Summary. Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). a prospective observational study. Introduc-tion. Measuring the nursing staff workload allows adequate delivery of resources within the intensive care unit and high dependency unit to ensure an adequate nurse to patient ratio. Aim. Exploring the nursing workload in the me-dical-surgical high dependency unit (HDU) at Careggi Uni-versity Hospital (Florence, Italy). Methods. Monocentric prospective observational study. We enrolled patients admit-ted in HDU from 11 February to 13 March 2021. Nursing Activity Score (NAS) was measured every 24 hours. Results. Patients included in the study were 75. Three groups ba-sed on their admission diagnosis were identified (medical, surgical, trauma). The median NAS score was 59.7 (IQR: 53.7-68.2; range 34.7-119.7). Statistically significant dif-ferences were found between the median NAS values for the three admission diagnoses: 67.4 (IQR: 54.4-73.4) for medical patients, 60.2 (IQR: 54.4-63.3) for trauma patients and 59.1 (IQR: 55.1-64.7) for surgical patients. These results showed that the items of NAS that mostly affect workload are “monitoring”, “mobilization”, “patient hygiene”, and “ad-mission and discharge procedures”. Conclusions. This study confirms that the NAS scoree can be used in HDUs as well as in intensive care units. The ideal nurse-to-patient ratio was equal to 0.6.
Forciniti, C., Lucchini, A., Pietrini, L., Rasero, L., Bambi, S. (2022). Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). A prospective observational study [Applicazione del nursing activities score in un’unità di terapia sub-intensiva medico-chirurgica: uno studio osservazionale prospettico]. ASSISTENZA INFERMIERISTICA E RICERCA, 41(1), 6-14 [10.1702/3785.37700].
Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). A prospective observational study [Applicazione del nursing activities score in un’unità di terapia sub-intensiva medico-chirurgica: uno studio osservazionale prospettico]
Lucchini, Alberto;
2022
Abstract
Summary. Measuring the nursing workload in a medical-surgical high dependency unit through nursing activities score (NAS). a prospective observational study. Introduc-tion. Measuring the nursing staff workload allows adequate delivery of resources within the intensive care unit and high dependency unit to ensure an adequate nurse to patient ratio. Aim. Exploring the nursing workload in the me-dical-surgical high dependency unit (HDU) at Careggi Uni-versity Hospital (Florence, Italy). Methods. Monocentric prospective observational study. We enrolled patients admit-ted in HDU from 11 February to 13 March 2021. Nursing Activity Score (NAS) was measured every 24 hours. Results. Patients included in the study were 75. Three groups ba-sed on their admission diagnosis were identified (medical, surgical, trauma). The median NAS score was 59.7 (IQR: 53.7-68.2; range 34.7-119.7). Statistically significant dif-ferences were found between the median NAS values for the three admission diagnoses: 67.4 (IQR: 54.4-73.4) for medical patients, 60.2 (IQR: 54.4-63.3) for trauma patients and 59.1 (IQR: 55.1-64.7) for surgical patients. These results showed that the items of NAS that mostly affect workload are “monitoring”, “mobilization”, “patient hygiene”, and “ad-mission and discharge procedures”. Conclusions. This study confirms that the NAS scoree can be used in HDUs as well as in intensive care units. The ideal nurse-to-patient ratio was equal to 0.6.
I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
