Critical Care

, 3:P260 | Cite as

The determination of the duration of the nursing activities in the intensive care unit and the therapeutic intervention scoring sysem (TISS)

  • N Kýlýçaslan
  • G Kocaman
Meeting abstract

Keywords

Intensive Care Unit Nursing Care Related Literature Sampling Matrix Time Allocation 

The purpose of this study was to calculate nurse/patient radio by using TISS-28, and to assess time allocation to nursing activities in the intensive care unit. In this study the TISS scores of 416 patients were calculated in the intensive care unit 10 weeks long using the TISS-28 form. In order to determine the duration of the nursing care activities due to nursing care categories the work sampling method was used. A sampling matrix for 10 weeks was created and the nursing care activities were observed 7 days a week for two day shifts (08.00-16.00). The data collection instruments were, the 'TISS-28' and 'Work sampling form for intensive care unit nursing activities'. The TISS-28 point for ICU was 40.41 for day shift. One TISS-28 point equals 11.88 min of the 480 min in each shift. Related literature shows that nursing care activity for one day makes 40-50 TISS score. The percentage of nursing time spent on nursing activities in the ICU was calculated by using work sampling. Results indicated that 44.25 % of nurses time was spent in activities in TISS-28; 12.87% in activities not in TISS-28; 25.8% in indirect patient care, 6.21% in organizational activites,10.64% in personnel activities and 0.15% in other activities. It is shown that category one represents TISS-28 and that the increase in TISS score results in the increase in nursing care activity duration. These result show that the TISS-28 can be useful to determine the patient/nurse ratio in intensive care units.

References

  1. 1.
    Miranda DR, Rijk AD, Schaufeli W: Simplified Therapeutic Intervention Scoring System: The TISS-28 items: results from a multicenter study. Critical Care Medicine 1996, 24: 64. 10.1097/00003246-199601000-00012CrossRefPubMedGoogle Scholar
  2. 2.
    Cullen DJ, Cývetta JM, Briggs BA: Therapeutic Intervention Scoring System: a method for guantitative comparison of patient care. Crit Care Med 1974, 2: 57.CrossRefPubMedGoogle Scholar
  3. 3.
    Hendrickson G, Doddato T, Kovner C: How do nurses use their time? JONA 1990, 20: 3.CrossRefGoogle Scholar
  4. 4.
    Urden DL, Roode JL: Work sampling (a decision-making tool for determining resources and work redesigning). JONA 1997, 27: 34-41.CrossRefGoogle Scholar

Copyright information

© Current Science Ltd 1999

Authors and Affiliations

  • N Kýlýçaslan
    • 1
  • G Kocaman
    • 1
  1. 1.Dokuz Eylül University School of Medicineýzmir Turkey

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