Going beyond patient classification systems to create an evidence-based staffing methodology

J Nurs Adm. 2011 Oct;41(10):434-9. doi: 10.1097/NNA.0b013e31822edd8e.


The Department of Veterans Affairs developed a nationally standardized nurse staffing methodology, using an evidence-based process. We present an overview, linking an integrative review of recent literature on patient classification systems, interdisciplinary expert panel consultation, operational feasibility assessment, and frontline manager involvement. This resulted in 7 candidate indicators for inclusion in unit-specific staffing models. Adaptable to all healthcare settings, this process goes beyond traditional patient classification systems.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Decision Making, Organizational
  • Hospitals, Veterans*
  • Humans
  • Models, Nursing*
  • Models, Organizational
  • Nursing Staff, Hospital / supply & distribution*
  • Outcome and Process Assessment, Health Care
  • Personnel Staffing and Scheduling / classification*
  • Personnel Staffing and Scheduling / organization & administration
  • Practice Patterns, Nurses' / classification*
  • Practice Patterns, Nurses' / organization & administration
  • Quality Indicators, Health Care / organization & administration
  • United States
  • United States Department of Veterans Affairs
  • Workforce