Use of scores to calculate the nursing workload in a pediatric intensive care unit

ABSTRACT Objective: To compare the nursing workload using the Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS) instruments in children admitted to a Pediatric Intensive Care Unit in a university hospital. Method: A prospective cohort study performed in a Pediatric Intensive Care Unit, with a sample formed of all children hospitalized during the study period. Nursing workload was evaluated using the TISS-28, NEMS and NAS instruments, and further divided into two groups: Group 1 forming a category of basic activities items and Group 2 forming a category of other support and intervention activities. Results: The sample consisted of 490 Pediatric Intensive Care Unit admissions, totaling 4617 observations. NAS presented the best estimate of total working hours. TISS-28 and NEMS showed better agreement and the results showed strong correlations between NAS and TISS-28 and between NEMS and TISS-28. In Group 1 (basic activities), NAS(1) and TISS-28(1) showed moderate correlation, in Group 2 (specialized activities) the three instruments showed strong correlations. Conclusion: NAS stood out in the evaluation of nursing workload and showed good correlation and agreement with the TISS-28.

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Association of nursing workload and unplanned extubations in a pediatric intensive care unit*

Pediatric Critical Care Medicine ◽

10.1097/01.pcc.0000269379.40748.af ◽

2007 ◽

Vol PAP ◽

Cited By ~ 13

Author(s):

Robert S. Ream ◽

Kevin Mackey ◽

Terry Leet ◽

M Christine Green ◽

Teresa L. Andreone ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

Nursing Workload ◽

Unplanned Extubations

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Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit

Einstein (São Paulo) ◽

10.1590/s1679-45082017ao4028 ◽

2017 ◽

Vol 15 (4) ◽

pp. 470-475

Author(s):

Kelly Dayane Stochero Velozo ◽

Pedro Celiny Ramos Garcia ◽

Jefferson Pedro Piva ◽

Humberto Holmer Fiori ◽

Daiane Drescher Cabral ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Length Of Stay ◽

Prospective Study ◽

Pediatric Intensive Care Unit ◽

Pediatric Intensive Care ◽

Working Hours ◽

University Hospital ◽

Nursing Workload ◽

Nursing Team

ABSTRACT Objective: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. Methods: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan 1st, 2009 to Dec 31st, 2009. All children who remained hospitalized for more than 8 hours were included, with length of stay of 4 hours in case of death. Clinical data were collected and the Paediatric Index of Mortality 2 and the scores TISS-28 and NEMS were determined. The TISS-28 and NEMS were converted into working hours of the nursing team and sizing complied with the parameters of the Brazilian Federal Nursing Council. Pearson's correlation and the Bland-Altman model were used to verify the association and agreement between the instruments. Results: A total of 459 children were included, totaling 3,409 observations. The average values for the TISS-28 and NEMS were 20.8±8 and 25.2±8.7 points, respectively. The nursing workload was 11 hours by TISS-28 and 13.3 hours by NEMS. The estimated number of professionals by TISS-28 and NEMS was 29.6 and 35.8 professionals, respectively. The TISS-28 and NEMS showed adequate correlation and agreement. Conclusion: Time spent in nursing activities and team sizing reflected by the NEMS were significantly greater when compared to the TISS-28.

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