Date of Award

1977

Document Type

Thesis

Degree Name

Master of Arts

First Advisor

Sharon Rubin

Second Advisor

Joan Nolan

Abstract

This thesis investigates whether utilizing non-licensed nursing technicians in hospital critical care units can reduce costs without compromising patient care quality. The study focuses on Prince George’s General Hospital and Medical Center's Intensive Care Unit (ICU) and Coronary Care Unit (CCU), analyzing staffing patterns, personnel costs, and patient care demands.

The research includes a review of literature, interviews with healthcare professionals, and a survey of hospitals in the Baltimore-Washington region and other East Coast cities. The findings highlight the escalating costs of healthcare, with personnel expenses accounting for a significant portion. Survey results reveal that 43% of hospitals in the Baltimore-Washington area employ non-licensed technicians in critical care settings, often for tasks such as monitoring equipment, assisting with procedures, and handling patient hygiene. However, their utilization outside this region is minimal.

The study outlines the potential financial benefits of employing technicians, who are paid less than licensed nurses but can handle specialized tasks under supervision. It also addresses concerns about quality of care, noting that successful implementation requires rigorous training, clear role definitions, and strong supervision. Prince George’s Hospital's high turnover rate among ICU nurses and the associated costs underscore the need for cost-effective staffing solutions.

The thesis concludes that non-licensed nursing technicians can reduce costs if their roles are carefully designed to complement, rather than replace, licensed staff. Additional research is recommended to evaluate long-term impacts on patient outcomes and overall hospital efficiency.

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