Nursing staff in intensive care in Europe : The mismatch between planning and practice.
To test the use of a human resources-based classification of levels of care of ICUs ; to evaluate the match between planned vs operative levels of care on a large sample of European ICUs.
Analysis of the database of a multicentric, multinational, prospective cohort study, involving 89 ICUs from 13 European areas.
Database of EURICUS-I.
Provision of resources was measured as the number of nurses per ICU bed.
Use of resources was measured by the daily use of a therapeutic index (nine equivalents of nursing manpower use score, NEMS) at patient level.
Work utilization ratio (WUR) indicated the total number of NEMS points actually scored divided by the total possible NEMS score on each ICU.
The planned level of care (LOC) or the mean number of patients to be assisted by one nurse (P/N ratio) made available to the unit was derived from the number of nurses and the number of beds in the ICU.
The operative LOC or the actual mean number of patients who were assisted by one nurse (P/N ratio) was computed by dividing the number of NEMS points equivalent to the work of three nursing-shifts (46 points) by the mean daily NEMS score at ICU level.
Severity of illness was evaluated by the new simplified acute physiology score.
Kappa statistics, intraclass correlation coefficients, and interrater percentage of agreement were used to evaluate the reliability of the data collected for total NEMS score. (...)
Mots-clés Pascal : Service hospitalier, Réanimation, Charge travail, Infirmier, Ressource, Personnel sanitaire, Enquête, Relation, Homme
Mots-clés Pascal anglais : Hospital ward, Resuscitation, Workload, Nurse, Resource, Health staff, Survey, Relation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0213660
Code Inist : 002B27B15. Création : 11/09/1998.