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Expanding the Parameters for Excellence in Patient Assignments: Is Leveraging an Evidence-Data–Based Acuity Methodology Realistic?

Gray, Joel MS, RN; Kerfoot, Karlene PhD, RN, NEA-BC, FAAN

Nursing Administration Quarterly: January/March 2016 - Volume 40 - Issue 1 - p 7–13
doi: 10.1097/NAQ.0000000000000138
Original Articles

Finding the balance of equitable assignments continues to be a challenge for health care organizations seeking to leverage evidence-based leadership practices. Ratios and subjective acuity strategies for nurse-patient staffing continue to be the dominant approach in health care organizations. In addition to ratio-based assignments and acuity-based assignment models driven by financial targets, more emphasis on using evidence-based leadership strategies to manage and create science for effective staffing is needed. In particular, nurse leaders are challenged to increase the sophistication of management of patient turnover (admissions, discharges, and transfers) and integrate tools from Lean methodologies and quality management strategies to determine the effectiveness of nurse-patient staffing.

API Healthcare, a GE Healthcare Company, Hartford, Wisconsin.

Correspondence: Joel Gray, MS, RN, API Healthcare, a GE Company, 1550 Innovation Way, Hartford, WI 53027 (

The authors declare no conflict of interest.

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved