Assessing the Nursing Workload in the Cardiothoracic Intensive Care Unit: Comparative Study.

IF 2 4区 医学 Q2 NURSING
Nursing Open Pub Date : 2024-11-01 DOI:10.1002/nop2.70072
Natasa Stojakovic, Aleksandra Matic, Andrej Preveden, Milenko Rosic, Milena Mikic, Vesna Rosic, Visnja Mihajlovic
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引用次数: 0

Abstract

Aims: This study aimed to assess nursing workload in Cardiac Intensive Care Unit (CICU) after three cardiothoracic surgery procedures during first four postoperative days using Nursing Activities Score (NAS) and Nine Equivalents of Nursing Manpower Use Score (NEMS) systems, to compare their performance for that purpose and to investigate association between nursing workload and type of surgery.

Design: A comparative study.

Methods: The research environment includes CICU of the University Hospital for Cardiovascular Diseases in Serbia. A total of 808 patients who underwent coronary, valvular, or combined surgery, resulting in 2282 filled NAS and NEMS pairs chart. Statistical analysis was performed using SPSS-19. The correlation between NAS and NEMS was tested by Spearman's correlation coefficient. Differences were considered statistically significant at p < 0.05.

Results: The lowest median of cumulative NAS 176 (175-257) and NEMS 76 (64-91) had coronary surgery patients, the highest NAS 224.5 (178-334.5) and NEMS 83 (69-121) had those with combined surgery; this difference was statistically significant (p < 0.001). The median of both scores decreased after surgery, with the following values from the first to the fourth postoperative day: NAS from 104 (102-105) to 81 (74-85) and NEMS from 46 (42-46) to 30 (30-37). The difference in mean values of both scores between the first and the fourth postoperative day was statistically significant (p < 0.001). NAS and NEMS were in a positive, strong correlation (r = 0.913; p < 0.005).

Conclusion: Both scores can be used to measure nursing workload, identify the required number of nurses in CICU, and support task allocation. NAS may have an advantage because it better describes extensive postoperative monitoring and care needed for cardiac surgery patients. Nursing workload is associated with type of surgery, with the highest workload measured in patients who underwent combined surgery procedure and on the first postoperative day.

评估心胸重症监护室的护理工作量:比较研究。
目的:本研究旨在使用护理活动评分(NAS)和九种等效护理人力使用评分(NEMS)系统评估三种心胸外科手术后,心脏重症监护病房(CICU)在术后前四天的护理工作量,并比较它们在这方面的表现,同时研究护理工作量与手术类型之间的关联:比较研究:研究环境包括塞尔维亚心血管疾病大学医院的 CICU。共有 808 名患者接受了冠状动脉、瓣膜或联合手术,其中 2282 人填写了 NAS 和 NEMS 配对表。统计分析使用 SPSS-19 进行。NAS 和 NEMS 之间的相关性通过斯皮尔曼相关系数进行检验。以 p 为界,差异具有统计学意义:冠状动脉手术患者的 NAS 和 NEMS 累积中位数最低,分别为 176(175-257)和 76(64-91)分;合并手术患者的 NAS 和 NEMS 累积中位数最高,分别为 224.5(178-334.5)和 83(69-121)分;差异具有统计学意义(p 结论:NAS 和 NEMS 可用于衡量护理人员的护理能力:两种评分均可用于衡量护理工作量、确定 CICU 所需的护士人数并支持任务分配。NAS可能更具优势,因为它能更好地描述心脏手术患者所需的大量术后监测和护理。护理工作量与手术类型有关,合并手术患者和术后第一天的护理工作量最高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nursing Open
Nursing Open Nursing-General Nursing
CiteScore
3.60
自引率
4.30%
发文量
298
审稿时长
17 weeks
期刊介绍: Nursing Open is a peer reviewed open access journal that welcomes articles on all aspects of nursing and midwifery practice, research, education and policy. We aim to publish articles that contribute to the art and science of nursing and which have a positive impact on health either locally, nationally, regionally or globally
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