Hospital mortality and optimality of nursing workload: A study on the predictive validity of the RAFAELA Nursing Intensity and Staffing system

Quality of nursing intensity data: inter‐rater reliability of the patient classification after two decades in clinical use

“…, Junttila et al . ). It was therefore essential to assess the differences between raters in terms of total NI points.…”

“…Even hospital mortality has been predicted by the RAFAELA system (Junttila et al . ). The system's feasibility, reliability and internal validity was tested during the development process (Kaustinen , , Fagerström et al .…”

Using a new interrater reliability method to test the modified Oulu Patient Classification instrument in home health care

“…In hospital settings, a clear association between nursing resources (competence and numbers) and patient outcomes (patient safety and mortality) has been seen (Aiken, Clarke, Sochalski, & Silber, ; Aiken et al., ; Junttila, Koivu, Fagerström, Haatainen, & Nykänen, ). In nursing homes, fewer nursing hours have been associated with deficiencies (Harrington, Zimmerman, Karon, Robinson, & Beutel, ), while higher nursing hours show lower rates of pressure ulcers (Lee, Blegen, & Harrington, ).…”

“…Used to measure NI and nurse staffing in hospital settings, the RAFAELA system is based on a holistic and person‐centred perspective, where balance is sought between each patient's individual care needs and the nursing resources needed to thereby guarantee good care for patients and good working conditions for staff (Andersen, Lønning, & Fagerström, ; Fagerström, ; Frilund, ; Pusa, ; Rauhala, ). Nurse managers can use the RAFAELA system to assure nursing quality, good patient outcomes and good working conditions for staff and to reduce sick leave among nurses (Junttila et al., ; Rauhala et al., ). It is an effective tool whereby resource allocation can be managed (Fagerström, Lønning, & Andersen, ; Fagerström & Rauhala, ).…”

The effect of workload on nurses' non‐observance errors in medication administration processes: A cross‐sectional study

“…This study aimed to examine one such perspective: the relationship between workload and non-observance errors. Nursing staff often take on considerable responsibility and have a correspondingly heavy workload (Aiken, Sloane, Bruyneel, et al, 2013;Annika, Regina, Steffi, Behrens, & Weippert, 2014;Carayon, Xie, & Kianfar, 2014;Jaana, Junttila, Haatainen, & Nykänen, 2016). Media reports of medical errors and accidents in recent years have drawn a great deal of public attention and placed nurses in the spotlight, which can be seen as a type of added and invisible burden for them (Hyun, Bakken, Douglas, & Stone, 2008).…”