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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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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Series: | Einstein (São Paulo) |
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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. |
first_indexed | 2024-12-11T21:51:48Z |
format | Article |
id | doaj.art-26f212b2ae8e4236b0150f77a173193d |
institution | Directory Open Access Journal |
issn | 2317-6385 |
language | English |
last_indexed | 2024-12-11T21:51:48Z |
publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
record_format | Article |
series | Einstein (São Paulo) |
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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