Date of Award

Summer 8-1994

Document Type


Degree Name

Master of Science in Nursing (MSN)



Committee Director

Brenda Nichols

Committee Member

Kathie S. Weatherly

Committee Member

Richardean Benjamin

Call Number for Print

Special Collections LD4331.N8H68


Nursing patient classification systems have been in use in some form since Florence Nightingale first arranged her patients in wards (Giovanetti, 1978). Prospective classification systems which have been implemented in hospitals now generate billing information, staff budgets and long-range financial forecasts (Giovanetti, 1978; Alward, 1983; Edwardson and Giovanetti, 1987). Quantitative analysis using at-test indicated a significant difference in mean acuity scores in the prospective and retrospective data which pointed to a retrospective system as being more appropriate for billing, budgeting and finance decisions. Spearman's correlation analysis did not demonstrate a strong correlation between any indicators or with total acuity. Several variables exhibited significant differences in two of the three study units. Regression analysis was inconclusive in identifying a common group of indicators which were highly predictive in all study units.


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