nach oben

Erschienen in:

01.09.2012 | Original

Measuring the nursing workload per shift in the ICU

verfasst von: Dieter P. Debergh, Dries Myny, Isabelle Van Herzeele, Georges Van Maele, Dinis Reis Miranda, Francis Colardyn

Erschienen in: Intensive Care Medicine | Ausgabe 9/2012

Einloggen, um Zugang zu erhalten

Abstract

Purpose

In the intensive care unit (ICU) different strategies and workload measurement tools exist to indicate the number of nurses needed. The gathered information is always focused on manpower needed per 24 h. However, a day consists of several shifts, which may be unequal in nursing workload. The aim of this study was to evaluate if differences in nursing workload between consecutive shifts can be identified by a nursing workload measurement tool.

Methods

The nursing activities score (NAS) was registered per patient for every shift during a 4-week period in a prospective, observational research project in the surgical-pediatric ICU (SICU-PICU) and medical ICU (MICU) of an academic hospital.

Results

The NAS was influenced by the patient characteristics and the type of shift. Furthermore, the scores were lower during night shifts, in weekends and in MICU patients. Overall, the mean NAS per nurse per shift was 85.5 %, and the NAS per 24 h was 54.7 %.

Conclusion

This study has shown that the nursing workload can be measured per working shift. In the ICU, the NAS differentiates the nursing workload between shifts, patients and units.

Nur mit Berechtigung zugänglich

Oulton JA (2006) The global nursing shortage: an overview of issues and actions. Policy Politics Nurs Pract 7:34S–39SCrossRef

Hugonnet S, Harbarth S, Sax H, Duncan RA, Pittet D (2004) Nursing resources: a major determinant of nosocomial infection? Curr Opin Infect Dis 17:329–333PubMedCrossRef

Halwani M, Solaymani-Dodaran M, Grundmann H, Coupland C, Slack R (2006) Cross-transmission of nosocomial pathogens in an adult intensive care unit: incidence and risk factors. J Hosp Infect 63:39–46PubMedCrossRef

Grundmann H, Hori S, Winter B, Tami A, Austin DJ (2002) Risk factors for the transmission of methicillin-resistant Staphylococcus aureus in an adult intensive care unit: fitting a model to the data. J Infect Dis 185:481–488PubMedCrossRef

Vicca AF (1999) Nursing staff workload as a determinant of methicillin-resistant Staphylococcus aureus spread in an adult intensive therapy unit. J Hosp Infect 43:109–113PubMedCrossRef

Amaravadi RK, Dimick JB, Pronovost PJ, Lipsett PA (2000) ICU nurse-to-patient ratio is associated with complications and resource use after esophagectomy. Intensive Care Med 26:1857–1862PubMedCrossRef

Dang D, Johantgen ME, Pronovost PJ, Jenckes MW, Bass EB (2002) Postoperative complications: does intensive care unit staff nursing make a difference? Heart Lung 31:219–228PubMedCrossRef

Pronovost PJ, Dang D, Jenckes MW, Dorman T, Garrett E, Bass E (1999) ICU nurse to patient ratio greater than 1 to 2 associated with an increased risk of complications in abdominal aortic surgery patients. Crit Care Med 27(S12):A27CrossRef

Pronovost PJ, Jenckes MW, Dorman T, Garrett E, Breslow MJ, Rosenfeld BA, Lipsett PA, Bass E (1999) Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA 281:1310–1317PubMedCrossRef

10.

Dimick JB, Swoboda SM, Pronovost PJ, Lipsett PA (2001) Effect of nurse-to-patient ratio in the intensive care unit on pulmonary complications and resource use after hepatectomy. Am J Crit Care 10:376–382PubMed

11.

Cho SH, Yun SC (2009) Bed-to-nurse ratios, provision of basic nursing care, and in-hospital and 30-day mortality among acute stroke patients admitted to an intensive care unit: cross-sectional analysis of survey and administrative data. Int J Nurs Stud 46:1092–1101PubMedCrossRef

12.

Tarnow-Mordi WO, Hau C, Warden A, Shearer AJ (2000) Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit. Lancet 356:185–189PubMedCrossRef

13.

Cho SH, June KJ, Kim YM, Cho YA, Yoo CS, Yun SC, Sung YH (2009) Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units. J Clin Nurs 18:1729–1737PubMedCrossRef

14.

Verdon M, Merlani P, Perneger T, Ricou B (2008) Burnout in a surgical ICU team. Intensive Care Med 34:152–156PubMedCrossRef

15.

Keene AR, Cullen DJ (1983) Therapeutic intervention scoring system: update 1983. Crit Care Med 11:1–3PubMedCrossRef

16.

Italian Multicenter Group of ICU research (GIRTI) (1991) Time oriented score system (TOSS): a method for direct and quantitative assessment of nursing workload for ICU patients. Intensive Care Med 17:340–345CrossRef

17.

Saulnier F, Descamps JM, De Pouvourville G, Durocher A, Blettery B, Carlet J, Fraisse F, Nicolas F, Lardet P, Hubert H, Loyez S, Sion D (1992) Management of ICUs. A simplified index to assess the nurse workload: ICU PRN. Intensive Care Med 18:S71 (129)

18.

Jansen CA (1993) Reliability, validity and usefullness of the TAS (Therapeutic activity score). For patient classification in an intensive care unit. Verpleegkunde 8:19–25 (Article in Dutch)PubMed

19.

van Aken GH, de Vries G (1993) WICSS, or the Weezenlanden Intensive Care Scoring System (1). A reliable workload measuring tool for the ICU. Tvz 9:318–322 (Article in Dutch)PubMed

20.

Miranda DR, de Rijk A, Schaufeli W (1996) Simplified Therapeutic intervention scoring system: the TISS-28 items—results from a multicenter study. Crit Care Med 24:64–73PubMedCrossRef

21.

Reis Miranda D, Moreno R, Iapichino G (1997) Nine equivalents of nursing manpower use score (NEMS). Intensive Care Med 23:760–765PubMedCrossRef

22.

Sznajder M, Leleu G, Buonamico G, Auvert B, Aegerter P, Merliere Y, Dutheil M, Guidet B, Le Gall JR (1998) Estimation of direct cost and resource allocation in intensive care: correlation with Omega system. Intensive Care Med 24:582–589PubMedCrossRef

23.

Pyykko AK, Laurila J, Ala-Kokko TI, Hentinen M, Janhonen SA (2000) Intensive care nursing scoring system. Part 1: classification of nursing diagnoses. Intensive Crit Care Nurs 16:345–356PubMedCrossRef

24.

Pyykko AK, Laurila J, Ala-Kokko TI, Hentinen M (2001) Intensive Care Nursing Scoring System Part 2: nursing interventions and nursing outcomes. Intensive Crit Care Nurs 17:16–27PubMedCrossRef

25.

Hanique G, Bossaert L, Roger-France F (2003) SAPI : Score des Activités et des Pathologies en Soins Intensifs ou Intégration de la Fonction Intensive dans la Fonction Hospitalière. Université Catholique de Louvain, Dissertation

26.

Miranda DR, Nap R, De Rijk A, Schaufeli W, Iapichino G (2003) Nursing activities score. Crit Care Med 31:374–382PubMedCrossRef

27.

Cullen DJ, Civetta JM, Briggs BA, Ferrara LC (1974) Therapeutic intervention scoring system: a method for quantitative comparison of patient care. Crit Care Med 2:57–60PubMedCrossRef

28.

Castillo-Lorente E, Rivera-Fernandez R, Rodriguez-Elvira M, Vazquez-Mata G (2000) Tiss 76 and Tiss 28: correlation of two therapeutic activity indices on a Spanish multicenter ICU database. Intensive Care Med 26:57–61PubMedCrossRef

29.

Iapichino G, Gattinoni L, Radrizzani D, Simini B, Bertolini G, Ferla L, Mistraletti G, Porta F, Miranda DR (2004) Volume of activity and occupancy rate in intensive care units. Association with mortality. Intensive Care Med 30:290–297PubMedCrossRef

30.

Lefering R, Zart M, Neugebauer EA (2000) Retrospective evaluation of the simplified Therapeutic intervention scoring system (TISS-28) in a surgical intensive care unit. Intensive Care Med 26:1794–1802PubMedCrossRef

31.

Padilha KG, de Sousa RM, Queijo AF, Mendes AM, Reis Miranda D (2008) Nursing activities score in the intensive care unit: analysis of the related factors. Intensive Crit Care Nurs 24:197–204PubMedCrossRef

32.

Akcan-Arikan A, Zappitelli M, Loftis LL, Washburn KK, Jefferson LS, Goldstein SL (2007) Modified RIFLE criteria in critically ill children with acute kidney injury. Kidney Int 71:1028–1035PubMedCrossRef

33.

Rothen HU, Kung V, Ryser DH, Zurcher R, Regli B (1999) Validation of “nine equivalents of nursing manpower use score” on an independent data sample. Intensive Care Med 25:606–611PubMedCrossRef

34.

Miranda DR, Nap R, de Rijk A, Schaufeli W, Iapichino G (2003) Nursing activities score: instructions for use. Article plus. Crit Care Med 31(1–2):374–382PubMedCrossRef

35.

Sousa CR, Goncalves LA, Toffoleto MC, Leao K, Padilha KG (2008) Predictors of nursing workload in elderly patients admitted to intensive care units. Rev Lat Am Enfermagem 16:218–223PubMedCrossRef

36.

Laporta DP, Burns J, Doig CJ (2005) Bench-to-bedside review: dealing with increased intensive care unit staff turnover: a leadership challenge. Crit Care 9:454–458PubMedCrossRef

Titel: Measuring the nursing workload per shift in the ICU
verfasst von: Dieter P. Debergh
Dries Myny
Isabelle Van Herzeele
Georges Van Maele
Dinis Reis Miranda
Francis Colardyn
Publikationsdatum: 01.09.2012
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 9/2012
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-012-2648-3

Neu im Fachgebiet AINS

23.04.2024 | Appendizitis | Nachrichten

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren

Springer Medizin

Measuring the nursing workload per shift in the ICU

Abstract

Purpose

Methods

Results

Conclusion

Neu im Fachgebiet AINS

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

S3-Leitlinie zu Pankreaskrebs aktualisiert

Update AINS

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 9/2012

Prolonged but reversible coma: an unusual complication of severe heatstroke

Consensus statement of the ESICM task force on colloid volume therapy in critically ill patients: authors’ reply to comments by Zacharowski et al.

Anemia and brain oxygen after severe traumatic brain injury

A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses

Vasostatin-I, a chromogranin A-derived peptide, in non-selected critically ill patients: distribution, kinetics, and prognostic significance

Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit

Neu im Fachgebiet AINS

Hinter dieser Appendizitis steckte ein Erreger

Ärztliche Empathie hilft gegen Rückenschmerzen

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

S3-Leitlinie zu Pankreaskrebs aktualisiert

Update AINS