The determination of nursing manpower requirements in humanitarian assistance missions for hospital ships

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Authors
McDonald, Fritzi.
Subjects
Advisors
Richter, Anke
Konoske, Paula
Date of Issue
2007-06
Date
Publisher
Monterey, California. Naval Postgraduate School
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Abstract
The purpose of this thesis is to determine the nursing manpower requirements for humanitarian and civic assistance missions performed by Navy hospital ships. The qualitative analysis component of this thesis includes a comprehensive literature review performed on doctrines, guidances, past humanitarian mission studies, and nurse staffing models. In contrast, the quantitative analysis component includes an Ordinary Least Squares regression analysis to estimate patient length of stay. Various model constructions are reviewed, utilizing different patient controls and indicators in an effort to identify a reasonable estimation approach and to validate the integrity of the available empirical data from the USNS MERCY 2006 deployment. Furthermore, a Chi-square test is conducted to review the statistical significance between the observed patient ICD-9 classification frequencies in an effort to better understand the types of capabilities that a future mission should expect to provide. The results of these analyses are applied in the development of an estimation calculator to define shipboard inpatient nursing manpower requirements. The thesis also provides suggestions for areas of future research that will provide insight regarding additional staffing requirements in other areas such as MEDCAPS, which is necessary for developing a more robust calculator.
Type
Thesis
Description
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Department
Organization
Naval Postgraduate School (U.S.)
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Format
xii, 91 p. ;
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Distribution Statement
Approved for public release; distribution is unlimited.
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