Comparison of nursing workload in a Pediatric Intensive Care Unit estimated by three instruments

Velozo, Kelly Dayane Stochero; Costa, Caroline Abud Drumond; Tonial, Cristian Tedesco; Crestani, Francielly; Andrades, G.; García, Pedro Celiny Ramos

doi:10.1590/1980-220x-reeusp-2020-0547

Cited by 4 publications

(5 citation statements)

References 20 publications

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“…1 Not surprisingly, our study demonstrated variation in nursing workload between and within reason for admission, and estimated lower nursing workload for patients who do not require critical care-specific interventions, but future studies using a more detailed scoring system may be helpful in defining health care provider skill sets required to care for these children. 26…”

Section: Discussionmentioning

confidence: 99%

Resource Utilization in Children who Receive a Pediatric Intensive Care Unit Consult in the Emergency Department: A Retrospective Cohort Study

Boggs

Caen

Lobos

et al. 2022

J Intensive Care Med

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Objectives To describe the characteristics, critical care resource requirements, and outcomes of children who were hospitalized after a Pediatric Intensive Care Unit (PICU) consult in the Emergency Department (ED). Methods In this single-centre retrospective cohort study, we conducted chart reviews for children (<18 years) hospitalized following a PICU consult in the ED to examine patient characteristics, timing of consult, ED length of stay, Medical Emergency Team (MET) utilization, PICU nursing workload, and critical care interventions for children who were and were not admitted to the PICU. Results During the one-year study period, 247 PICU consults were performed in the ED resulting in 161 (65.2%) direct admissions to PICU and 1 indirect PICU admission via the ward. Of 105 children with complex chronic conditions, 73 (69.5%) were admitted to PICU, including 32 (91.4%) of 35 children with chronic home ventilatory needs, only 2 (6.2%) of whom received a critical care intervention beyond respiratory support. Within 24 h of hospitalization, 112 (69.1%) of 162 PICU admissions received a critical care-specific intervention. Of 86 (34.8%) ward admissions, 16 (18.6%) were reviewed by the MET. Children admitted to the ward had a significantly longer post-consult ED length of stay than children admitted to PICU (median 428 min vs. 130 min; p <0.0001). Conclusions Over two-thirds of children admitted to PICU from the ED required early critical care interventions, with the remainder potentially benefitting from closer monitoring or a higher frequency of non-critical care interventions than can be reasonably provided on general inpatient wards. More research is needed to evaluate critical care and hospital resource utilization when children are triaged to the ward following a PICU consult in the ED.

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Section: Discussionmentioning

confidence: 99%

Resource Utilization in Children who Receive a Pediatric Intensive Care Unit Consult in the Emergency Department: A Retrospective Cohort Study

Boggs

Caen

Lobos

et al. 2022

J Intensive Care Med

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“…The reliance on NEMS as the primary workload measurement tool may not capture the full complexity of nursing activities, and better scores may be available, such as the Nursing Activity Score. 32,33 We did not aim to compare scoring systems or have a full capture of activity, rather we focused on the tool allowing fast and routine workload evaluation. The weak correlation between objective workload measures and perceived workload suggests unexplored factors.…”

Section: Limitationsmentioning

confidence: 99%

Weak Correlation Between Perceived and Measured Intensive Care Unit Nursing Workload

Wallet,

Bonnet,

Thiriaud

et al. 2024

Journal of Nursing Care Quality

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Background: Efficient management of nursing workload in the intensive care unit (ICU) is essential for patient safety, care quality, and nurse well-being. Current ICU-specific workload assessment scores lack comprehensive coverage of nursing activities and perceived workload. Purpose: The purpose of this study was to assess the correlation between ICU nurses’ perceived workload and the Nine Equivalents of Nursing Manpower Use Score (NEMS). Methods: In a 45-bed adult ICU at a tertiary academic hospital, nurses’ perceived shift workload (measured with an 11-point Likert scale) was correlated with the NEMS, calculated manually and electronically. Results: The study included 1734 observations. The perceived workload was recorded for 77.6% of observations. A weak positive correlation was found between perceived and objectively measured workload. Conclusion: Findings indicate a need to consider the multifaceted nature of nursing activities and individual workload perceptions in the ICU.

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“…The test results were then converted into hours (according to the guidelines for each tool). For TISS-28 the average nurse workload for the analyzed hospitalization days (expressed in minutes) was multiplied by 3, and the result was divided by 60'according to the methodology of the tool [29,30]. Calculations using TISS-28 omit the conversion of the average result into minutes (multiplied by 10.6') because the collected data was expressed and analyzed in a minute record.…”

Section: Instrumentsmentioning

confidence: 99%

“…For the NEMS tool, the average (expressed in points) of day and night duty was multiplied by 10.6'. The result in minutes was multiplied by 3, followed by the result being divided by 60' [14,[29][30].…”

Section: Instrumentsmentioning

confidence: 99%

See 1 more Smart Citation

Workload in the Care of a Patient with Congenital Diaphragmatic Hernia and the Patient’s Need for Nursing Care

Szydłowska-Pawlak¹,

Kilańska²,

Kozłowski³

et al. 2023

Preprint

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Introduction. The main task of the study was to measure the workload of nurses in the care of a patient with a developmental defect–congenital diaphragmatic hernia (CDH)–in the neonatal intensive care unit, which was evaluated on the basis of standardized tools Therapeutic Intervention Scoring System (TISS–28), Nine Equivalents of Nursing Manpower use Score (NEMS) and Nursing activities Score (NAS). Methods. Retrospective study. The workload was measured using TISS–28, NEMS and NAS tools. Descriptive statistics were used to analyze the data, and a single-sample test was used to verify the research hypotheses. Results. The sample consisted of medical records of 33 patients; 592 observations were analyzed. Studies prove the need for research on the workload of nurses in neonatal intensive care units. A patient with CDH should receive nursing care as required. Conclusion. It is necessary to implement a model for measuring the workload of nurses in neonatal intensive care units, taking into account the evaluation of work and its optimization.

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Comparison of nursing workload in a Pediatric Intensive Care Unit estimated by three instruments

Cited by 4 publications

References 20 publications

Resource Utilization in Children who Receive a Pediatric Intensive Care Unit Consult in the Emergency Department: A Retrospective Cohort Study

Resource Utilization in Children who Receive a Pediatric Intensive Care Unit Consult in the Emergency Department: A Retrospective Cohort Study

Weak Correlation Between Perceived and Measured Intensive Care Unit Nursing Workload

Workload in the Care of a Patient with Congenital Diaphragmatic Hernia and the Patient’s Need for Nursing Care

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