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Nursing activities score.

Dinis Reis Miranda1, Raoul Nap, Angelique de Rijk

  • 1University Hospital Groningen, The Netherlands. drm@skynet.be

Critical Care Medicine
|February 11, 2003
PubMed
Summary

A new Nursing Activities Score was developed to accurately measure intensive care unit nursing time, accounting for 81% of nursing activities unlike previous methods. This score should be validated in further studies.

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Area of Science:

  • Healthcare Management
  • Nursing Research
  • Critical Care Medicine

Background:

  • Current nursing workload tools in intensive care units (ICUs) primarily focus on illness severity.
  • Many essential nursing activities are not captured by existing severity-based workload measures.
  • Accurate evaluation of nursing activities is crucial for cost-effectiveness studies in ICUs.

Purpose of the Study:

  • To identify and define key nursing activities in the ICU.
  • To assign weights to these activities based on time consumption.
  • To develop a scoring system that reflects actual nursing time spent, rather than just illness severity.

Main Methods:

  • Consensus-based definition of ICU nursing activities.
  • A 1-week observational cross-sectional study to record average time spent on activities.

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  • Comparison of the new scoring system with the Therapeutic Intervention Scoring System-28 (TISS-28).

    • Main Results:

    • A comprehensive list of nursing activities, including monitoring, relative care, and administrative tasks, was established.
    • The new Nursing Activities Score (NAS) explained 81% of nursing time, significantly higher than the TISS-28's 43%.
    • The NAS incorporates new items accounting for 60% of average nursing time, which are not time-derived in TISS-28.

    Conclusions:

    • The developed Nursing Activities Score effectively measures nursing time consumption in the ICU.
    • The findings suggest a more accurate method for assessing ICU nursing workload.
    • Validation of the Nursing Activities Score in independent datasets is recommended.