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  1. Validation of "nine equivalents of nursing manpower use score" on an independent data sample.

    Article - En anglais

    Objective 

    To compare the recently developed « nine equivalents of nursing manpower use score » (NEMS) with the simplified Therapeutic Intervention Scoring System (TISS-28).

    Design 

    Prospective single centre study.

    Setting 

    Adult 30-bed medical-surgical intensive care unit (ICU) in a tertiary care university hospital.

    Patients 

    Data from all patients admitted in 1997 to the ICU were included in the study.

    Methods and results 

    NEMS and TISS-28 items were recorded prospectively for each nursing shift.

    There were three shifts per day.

    The Simplified Acute Physiology Score (SAPS) II was calculated for the first 24 h of ICU stay and each patient's basic demographic data were collected.

    The agreement between NEMS and TISS-28 was assessed by calculating the mean difference and the standard deviation of the differences between the two measures.

    Further, regression techniques and Pearson's correlation were used.

    Altogether, 2743 patients with a total of 28'220 nursing shifts were included ; 62% of the shifts were used for postoperative/trauma patients and 38% for medical patients.

    Mean NEMS was 26.0 ± 8.1 and mean TISS-28 was 26.5 ± 7.9. The scores differed by <= 3 points in 49% of all shifts.

    The bias was - 0.5 ± 5.3 (95% confidence interval - 0.47 to - 0.60) and the limits of agreement were - 11.1 to+10.1. The relation between the two systems was NEMS=4.7 ± 0.8. TISS-28 (r=0.78, r2=0.62, p<0.001).

    Including postoperative/trauma patients only 

    NEMS=1.9+0.9. (...)

    Mots-clés Pascal : Nursing, Main d'oeuvre, Charge travail, Validation, Evaluation, Soin intensif, Méthode mesure, Economie santé, Homme

    Mots-clés Pascal anglais : Nursing, Manpower, Workload, Validation, Evaluation, Intensive care, Measurement method, Health economy, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0369706

    Code Inist : 002B27B14C. Création : 14/12/1999.