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Comparison of nursing workload in a Pediatric Intensive Care Unit estimated by three instruments
Kelly Dayane Stochero Velozo1, Caroline Abud Drumond Costa2, Cristian Tedesco Tonial3
1Universidade Federal do Pampa, Uruguaiana, RS, Brazil.
Objective:
To compare the nursing workload using the Nursing Activities Score (NAS), Therapeutic Intervention Scoring System-28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS) instruments in children admitted to a Pediatric Intensive Care Unit in a university hospital.
Method:
A prospective cohort study performed in a Pediatric Intensive Care Unit, with a sample formed of all children hospitalized during the study period. Nursing workload was evaluated using the TISS-28, NEMS and NAS instruments, and further divided into two groups: Group 1 forming a category of basic activities items and Group 2 forming a category of other support and intervention activities.
Results:
The sample consisted of 490 Pediatric Intensive Care Unit admissions, totaling 4617 observations. NAS presented the best estimate of total working hours. TISS-28 and NEMS showed better agreement and the results showed strong correlations between NAS and TISS-28 and between NEMS and TISS-28. In Group 1 (basic activities), NAS(1) and TISS-28(1) showed moderate correlation, in Group 2 (specialized activities) the three instruments showed strong correlations.
Conclusion:
NAS stood out in the evaluation of nursing workload and showed good correlation and agreement with the TISS-28.
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