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Related Experiment Video

Updated: May 19, 2026

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Objective Nociceptive Assessment in Ventilated ICU Patients: A Feasibility Study Using Pupillometry and the Nociceptive Flexion Reflex

Published on: July 4, 2018

Measuring the nursing workload per shift in the ICU.

Dieter P Debergh¹, Dries Myny, Isabelle Van Herzeele

¹Intensive Care, Ghent University Hospital, Ghent, Belgium. Dieter.Debergh@UGent.be

Intensive Care Medicine

|August 10, 2012

Summary

The Nursing Activities Score (NAS) effectively measures varying nursing workload between shifts in intensive care units (ICUs). This tool helps identify differences in patient care demands across shifts, patients, and units.

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Published on: July 12, 2024

Area of Science:

Nursing Science
Healthcare Management
Critical Care Medicine

Background:

Intensive care units (ICUs) utilize various strategies and tools to determine nurse staffing levels.
Current methods typically focus on total daily nursing manpower needs, overlooking potential workload disparities between shifts.
Understanding shift-specific workload is crucial for optimal resource allocation and patient care.

Purpose of the Study:

To evaluate the effectiveness of a nursing workload measurement tool in identifying differences in workload between consecutive shifts within ICUs.
To determine if the Nursing Activities Score (NAS) can differentiate nursing workload across shifts.

Main Methods:

A prospective, observational study was conducted over 4 weeks in surgical-pediatric and medical ICUs of an academic hospital.
The Nursing Activities Score (NAS) was recorded per patient for each shift.
Data analysis focused on identifying variations in NAS based on shift type, patient characteristics, and unit.

Main Results:

The NAS was significantly influenced by patient characteristics and the type of shift.
Nursing workload scores were lower during night shifts, weekends, and in medical ICU patients compared to surgical-pediatric ICU.
The mean NAS per nurse per shift was 85.5%, while the mean NAS per 24 hours was 54.7%.

Conclusions:

The study demonstrates that nursing workload can be accurately measured on a per-shift basis.
The NAS is a valuable tool for differentiating nursing workload within ICUs, considering variations between shifts, patients, and specific units.