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Nursing activities score (NAS): a proposal for practical application in intensive care units
Leilane Andrade Gonçalves1, Katia Grillo Padilha, Regina M Cardoso Sousa
1School of Nursing, University of São Paulo, Av Dr Eneas de Carvalho Aguiar 419, CEP 05403-000, São Paulo, SP, Brazil.
Intensive & Critical Care Nursing
|August 11, 2007
Summary
The Nursing Activities Score (NAS) effectively measures ICU nursing workload, proving twice as effective as the TISS-28. Implementing NAS in Brazil highlighted challenges in standardization and training for accurate documentation.
Area of Science:
- Healthcare Management
- Nursing Informatics
- Critical Care Medicine
Background:
- Measuring nursing workload in Intensive Care Units (ICUs) is crucial for cost-benefit analysis.
- Existing tools like the Therapeutic Interventions Scoring System-28 (TISS-28) have limitations in accurately capturing nursing time.
- The Nursing Activities Score (NAS) was developed to improve upon the TISS-28 for workload assessment.
Purpose of the Study:
- To discuss the implementation of the NAS in a Brazilian ICU.
- To identify challenges encountered during the standardization and adoption of the NAS.
- To outline the steps taken to overcome these challenges and highlight the benefits.
Main Methods:
- The study involved the introduction and utilization of the NAS tool within an ICU setting.
- Focus was placed on addressing operational definitions, training protocols, and documentation accuracy.
- A process of standardization was undertaken to ensure consistent application of the NAS.
Main Results:
- The NAS demonstrated effectiveness in measuring nursing workload in ICUs.
- Challenges included standardizing operational definitions, ensuring adequate training, and achieving accurate documentation.
- The implementation process provided valuable insights into optimizing NAS usage.
Conclusions:
- The NAS is a valuable tool for assessing nursing workload in critical care settings.
- Successful implementation requires addressing standardization, training, and documentation challenges.
- Adopting the NAS can lead to a better understanding of resource allocation and nursing efficiency in ICUs.
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