Date of Award

January 2017

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Lois Sadler


In outpatient settings, the role of nurses has shifted from episodic, reactive care to management of patients with higher acuity. In a pediatric outpatient clinic specializing in burn injuries, it became apparent that the lack of an acuity tool to measure patient complexity challenged efficient nurse staffing and patient satisfaction. In this improvement project we developed a patient acuity tool that would help to determine nurse staffing, improve workload efficiencies, and improve the delivery of care.


This thesis is restricted to Yale network users only. It will be made publicly available on 09/03/2020