Validation of "nine equivalents of nursing manpower use score" on an independent data sample

Abstract

This study confirms a good agreement between TISS-28 and NEMS in a large, independent sample. However, as shown by the differences between medical and postoperative/trauma patients, a change in case mix may result in different regression equations. Further, wide limits of agreement indicate that there may be a rather large variability between the two measures at the individual level.

Measuring the nursing workload per shift in the ICU

“…The mortality rates in the MICU and SICU are comparable to those in other studies [28,29]. The severity of illness scores are in line with those in the literature [28,30,33]. Additionally, MICU patients were noted to have higher SAPSII scores, but generated a lower amount of nursing workload expressed by the TISS-28 [33] or NAS, supporting that illness severity measures should not be used for the purpose of assessing nursing workload.…”

“…The severity of illness scores are in line with those in the literature [28,30,33]. Additionally, MICU patients were noted to have higher SAPSII scores, but generated a lower amount of nursing workload expressed by the TISS-28 [33] or NAS, supporting that illness severity measures should not be used for the purpose of assessing nursing workload. This study is the first that has attempted to quantify the nursing workload per shift using the NAS and has proven its feasibility, respecting the three conditions, although NAS weightings are computed for 24-h periods [34].…”

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

“…Some studies collect data on three shifts but choose the highest value or the average. (10) Additionally, the TISS-28 and NEMS do not consider the time nurses spend with care provided to the family (assistance and guidance). In this context, other scores such as the Nursing Activities Scores should be verified.…”

“…The equation found for the customization [NEMS = 4.25 + (1.04 x TISS-28)] was very similar to that of a study conducted with adults. (10) There are few studies in the pediatric field using scores to study therapeutic interventions. (5) It was possible to customize the NEMS and TISS-28 scores for a Pediatric Intensive Care Unit.…”

“…(1,5,6) The NEMS is also appropriate for the management of nursing professionals who work in intensive therapy and for the evaluation of ICUs. (7)(8)(9) Studies validating NEMS were implemented with clinical and surgical patients hospitalized in adult ICUs, (4,10) however, such studies are rare and seldom implemented in pediatric units. (5) The primary objective of this study is to examine the concurrent validity of the NEMS in comparison to the TISS-28 in a Pediatric Intensive Therapy Unit.…”