Management

View full text Add to dashboard Cite

“…Since 1979, more than 1,000 hospitals have used methods to classify the time required for healthcare processes. 1 The reason for these classification methods is firstly, because the use of funds is no longer based on historic costs but rather the primary reason is more related to the type of client being managed and secondly is related to resources that need to be used in treating patients. 2 Fries also stated that the diagnosis related groups (DRGs) cannot be applied to chronic or long-term care settings where the length of stay (LOS) varies.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 Patient classification systems that were previously developed include the Nursing Patient Classification Form, the GRASP system, the Patient Classification System (PCS), the Patient Classification system, and the Resource Utilization Groups T-18 (RUG T-18). 1,[6][7][8][9][10] Although various classification systems have been developed, the application of them have been deemed unsatisfactory as they have failed to address the critical needs of patients. 11 Patient classification systems such as those mentioned above are intended to depict the needs of patients in regard to healthcare and not for measuring the provision or quantity of nursing duties based on the average time required for treatments.…”

Section: Introductionmentioning

confidence: 99%

Interrater reliability of client categorization system as a psychiatric status rating scale in measuring psychiatric patients’ health status

et al. 2017

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Background: Reliable instrument is needed by nurses to measure patient’s status. This study aimed to determine the interrater reliability of client categorization system instrument used in psychiatric setting.Methods: Data was collected two periods in a year by twelve raters. They used the CCS to simultaneously gauge the condition of 30 patients for 98 measurements. Data was analyzed using the Cohen’s-Kappa formula and percent agreement.Results: The analysis showed that the Cohen-Kappa values of interrater reliability were 0.59 which can be categorized as moderate (accepted, if value >0.41) and percent agreement value was 77.78% indicated acceptable.Conclusions: The CSS has moderate and acceptable category of interrater reliability and can be recommended for use in clinical practice.

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A Missing Consideration: The Psychiatric Patient Classification for Scheduling-Staffing Systems

Morath

Fleischmann²,

Boggs

1989

Perspectives in Psychiatric Care

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The psychiatric nursing department at a university teaching hospital identified the need to develop a management tool to systematically and objectively determine resource requirements (staffing) for unique psychiatric patient populations. A classification methodology was needed for budget development, trending, productivity monitoring, and potentially developing a rich data base for nursing research. A study of existing classification systems found them to be limited for use in psychiatric settings. The psychiatric nursing department designed and implemented a patient classification tool based on biopsychosocial needs manifested by psychiatric patients in acute care settings. oday we are in a cost-containment era of health care. As part of this, nursing administrators must T determine the number of competent nursing personnel necessary to meet patient care requirements.Workload is the key. What is the total workload on any given unit, for any given shift? In order to determine the workload, an accurate description of the patient population is necessary. To describe the patient population, a valid classification tool that measures the degree of nurse-Julianne Morath, RN, MS, is dependency or level of patient self-sufficiency is essential. Accountability for effective and efficient use of resources requires determining not only how many staff to employ but also monitoring how to use that staff on a day-to-day, shift-to-shift basis to meet patient care requirements.Nurse-staffing requirements are variable due to many uncontrollable determinants. For example, the requirements change because patients are admitted, discharged, and pass through various stages of illness during a hospitalization; therefore, patient-dependency or need for nursing care changes. The ultimate goal of any staffing system is to determine how many staff are required to deliver appropriate care services, usually translated into full-time equivalent (FTE) positions. Two questions arise when formulating staffing recommendations: What is the total workload? What portion of the workload can be handled by each member of the staff?Staffing methodologies differ based on how these 40 VOL. XXV, NO. 3,4. 1989

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Testing Validity and Reliability in a Psychiatric Patient Classification System

Cited by 4 publications

References 0 publications

Classifying psychiatric inpatient pediatric populations

Classifying psychiatric inpatient pediatric populations

Interrater reliability of client categorization system as a psychiatric status rating scale in measuring psychiatric patients’ health status

A Missing Consideration: The Psychiatric Patient Classification for Scheduling-Staffing Systems

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