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

A1 Journal article (refereed)

Internal Authors/Editors

Publication Details

List of Authors: Jaana K. Junttila, Aija Koivu, Lisbeth Fagerström, Kaisa Haatainen, Pirkko Nykänen
Publisher: Elsevier
Publication year: 2016
Journal: International Journal of Nursing Studies
Journal acronym: INT J NURS STUD
Volume number: 60
Start page: 46
End page: 53
Number of pages: 8
ISSN: 0020-7489
eISSN: 1873-491X


Conclusions: Hospital mortality can be predicted by the RAFAELA system. This study rendered additional confirmation for the predictive validity of this patient classification system. In future, larger studies with a wider variety of nurse sensitive outcomes and multiple risk adjustments are needed. Future research should also focus on other important criteria for an adequate nursing workforce management tool such as simplicity, efficiency and acceptability. (C) 2016 Elsevier Ltd. All rights reserved.


Hospital mortality, Nursing intensity, Nursing workload, Patient classification system, Quantitative research, Scale development

Last updated on 2020-03-06 at 06:11