Focus sul Nursing Activities Score: una revisione della letteratura per valutare l’ef cacia percepita e i punti critici dello strumento.

Abstract

Introduzione: quantificare la complessità assistenziale di un paziente consente di identificare il fabbisogno infermieristico adeguato al soddisfacimento dei sui bisogni. Questo concetto, assume una particolare rilevanza nei reparti di terapia intensiva, dove le caratteristiche del paziente critico possono determinare carichi di lavoro infermieristico elevati.

Info-NAS

“…Moreover, on adding new elements introduced into ICUs in recent years, the application meets the need for a possible update of the NAS scale described in the literature. 3,34,35 The info-NAS program also integrates both patients' clinical needs and the estimated time to carry out nursing activities, which are two of the most widely used elements in the calculation of nurse staffing levels, but which do not provide conclusive results separately. 36 In addition, the algorithm allows objective categorization of categorical items, eliminating the main barrier for automatic calculation to date.…”

“…When the assigned weights were distributed similarly between two categories, the final decision was agreed upon with a third ICU specialist nurse, who was not a participant in the Delphi group, and the research team. Weights ranged from low (1) to broad (3). Because variables with weights of 1 were assessed as having a "mild influence," they were implicit in the computation of the activity and were eliminated from the algorithm.…”

“…Intensive care units are highly specific care settings, with widely variable and highly unpredictable workloads, which can suddenly change due to a new episode. 2 Establishing an appropriate nurse-patient ratio is of the utmost importance, since an exces-sively high ratio will increase health costs, whereas a ratio that is too low will impair healthcare quality and family satisfaction 3 and may increase complications and mortality. [4][5][6][7][8][9] The Spanish Health Ministry, based on the recommendations of the International Task Force on Safety in the ICU, recommends nurse-patient ratios ranging from 1:1 to 1:3, depending on the healthcare level of the ICU.…”