Enrico Giuliani1, Giovanni Lionte2, Paola Ferri3, Alberto Barbieri4. 1. Anesthesia and Intensive Care, University of Modena and Reggio Emilia, Modena, Italy. 2. Intensive Care, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy. 3. Nursing School, University of Modena and Reggio Emilia, Modena, Italy. 4. Anesthesia and Intensive Care, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: alberto.barbieri@unimore.it.
Abstract
OBJECTIVES: Body weight and infection status affect nursing workload and are not accounted for in the Therapeutic Intervention Scoring System 28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS). The objective of this study was to analyse the correlation between weight and infection status with TISS 28 and NEMS in a cohort of medical Intensive Care Unit patients. RESEARCH METHODOLOGY: A retrospective observational trial was conducted on the nursing records of 26 randomly selected patients over a 12-month period. TISS-28 and NEMS were calculated for each day of ICU stay. Infectious status was determined based on positive cultures to multi-resistant organisms while overweight and obesity were based on Body Mass Index. RESULTS: A total of 809 nursing shifts' activity records were analysed. There were 12 infected patients that required isolation, 14 overweight patients and 3 obese: 9 patients presented both conditions. Only the presence of both conditions was statistically associated with an increase in workload (TISS-28p-value = 0.041 and NEMS p-value = 0.011). CONCLUSIONS: Although TISS-28 and NEMS do not specifically consider body weight and infection status, their integration into nursing workload scores may improve the accuracy as management tools, increasing the quality of the cares provided.
OBJECTIVES: Body weight and infection status affect nursing workload and are not accounted for in the Therapeutic Intervention Scoring System 28 (TISS-28) and Nine Equivalents of Nursing Manpower Use Score (NEMS). The objective of this study was to analyse the correlation between weight and infection status with TISS 28 and NEMS in a cohort of medical Intensive Care Unit patients. RESEARCH METHODOLOGY: A retrospective observational trial was conducted on the nursing records of 26 randomly selected patients over a 12-month period. TISS-28 and NEMS were calculated for each day of ICU stay. Infectious status was determined based on positive cultures to multi-resistant organisms while overweight and obesity were based on Body Mass Index. RESULTS: A total of 809 nursing shifts' activity records were analysed. There were 12 infectedpatients that required isolation, 14 overweight patients and 3 obese: 9 patients presented both conditions. Only the presence of both conditions was statistically associated with an increase in workload (TISS-28p-value = 0.041 and NEMS p-value = 0.011). CONCLUSIONS: Although TISS-28 and NEMS do not specifically consider body weight and infection status, their integration into nursing workload scores may improve the accuracy as management tools, increasing the quality of the cares provided.
Authors: Elizabeth G Broden; Pamela S Hinds; Allison V Werner-Lin; Martha A Q Curley Journal: J Hosp Palliat Nurs Date: 2022-06-06 Impact factor: 2.131
Authors: Ralph C Villar; Abdulqadir J Nashwan; Rejo G Mathew; Ahmed S Mohamed; Sathish Munirathinam; Ahmad A Abujaber; Mahmood M Al-Jabry; Mujahed Shraim Journal: Nurs Open Date: 2021-05-05