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. 2020 Jun 19;28(8):2216–2229. doi: 10.1111/jonm.13040

Table 2.

Ward cluster structure, patient characteristics, patient acuity and staffing measures

All patients Medical units Surgical units Med‐Surg units Step‐down units
n = 89,724 patient episodes n = 26,221 patient episodes n = 41,596 patient episodes n = 36,797 patient episodes n = 6,548 patient episodes
Ward structure
Units_N 132 37 35 37 23
Beds_N 3,024 929 884 1,053 158
Patient days a _N 589,718 190,732 166,657 206,194 2,488
Patient features
Age > 70_% 46 52.6 39.4 48.5 49.1
Female gender_% 48.5 43.0 45.8 40.2 34.9
Length of stay_mean 5.5 7.4 4.0 6.5 3.7
Hi‐tech hospital_% 60.0 68.9 76.5 63.9 81.5
Reason for admission
Cardiocirculatory_% 14.8 18.4 8.0 18.6 36.3
Infections_% 13.5 24.0 10.7 14.3 3.6
Trauma and orthopaedics_% 12.1 1.4 19.2 16.2 1.8
General surgery_% 11.3 10.4 15.4 7.6 2.2
Digestive_% 10.4 9.2 13.3 8.6 8.0
Nervous system_% 8.3 9.5 3.5 10.3 38.8
Kidney and urinary_% 6.7 3.3 9.5 9.2 3.8
Respiratory_% 6.7 9.8 3.9 7.4 1.8
Reproductive_% 3.7 0.3 5.6 0.4 0.2
Head and neck_% 2.8 0.3 5.7 1.9 0.2
Haematologic and immunologic_% 2.0 8.9 1.4 3.3 2.1
Nutritional and Metabolic_% 1.5 1.6 2.4 0.8 0.9
Skin and burns_% 1.0 0.2 0.4 1.3 0.1
Psychiatric, mental health and addictions_% 0.8 2.4 0.1 0.1 0.1
Eye_% 0.5 0.2 0.7 0.1 0.01
Patient acuity
Acute (3 rNHPPD)_% 16.0 5.3 33.3 17 5.2
Intensification (4 rNHPPD)_% 26.7 22.1 31.9 29.3 15.7
Intermediate (6 rNHPPD)_% 42.0 50.5 27.4 38.8 60
Preintensive (8 rNHPPD)_% 14.4 20.3 6.9 14.1 17.9
Intensive (12 rNHPPD)_% 0.6 0.7 0.6 0.5 0.7
Superintensive (>13 rNHPPD)_% 0.3 0.3 0.1 0.2 0.5
Staffing measures
aNHPPD_mean 3.0 2.5 2.4 2.5 5.8
rNHPPD_mean 5.5 6 4.6 5.4 6
Balance −2.5 −3.5 −2.2 −2.9 −0.2
Nurse staffing coverage_% 57.7 44.6 55.3 46.8 99.2

Abbreviations: Med‐Surg Units, combined medical–surgical wards; aNHHPD, available RN hours per patient day; rNHPPD, required RN hours per patient day.

a

Patient days_ accumulated patient days for the period of the study.