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

Jaana K. Junttila, Aija Koivu, Lisbeth Fagerström, Kaisa Haatainen, Pirkko Nykänen

Research output: Contribution to journalArticleScientificpeer-review

33 Citations (Scopus)


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.
Original languageUndefined/Unknown
Pages (from-to)46–53
Number of pages8
JournalInternational Journal of Nursing Studies
Publication statusPublished - 2016
MoE publication typeA1 Journal article-refereed


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

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