ArticleBMC health services research2026
Tool for Nursing Acuity Measurement - Swedish version (NAM-S) for somatic in-patient care: development, validity, and reliability.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNursing acuity measurements refer to the assessments of the intensity of nursing care required by a patient, helping to determine appropriate levels of nursing resources and staffing requirements. The aim of this paper is to describe the development and validation of a tool for measuring nursing acuity within adult somatic in-patient care settings, distinguishing between advanced nursing tasks and basic nursing tasks.
methodThe nursing acuity tool was developed through an iterative process in the context of a Swedish healthcare region. The methodological process involved a literature search, exploration of non-validated tools used within Swedish healthcare, and nursing staff discussions to reach a conceptual tool. This tool underwent pilot testing across five wards, as well as testing for content- and construct validity, and inter-rater reliability.
resultsAfter an iterative process of development and testing, we reached a final version of a tool, subsequently named the Swedish Nursing Acuity Measurement (NAM-S). The results demonstrated acceptable validity and inter-rater reliability.
conclusionsOur study provided support that the NAM-S can be used for assessing nursing acuity within adult somatic in-patient care. To refine the model, further examinations of its usefulness and experiences of the practical use of NAM-S are warranted.
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