Validation of the nursing workload scoring systems “Nursing Activities Score” (NAS), and “Therapeutic Intervention Scoring System for Critically Ill Children” (TISS-C) in a Greek Paediatric Intensive Care Unit

Background Fever in a patient in the intensive care unit necessitates several nursing tasks. Moreover, factors associated with increased patient care needs may be associated with fever. Objective To identify relationships between fever and characteristics of fever and nursing workload at the patient level. Methods A prospective study was conducted in a medical-surgical intensive care unit. The sample consisted of 361 patients consecutively admitted from October 2005 to August 2006. Each patient’s body temperature was measured by using a tympanic membrane or an axillary thermometer. The Therapeutic Intervention Scoring System-28 was used to measure nursing workload. Results A total of 188 patients (52.1%) had fever. Mean daily scores on the Therapeutic Intervention Scoring System and on 5 of its 7 categories were significantly higher for febrile patients than for nonfebrile patients. Fever was an independent predictor of the mean daily scores for all patients (P < .001). Peak body temperature but not duration of fever also was an independent predictor of mean daily scores for febrile patients (P < .001). Conclusion In a general intensive care unit, fever in patients should be taken into consideration for the proper allocation of nursing personnel.

Download Full-text

An Updated Therapeutic Intervention Scoring System for Critically Ill Children Enables Nursing Workload Assessment With Insight Into Potential Untoward Events

Journal of Intensive Care Medicine ◽

10.1177/0885066613519938 ◽

2014 ◽

Vol 30 (6) ◽

pp. 344-350 ◽

Cited By ~ 6

Author(s):

Randi Trope ◽

Sandra Vaz ◽

Marcia Zinger ◽

Mayer Sagy

Keyword(s):

Critically Ill ◽

Therapeutic Intervention ◽

Scoring System ◽

Critically Ill Children ◽

Nursing Workload ◽

Therapeutic Intervention Scoring System ◽

Insight Into

Download Full-text

Retrospective evaluation of the simplified Therapeutic Intervention Scoring System (TISS-28) in a surgical intensive care unit

Intensive Care Medicine ◽

10.1007/s001340000723 ◽

2000 ◽

Vol 26 (12) ◽

pp. 1794-1802 ◽

Cited By ~ 42

Author(s):

Rolf Lefering ◽

Michael Zart ◽

Edmund A.M. Neugebauer

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Therapeutic Intervention ◽

Scoring System ◽

Surgical Intensive Care Unit ◽

Retrospective Evaluation ◽

Therapeutic Intervention Scoring System ◽

Surgical Intensive Care

Download Full-text

DOES CHLORHEXIDINE WIPE HELP IN REDUCING HOSPITAL ACQUIRED INFECTIONS (HAIS) AMONG CRITICALLY ILL CHILDREN ADMITTED TO A PAEDIATRIC INTENSIVE CARE UNIT?

10.36106/ijar/6101485 ◽

2021 ◽

pp. 35-37

Author(s):

Madhan Kumar ◽

Jolly Chandran ◽

Pragathesh Pragathesh ◽

Ebor Jacob Gnananayagam ◽

Hema Paul ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Critically Ill ◽

Paediatric Intensive Care Unit ◽

Paediatric Intensive Care ◽

Critically Ill Children ◽

Intervention Period ◽

Hospital Acquired Infections ◽

Hospital Acquired ◽

Historical Controls

OBJECTIVE: To determine the effect of chlorhexidine wipes in reducing the incidence of hospital acquired infections (HAIs) among critically ill children admitted in Paediatric Intensive Care Unit (PICU). METHODS: An interventional study, wherein enrolled children were wiped with chlorhexidine after routine bath. The incidence of HAIs were noted and compared with data from historical controls of previous year during the same period (pre-intervention). RESULTS: One hundred and ninety nine children in the intervention period were compared with 271 children from pre-intervention period. The numbers of ventilator-days were 777 and 696 respectively for the intervention period and pre-intervention periods. Incidence of ventilator associated pneumonia (VAP) reduced from 12.9/1000 ventilator-days in the pre-intervention period to 6.4/1000 ventilator-days in the intervention period (p=0.1). VAP prevalence was 3.3% in the pre-intervention period as compared to 2.5% in the intervention period (p=0.6). The incidence of CLABSI was 3.6/1000 catheter-days (catheter days: 1377) with prevalence of 2.5% in the intervention period, whereas among the historic controls of the previous year it was 4.2/1000 days (catheter days 1432) with a prevalence of 2.2% (p= 0.8). No untoward effect was reported. CONCLUSION: The use of chlorhexidine wipes in ICU was feasible but did not signicantly decrease HAIs.

Download Full-text