To compare the recently developed « nine equivalents of nursing manpower use score » (NEMS) with the simplified Therapeutic Intervention Scoring System (TISS-28).
Prospective single centre study.
Adult 30-bed medical-surgical intensive care unit (ICU) in a tertiary care university hospital.
Data from all patients admitted in 1997 to the ICU were included in the study.
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).
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0369706
Code Inist : 002B27B14C. Création : 14/12/1999.