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. Author manuscript; available in PMC: 2015 Dec 28.
Published in final edited form as: Nurs Res. 2015 Sep-Oct;64(5):361–371. doi: 10.1097/NNR.0000000000000112

Table 3.

Raw Data in HANDS and Operationalized Definitions for Patient Characteristics, Nurse Staffing, and Continuity Variables

Variable Raw Data Found in HANDS Operationalized Definition
Nurse Staffing Variables
Shift Length Number of consecutive hours
worked by each registered nurse
(RN) during a care episode.
% of 8-hour RN care shifts in a
patient episode.
RN Work Pattern (Shifts
of Care by Part Time
[PT]/Full Time [FT] vs.
Very Part Time [VPT]
Workers)
Fraction of time status (FT, PT, VPT)
for each RN who cared for the
patient during a care episode.
% of care shifts by very part
time status RNs (0.3 [24
hours] or less]) in a patient
episode.

Nurse Experience Years of experience as an RN. % of time cared for by RNs
with ≥ to 2 years of
experience in a patient
episode.
Nurse Education Diploma, ADN,a BSN,b BSN and some
additional coursework, Master’s
degree in nursing, or Doctoral
degree in nursing.
% of time cared for by RNs
with a BSN or greater in a
patient episode.
Patient-to-Nurse Ratio Actual number of patients cared for
by a single RN during a shift.
The average patient-to-nurse
ratio over the course of the
patient care episode
Worked hours per
patient day (whppd)
The total number of RN hours on a
unit in a 24-hour period divided by
the number of patients on that unit
at the midnight census.
The average whppd over the
course of the patient care
episode

Nurse Continuity
Variable
Number of consecutive
days cared for by the
same/single RNs
The total number of consecutive
care days worked by each RN with
the patient during a care episode.
% of consecutive care days by
the same/single RNs in a
patient episode.

Patient Characteristics
Nutrition 1 NANDA-I,c 5 NOC,d 5 NICe Nutrition
labels
NNNf Nutrition label
appearing on the admission
POCg in the patient’s episode
Continence 3 NANDA-I, 4 NOC, 6 NIC Continence
labels
NNN Continence label
appearing on at the
admission POC in the
patient’s episode
Hydration 3 NANDA- I, 3 NOC, 9 NIC Hydration
labels
NNN Hydration label
appearing on the admission
POC in the patient’s episode
Mobility 2 NANDA- I, 4 NOC, 5 NIC Mobility
labels
NNN Mobility label appearing
on the admission POC in the
patient’s episode
Perfusion 2 NANDA-I, 4 NOC, 5 NIC Perfusion
labels
NNN Perfusion label
appearing on the admission
POC in the patient’s episode
Cognition 4 NANDA-I, 9 NOC, 6 NIC Cognition
labels
NNN Cognition label
appearing on the admission
POC in the patient’s episode
Skin 3 NANDA-I, 2 NIC Skin Labels NNN Skin label appearing on
the admission POC in the
patient’s episode
Age Age in years Age in years
a

ADN = Associate Degree in Nursing

b

BSN = Bachelor of Science in Nursing

c

NANDA-I = North American Nursing Diagnosis Association – International

d

NOC = Nursing Outcomes Classification

e

NIC = Nursing Interventions Classification

f

NNN = NANDA-I NOC NIC, POC

g

POC = Plan of Care