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Assessing the adequacy of workload measurement tools using a quality-based methodology.
Maria Fuensanta Hellín Gil1,2, Maria José López Montesinos1,3, Ana Myriam Seva Llor1,3
1Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca. Murcia, España.
Revista Brasileira De Enfermagem
|February 23, 2017
Summary
The Nursing Activities Score (NAS) is better than the Nursing Effort Measurement System (NEMS) for measuring nursing workload in intensive care units (ICUs). NAS provides a more comprehensive assessment of nursing activities.
Area of Science:
- Nursing
- Healthcare Management
- Quality Improvement
Background:
- The Nursing Effort Measurement System (NEMS) has limitations in accurately determining nursing workload within intensive care units (ICUs).
- There is a need for improved tools to assess comprehensive nursing activities and workload in critical care settings.
Purpose of the Study:
- To compare the suitability of the NEMS and the Nursing Activities Score (NAS) for measuring nursing workload in ICUs.
- To evaluate which tool better captures all essential nursing activities and workload metrics.
Main Methods:
- A quality-based methodology was employed, utilizing quality improvement cycles.
- The NEMS and NAS were assessed based on criteria including daily workload measurement, coverage of all nursing activities, and assessment per patient and unit.
Main Results:
- The NEMS demonstrated a compliance rate of 67% for criterion 1.
- The NAS showed statistically significant improvements across most criteria compared to NEMS, achieving 100% compliance for criterion 3 and high compliance for others.
Conclusions:
- The Nursing Activities Score (NAS) is more suitable for measuring nursing workload in intensive care units (ICUs).
- NAS offers a more comprehensive and effective assessment of nursing workload compared to NEMS.
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