Niah Gilmore

Date on Paper


Document Type

Doctoral Paper

Degree Name




Committee Chair

Abusalem, Said

Committee Member

Williams-Coleman, Beverly

Author's Keywords

acuity tool; neuroscience unit; nurse job satisfaction


Background: Nurse satisfaction is important to maintain in healthcare facilities across to the nation to ensure quality patient care is provided. The aim of this study was to implement the use of the CTRAT acuity tool for nurses’ patient-assignment to improve satisfaction with patient assignments, decrease turnover, and improve quality of patient care. This project was set in a 24-bed neuroscience unit in an urban hospital. Participants included registered nurses. Methods: Spradley’s theory of change was used to guide implementation of this project. Baseline data was obtained prior to implementation of the CTRAT tool and post implementation of CTRAT. Intervention: Staff nurses completed a 20-question satisfaction tool pre and post implementation of the CTRAT. Results: Data was obtained from 12 participants that fully completed pre and post satisfaction surveys and demographic information. There was a significance of 0.275 in overall rating of the facility from pre to post implementation of the acuity tool. There was a decrease in falls by 80% with implementation of the CTRAT. Conclusions: While there was no statistical significance in rating of nurse satisfaction with use an acuity tool, the study did have clinical significance. Acuity tools can be used in practice to decrease falls. Further studies should be done for a longer length of time and covariables affecting satisfaction should be identified.

Included in

Nursing Commons