Selected methods of measuring workload among intensive care nursing staff

Kościelska‐Kasprzak, Katarzyna; Wujtewicz, Maria; Mędrzycka‐Dąbrowska, Wioletta

doi:10.2478/s13382-012-0035-5

Cited by 25 publications

(17 citation statements)

References 21 publications

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“…A series of changes in the TISS-28 have been proposed in the progressive process of these scores that aims to assess the severity of patients through the therapeutic interventions to which they are subject, in addition to assessing the workload in ICUs. (2,25) Taking into account that one point on the TISS-28 is equivalent to approximately 10.6 minutes (2,26) of a nurse's work during his/her shift, these scores are appropriate to discuss work processes in order to adapt resources to the needs of intensive care units.…”

Section: Discussionmentioning

confidence: 99%

Validação Concorrente de Escores de Enfermagem (NEMS e TISS-28) em terapia intensiva pediátrica

et al. 2013

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Objective: Examine the concurrent validity of the Nine Equivalents of Nursing Manpower Use Score (NEMS) in comparison to the Therapeutic Intervention Scoring System-28 (TISS-28) in a Pediatric Intensive Care Unit (PICU). Methods: Prospective observational cohort study conducted in a PICU of a Brazilian university hospital over a period of two years with a sample of 816 patients. A total of 7,702 observations were obtained for each of the scores. Results: The average maximum score of the NEMS was 26.6±9.2 and for the TISS-28 it was 21.3±8.2. The TISS-28 was lower than the NEMS (p<0.001) for all the averages. A good correlation was observed between them (r2=0.704) for all observations. Agreement between the TISS-28 and the NEMS was good, presenting only a 6.2% difference between the scores. Conclusion: The results show good correlation and agreement between the TISS-28 and the NEMS, enabling the NEMS validation in this population of pediatric patients. Resumo Objetivo: Examinar a validade concorrente do escore Nine Equivalents of Nursing Manpower Use Score (NEMS) em comparação ao Therapeutic Intervention Scoring System-28 (TISS-28) em uma Unidade de Terapia Intensiva Pediátrica (UTIP).Métodos: Estudo de coorte prospectivo observacional, realizado na UTIP de um hospital universitário brasileiro, no período de dois anos, com uma amostra de 816 pacientes. Foram realizadas 7.702 observações de cada um dos escores. Resultados: A média da pontuação máxima do NEMS foi 26,6±9,2 e do TISS-28 21,3±8,2. Em todas as médias, o TISS-28 foi inferior ao NEMS (p<0,001). Houve uma boa correlação entre eles (r 2 =0,704 para todas as observações). A concordância entre o TISS-28 e o NEMS foi boa, apresentando apenas 6,2% de diferença entre os escores. Conclusão: Os resultados mostraram boa correlação e concordância entre o TISS-28 e o NEMS, permitindo validar o NEMS nessa população de pacientes pediátricos.

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Section: Discussionmentioning

confidence: 99%

Validação Concorrente de Escores de Enfermagem (NEMS e TISS-28) em terapia intensiva pediátrica

et al. 2013

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“…Terminology of time of work is often linked with the term of overwork [1][2][3][4][5][6][7][8] as well as methods of measurement [9,10] or such elements of work which might be consequences of overwork. Fatigue [4,9,11], ways of preventing sleeping or levelling its results at workplace [12] by means of rational rest, for example, during work time intervals [7,11], appeared to the author to be the most popular phrases.…”

Section: Kunecka Nr 2 166mentioning

confidence: 99%

Working time intervals and total work time on nursing positions in Poland

Kunecka¹

2015

Med Pr

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Background: For the last few years a topic of overwork on nursing posts has given rise to strong discussions. The author has set herself a goal of answering the question if it is a result of real overwork of this particular profession or rather commonly assumed frustration of this professional group. The aim of this paper is to conduct the analysis of working time on chosen nursing positions in relation to measures of time being used as intervals in the course of conducting standard professional activities during one working day. Material and Methods: Research material consisted of documentation of work time on chosen nursing workplaces, compiled between 2007-2012 within the framework of a nursing course at the Pomeranian Medical University in Szczecin. As a method of measurement a photograph of a working day has been used. Measurements were performed in institutions located in 6 voivodeships in Poland. Results: Results suggest that only 6.5% of total of surveyed representatives of nurse profession spends proper amount of time (meaning: a time set by the applicable standards) on work intervals during a working day. Conclusions: The scale of the phenomenon indicates excessive workload for nursing positions, which along with a longer period of time, longer working hours may cause decrease in efficiency of work and cause a drop in quality of provided services. Med Pr 2015;66(2):165-172

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“…They also mentioned that it is common to perform doctors' orders given orally or over the phone. According to the surveyed nurses, all the above-mentioned situations contributed to adverse events occurrence while they were performing nursing activities when treating a patient [18][19][20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

The influence of adverse events on the quality of nursing care and patients’ safety

Mika¹,

Nowak-Starz²,

Kotela³

2015

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Introduction: High quality of medical services is essential to proper healthcare functioning and to achieve aims. High quality of nursing care should have the same characteristics as the whole healthcare system. Although current healthcare systems focus on best quality medical services, the number of adverse events is increasing. It sometimes happens that a patient suffers injuries not due to his/her illness, but because of poorly organised healthcare. Aim of the research: To assess the influence of adverse events and their identification on nursing care quality and to analyse the correlation between patient safety and adverse events identification and reporting. Material and methods: The research was conducted in hospital wards that have and do not have a Certificate of Quality Management System. In the research, the Hospital Survey on Patient Culture prepared by the Agency for Healthcare Research and Quality was used as well as the author's own survey. Results: In the survey, nurses' activities were evaluated in the context of adverse events identification. As the most common undesirable events, the following were considered: discrepancy connected with organisation and administration (35%), medical equipment (24%), hospital infections (23%), medication administration (22%), doctor's (20%) and nurse's (19%) activity, and blood and blood related specimen transfusion (10%). However, these areas were not disastrous. Conclusions: It has been stated that nurses, for fear of disciplinary consequences, are more unwilling to report such events. Therefore, it is essential to introduce legal regulations.

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Selected methods of measuring workload among intensive care nursing staff

Cited by 25 publications

References 21 publications

Validação Concorrente de Escores de Enfermagem (NEMS e TISS-28) em terapia intensiva pediátrica

Validação Concorrente de Escores de Enfermagem (NEMS e TISS-28) em terapia intensiva pediátrica

Working time intervals and total work time on nursing positions in Poland

The influence of adverse events on the quality of nursing care and patients’ safety

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