Evaluation of a bed utilization system in a surgical nursing section

Abstract

This research study evaluated a new bed utilization program established in the surgical nursing section at a major military medical facility. The study involved four wards with 83 beds before the new system was implemented, and three wards with 71 beds after the implementation. Five variables were identified as having an effect on the bed management program. These variables were time of discharge, escort compliance, bed availability, staff satisfaction, and patient satisfaction. Both a paired t test and an independent t test were applied for statistical analysis at the 0.05 level of significance. Data were collected for 1 month at two different intervals for comparison, using two surveys, patient records, 24-hour nursing reports, and same-day surgical schedules. A sample size of 103 was used as a basis for time of discharge and staff and patient satisfaction. The staff satisfaction survey also included a demographic data sheet. Escort compliance and bed availability were based on a 30-day time frame. The sample subjects included all patients who entered the surgical nursing section and their health care providers. Data analysis revealed significant differences in escort compliance and bed availability between the pre and post data. Findings from this study support the need for a functional, efficient bed management system.