Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit

ABSTRACT Objective: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. Methods: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan...

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Main Authors: Kelly Dayane Stochero Velozo, Pedro Celiny Ramos Garcia, Jefferson Pedro Piva, Humberto Holmer Fiori, Daiane Drescher Cabral, Paulo Roberto Einloft, Francisco Bruno, Cristian Tedesco Tonial, Caroline Abud Drumond Costa, Simone Travi Canabarro
Format: Article
Language:English
Published: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Series:Einstein (São Paulo)
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400470&lng=en&tlng=en
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author Kelly Dayane Stochero Velozo
Pedro Celiny Ramos Garcia
Jefferson Pedro Piva
Humberto Holmer Fiori
Daiane Drescher Cabral
Paulo Roberto Einloft
Francisco Bruno
Cristian Tedesco Tonial
Caroline Abud Drumond Costa
Simone Travi Canabarro
author_facet Kelly Dayane Stochero Velozo
Pedro Celiny Ramos Garcia
Jefferson Pedro Piva
Humberto Holmer Fiori
Daiane Drescher Cabral
Paulo Roberto Einloft
Francisco Bruno
Cristian Tedesco Tonial
Caroline Abud Drumond Costa
Simone Travi Canabarro
author_sort Kelly Dayane Stochero Velozo
collection DOAJ
description ABSTRACT Objective: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. Methods: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan 1st, 2009 to Dec 31st, 2009. All children who remained hospitalized for more than 8 hours were included, with length of stay of 4 hours in case of death. Clinical data were collected and the Paediatric Index of Mortality 2 and the scores TISS-28 and NEMS were determined. The TISS-28 and NEMS were converted into working hours of the nursing team and sizing complied with the parameters of the Brazilian Federal Nursing Council. Pearson's correlation and the Bland-Altman model were used to verify the association and agreement between the instruments. Results: A total of 459 children were included, totaling 3,409 observations. The average values for the TISS-28 and NEMS were 20.8±8 and 25.2±8.7 points, respectively. The nursing workload was 11 hours by TISS-28 and 13.3 hours by NEMS. The estimated number of professionals by TISS-28 and NEMS was 29.6 and 35.8 professionals, respectively. The TISS-28 and NEMS showed adequate correlation and agreement. Conclusion: Time spent in nursing activities and team sizing reflected by the NEMS were significantly greater when compared to the TISS-28.
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spelling doaj.art-26f212b2ae8e4236b0150f77a173193d2022-12-22T00:49:26ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638515447047510.1590/s1679-45082017ao4028S1679-45082017000400470Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unitKelly Dayane Stochero VelozoPedro Celiny Ramos GarciaJefferson Pedro PivaHumberto Holmer FioriDaiane Drescher CabralPaulo Roberto EinloftFrancisco BrunoCristian Tedesco TonialCaroline Abud Drumond CostaSimone Travi CanabarroABSTRACT Objective: To estimate the workload and size the nursing team using the scales TISS-28 and NEMS in a pediatric intensive care unit. Methods: An observational prospective study with a quantitative approach was conducted at the pediatric intensive care unit of a university hospital from Jan 1st, 2009 to Dec 31st, 2009. All children who remained hospitalized for more than 8 hours were included, with length of stay of 4 hours in case of death. Clinical data were collected and the Paediatric Index of Mortality 2 and the scores TISS-28 and NEMS were determined. The TISS-28 and NEMS were converted into working hours of the nursing team and sizing complied with the parameters of the Brazilian Federal Nursing Council. Pearson's correlation and the Bland-Altman model were used to verify the association and agreement between the instruments. Results: A total of 459 children were included, totaling 3,409 observations. The average values for the TISS-28 and NEMS were 20.8±8 and 25.2±8.7 points, respectively. The nursing workload was 11 hours by TISS-28 and 13.3 hours by NEMS. The estimated number of professionals by TISS-28 and NEMS was 29.6 and 35.8 professionals, respectively. The TISS-28 and NEMS showed adequate correlation and agreement. Conclusion: Time spent in nursing activities and team sizing reflected by the NEMS were significantly greater when compared to the TISS-28.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400470&lng=en&tlng=enRecursos humanos de enfermagemAdministração de recursos humanosEnfermagem pediátricaIndicadoresCarga de trabalhoUnidades de terapia intensiva
spellingShingle Kelly Dayane Stochero Velozo
Pedro Celiny Ramos Garcia
Jefferson Pedro Piva
Humberto Holmer Fiori
Daiane Drescher Cabral
Paulo Roberto Einloft
Francisco Bruno
Cristian Tedesco Tonial
Caroline Abud Drumond Costa
Simone Travi Canabarro
Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit
Einstein (São Paulo)
Recursos humanos de enfermagem
Administração de recursos humanos
Enfermagem pediátrica
Indicadores
Carga de trabalho
Unidades de terapia intensiva
title Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit
title_full Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit
title_fullStr Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit
title_full_unstemmed Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit
title_short Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit
title_sort scores tiss 28 versus nems to size the nursing team in a pediatric intensive care unit
topic Recursos humanos de enfermagem
Administração de recursos humanos
Enfermagem pediátrica
Indicadores
Carga de trabalho
Unidades de terapia intensiva
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082017000400470&lng=en&tlng=en
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