HealthResJ, health, medicine, nursing, research

Βοηθήστε μας να κάνουμε καλύτερη την υπηρεσία eJournals. Αν έχετε χρησιμοποιήσει την υπηρεσία eJournals στο παρελθόν και έχετε κάποια εμπειρία ως προς τη χρήση της, παρακαλούμε αφιερώστε ένα λεπτό και συμπληρώστε το σύντομο ερωτηματολόγιο!

Benchmarkıng ındıcators nursing workload ın Intensıve Care Unıts

Published: Dec 19, 2016
Nursing Workload (NW) Nursing Activity Score (NAS) Comprehensive Nursing Intervention Score (CNIS) ICU nursing care.
Thomai Kollia
Georgios Argyriou
Evangelia Prevyzi
Athanasia Nestor
Anastasia Kotanidou
Christina Marvaki

Introduction: The high and continues increasing nursing workload in the Intensive Care Unit (ICU) is a remarkable increase in mortality factor of heavy ill patients.

Aim: The aim of this study was a comparison evaluation between the score of Nursing Workload (NW), Nursing Activity Score (NAS) and Comprehensive Nursing Intervention Score (CNIS) in nurses who treat critically ill patients in Intensive Care Unit (ICU).

Material and Methods: The studied population was 100 patients who were hospitalized in Intensive Care Units (ICU) hospitals in Athens and private clinic of Piraeus. It was used a special designed questionnaire by the researchers based on Nursing Activity Score (NAS) score and Comprehensive Nursing Intervention Score (CNIS) score. Data analysis was performed with the statistical package SPSS 17.0.

Results: The 56% of study were men. The average age of the sample was 74 ± 15 years. The average Nursing Activity Score (NAS) for the first 10 days of hospitalization was 55, 4 ± 4, 9 and Comprehensive Nursing Intervention Score (CNIS) was 129, 5 ± 15, 4. Compared with indicators gravity nursing workload, with prognostic score APACHE II, SAPS II, the Glasgow scale and with laboratory markers creatinine and white blood showed that the Nursing Activity Score (NAS) and Comprehensive Nursing Intervention Score (CNIS) indicators a statistically significant difference (p = 0.005 and p <0.001, respectively) compared with patient outcome.

Conclusions: The nursing workload (NW) as measured on scales Nursing Activity Score (NAS) and Comprehensive Nursing Intervention Score (CNIS).  Both scales are equality and validity. Similarly, the outcome of these patients was associated with disease severity as measured by the score APACHE II and SAPS II.

Article Details
  • Section
  • Research Articles
Download data is not yet available.
Aiken L, Sermeus W, Heede KV, Sloane DM, Busse R, McKee M et al. Patient safety satisfaction and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 2012; 344(7851):1717-1730.
Carayon P, Gürses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units. Intensive Crit Care Nurs 2005; 21(5):284–301.
Cucolo DF, Perroca MG. Restructuring the nursing staff and its influence on care hours, Rev Latino-Am Enfermagem 2010; 18(2):175–181.
Miranda RD, Nap R, Rijk A, Schaufeli W, Lapichino G. Nursing activi¬ties score. Crit Care Med 2003;31(2):374–382.
Thungjaroenkul P, Cummings GG, Embleton A. The impact of nurse staffing on hospital costs and patient length of stay: a systematic review. Nurs Econ 2007; 25 (5):255-265.
Yamase H. Development of a comprehensive scoring sys¬tem to measure multifaceted nursing workloads in ICU. Nurs Health Sci 2003;5(4):299–308.
Lucchini A, Chinello V, Lotto V, De Fillipis C, Schena M, Elli S et al. The implementation of NEMS and NAS systems to assess the nursing staffing levels in a polyvalent intensive care unit. Assist Inferm Ric. 2008;27(1):18-26.
Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA 2002;288(16):1987-1993.
Donchin Y, Gopher D, Olin M, Badihi Y, Biesky M, Sprung CL, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med 1995; 23(2):294–300.
Guccione A, Morena A, Pezzi A, Iapichino G. The assessment of nursing workload. Minerva Anestesiologia 2004; 70(5):411-416.
Miranda DR. Outcome assessment—TISS as a tool to evaluate cost-effectiveness of immunological treatment. Eur J Surg Suppl 1999 ;( 584):51-55.
Padilha KG, Cardoso de Sousa RM, Garcia PC, Bento ST, Finardi EM, Hatarashi HK. Nursing workload and staff allocation in an intensive care unit: A pilot study according to Nursing Activities Score (NAS). Intensive Critical Care Nursing 2010; 26(2):108-113.
Ducci AJ, Zanei SSV, Whitaker IY. Nursing workload to verify nurse/patient ratio in a cardiology ICU. Rev Esc Enferm USP 2008; 42(4):673-680.
Dias MCCB, Application of the Nursing Activities Score (NAS) as a nursing workload measurement tool in a Cardiac Surgery Intensive Care Unit. MS Dissertation. University of Sαο Paulo, School of Nursing, ONLINE, 14/09/2006, 1, “Διαθέσιμο από:”
Silva MCM, Factors regarding discharge, death and readmission into the intensive care unit. PhD Thesis. University of Sαο Paulo, School of Nursing, ONLINE, 22/02/2007, 1, “Διαθέσιμο από:” /7/7139 / tde-20042007-092510.
Goncalves LA, Garcia PC, Toffolleto MC, Padilha KG, Telles SCR. The need for nursing care in intensive care units: daily patient assessment according to the nursing activities scores (NAS). Rev Bras Enf 2006;59(1):56-60.
Queijo AF, Padilha KG. Nursing Activities Score (NAS): cross-cultural adaptation and validation to Portuguese language. Rev Esc Enf USP 2009; 43(Spe):1001-1008.
Conishi RMY, Gaidzinski RR. Evaluation of the Nursing Activities Score (NAS) as a nursing workload measurement tool in an adult ICU. Rev Esc Enf USP 2007;41(3):346-354.
Ducci AJ, Padilha KG. Nursing activities score: a comparative study between retrospective and prospective applications in intensive care unit. Acta Paul Enferm 2008;21(4):380-384.
Stafseth SK, Solms D, Bredal IS. The characterization of workloads and nursing staff allocation in intensive care units: A descriptive study using the Nursing Activities Score for the first time in Norway. Intensive and Critical Care Nursing 2011; 27(5):290-294.
Bernat AA, Campos RA, Cubedo RM, Quintana BJ, Sanahuja RE, Sanchis MJ, et al. Nursing Activity Score (NAS). Our experience with a nursing load calculation system based on times. Enferm Intensiva 2005;16(4):164-173.
Bernat AA, Campos RA, Bou MY, Bellmunt JQ, Garcia CG, Canuto MS, et al. Care work load in critical patients. Comparative study NEMS versus NAS. Enferm Intensiva 2006; 17(2):67-77.
Viney C, Poxon I, Jordan C, Winter B. Does the Apache II scoring system equate with the Nottingham Patient Dependency System? Can these systems be used to determine nursing workload and skill mix? Nurs Crit Care 1997;2(2):59,62-63.
Queijo AF, Martins RS, Andolhe R, Oliveira EM, BarbosaRL,Padilha KG. Nursing workload in neurological intensive care units: Cross-sectional study. Intensive Critical Care Nursing 2013; 29(2):112-116.
Sousa RM, Padilha KG, Nogueira LS, Miyadahira AMK, Oliveira VCR. Nursing workload among adults, elderly and very elderly patients in the intensive care unit. Rev Esc Enferm USP 2009; 43(Spe2):1279–1285.
Padilha KG, Sousa RMC, Queijo AF, Mendes AMC, Miranda DR. Nursing Activities Score in the intensive unit: analysis of the related factors. Intensive Crit Care Nurs 2008; 24(3):197-204.
Byrick RJ, Caskenette GM. Audit of critical care: aims, uses, costs and limitations of a Canadian System. Can J Anaesth 1992; 39(3):260-269.
Ducci AJ, Goncalves LA, Padilha KG, Ozello BAG. Gravidade de pacientes e demanda de trabalho de enfermagememunidade de terapiaintensiva: analiseevolutivasegundo o TISS-28. Rev Bras TerInt 2004; 16(1):22-27.
Balsanelli AP, Zanei SSV, Whitaker IY. Carga de tyrabalho de Enfermagem e suarelacao com a gravidade dos pacientescirurgicosem UTI. Acta Paul Enferm 2006; 19(1):16-20.
Miranda DR, Ryan DW, Filder V, Schaufeli WB. Organization and Management of Intensive Care: A Prospective Study in 12 European countries. In: Vincent JL, editor. Update in intensive care and emergency medicine. Berlin Heidelberg New York: Spring, 1998; 1-286.
Ferrero GO, Mateo ME, Marin VG, Salas C L. Care levels in an intensive care unit. Analysis of therapeutic requirements and severity scales. Enferm Intensiva 1999; 10(1):13-21.
Castillo-Lorente E, Riviera-Fernandez R, Rodriguez-Elvira M, Vazques-Mata G. TISS-76 and TISS-28: correlation of two therapeutic activity indices on a Spanish multicenter ICU database. Intensive Care Med 2000; 26(1):57-61.
Tarnow-Mordi WO, Hau C, Warden A, Shearer AJ. Hospital mortality in relation to staff workload: A 4-year study in an adult intensive-care unit Lancet 2000; 356(9225):185–189.
Kiekkas P, Sakellaropoulos GC, Brokolaki H, Manolis E, Samios A, Skartsani C, et al. Association between nursing workload and mortality of intensive care unit patients. J Nurs Scholarsh 2008; 40(4):385-390.
Osmon S, Warren D, Seiler SM, Shannon W, Fraser VJ, Kollef MH. The influence of infection on hospital mortality for patients requiring >48 h of intensive care. Chest 2003; 124(3):1021–1029.
Most read articles by the same author(s)