Assessing the Nursing Workload in the Cardiothoracic Intensive Care Unit: Comparative Study.
Natasa Stojakovic1,2, Aleksandra Matic2,3, Andrej Preveden1,2
1Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica, Serbia.
Nursing Open
|October 30, 2024
Summary
Nursing workload in Cardiac Intensive Care Units (CICU) was assessed using the Nursing Activities Score (NAS) and Nine Equivalents of Nursing Manpower Use Score (NEMS). Both scores effectively measure workload, with NAS potentially offering more detailed insights for cardiac surgery patients.
Area of Science:
- Cardiovascular Surgery
- Intensive Care Nursing
- Healthcare Management
Background:
- Assessing nursing workload is crucial for effective resource allocation in Cardiac Intensive Care Units (CICUs).
- The Nursing Activities Score (NAS) and Nine Equivalents of Nursing Manpower Use Score (NEMS) are tools used to quantify nursing demands.
- Understanding workload variations based on surgical procedures and postoperative days is essential for optimizing patient care.
Purpose of the Study:
- To evaluate nursing workload in CICU following three types of cardiothoracic surgery.
- To compare the performance of NAS and NEMS in measuring nursing workload.
- To investigate the relationship between nursing workload and the type of surgery performed.
Main Methods:
- A comparative study conducted in a CICU in Serbia.
- Data collected from 808 patients undergoing coronary, valvular, or combined surgery.
- Utilized NAS and NEMS, with statistical analysis including Spearman's correlation.
Main Results:
- Nursing workload, measured by both NAS and NEMS, was highest in patients undergoing combined surgery.
- Workload significantly decreased from the first to the fourth postoperative day for both scores.
- NAS and NEMS demonstrated a strong positive correlation (r=0.913, p<0.005).
Conclusions:
- Both NAS and NEMS are suitable for measuring nursing workload in CICU and informing staffing decisions.
- NAS may provide a more comprehensive assessment for cardiac surgery patients due to its detailed monitoring and care descriptions.
- Nursing workload is significantly influenced by the type of surgery, peaking in combined procedures and on the first postoperative day.
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