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

Autor:	Velozo KDS; Universidade Federal do Pampa, Uruguaiana, RS, Brazil., Costa CAD; Hospital Moinhos de Vento, Pós-Graduação em Nutrição Materno Infantil, Porto Alegre, RS, Brazil., Tonial CT; Pontifícia Universidade Católica de Porto Alegre, Porto Alegre, RS, Brazil., Crestani F; Pontifícia Universidade Católica de Porto Alegre, Porto Alegre, RS, Brazil., Andrades GRH; Pontifícia Universidade Católica de Porto Alegre, Porto Alegre, RS, Brazil., Garcia PCR; Pontifícia Universidade Católica de Porto Alegre, Escola de Medicina, Departamento de Pediatria, Porto Alegre, RS, Brazil.
Jazyk:	angličtina
Zdroj:	Revista da Escola de Enfermagem da U S P [Rev Esc Enferm USP] 2021 Aug 27; Vol. 55, pp. e00547. Date of Electronic Publication: 2021 Aug 27 (Print Publication: 2021).
DOI:	10.1590/1980-220X-REEUSP-2020-0547
Abstrakt:	Objective: To compare the nursing workload using the Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS) instruments in children admitted to a Pediatric Intensive Care Unit in a university hospital. Method: A prospective cohort study performed in a Pediatric Intensive Care Unit, with a sample formed of all children hospitalized during the study period. Nursing workload was evaluated using the TISS-28, NEMS and NAS instruments, and further divided into two groups: Group 1 forming a category of basic activities items and Group 2 forming a category of other support and intervention activities. Results: The sample consisted of 490 Pediatric Intensive Care Unit admissions, totaling 4617 observations. NAS presented the best estimate of total working hours. TISS-28 and NEMS showed better agreement and the results showed strong correlations between NAS and TISS-28 and between NEMS and TISS-28. In Group 1 (basic activities), NAS(1) and TISS-28(1) showed moderate correlation, in Group 2 (specialized activities) the three instruments showed strong correlations. Conclusion: NAS stood out in the evaluation of nursing workload and showed good correlation and agreement with the TISS-28.
Databáze:	MEDLINE
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