Evaluation of nursing care intensity in the intensive care unit
a descriptive research
DOI:
https://doi.org/10.14528/snr.2020.54.4.3033Keywords:
quality, categorization, management, evidence based medicine, evidence based practiceAbstract
Introduction: Some intensive care departments calculate the needs for nursing staff based on data from two patient needs categorization systems (the Slovenian and the TISS-28 system). The aim of this research was to determine the differences in the documented complexity of nursing care and in the needs of nurses according to the system of patient needs categorization used.
Methods: A quantitative descriptive methodology was used. A retrospective study that included data from all the 239 patients hospitalized between 1 January and 31 December 2016 was conducted in 2018 at a hospital ward. By reviewing the documentation from 108 observation days, the category of patient needs by two methods of categorization was documented. The data were processed with descriptive and inference statistics.
Results: The difference in the documented level of nursing intensity according to the categorization method used is statistically significant. The number of nursing staff required in nursing varies according to the categorization method used (Z = 3.548, p < 0.001) and correlates strongly with the patient categorization method (ρ = 0.939, p = 0.001).
Discussion and conclusion: The need for nursing staff resulting from the method for categorizing patients and the scoring system for therapeutic interventions is greater than the needs resulting from the Slovenian system for categorizing patients in nursing. The research results are relevant for nursing management, which may have an influence on the representation of personnel equirements by selecting the categorization of nursing requirements.
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