- Author
-
C.C. Margadant
- Title
- The quantification of nursing workload in Intensive Care Units
- Supervisors
-
N.F. de Keizer
- Co-supervisors
-
S. Brinkman
J.J. Spijkstra - Award date
- 30 September 2020
- Number of pages
- 181
- Document type
- PhD thesis
- Faculty
- Faculty of Medicine (AMC-UvA)
- Abstract
-
An average of 50% of an Intensive Care Units (ICU) budget is spend on nursing staff. From an economical point of view, it is therefore important to understand how many nurses are minimally required to perform care of good quality. Excessive budgetary cuts targeted to reduce the nursing staff are likely to increase the nursing workload This will have a negative impact on patient safety and survival chances. Moreover, reducing the number of nursing staff may also negatively impact the nurses well-being if the workload becomes too high. Without an accurate workload measurement method, ICUs are at risk of under- or overstaffing nurses. Additionally, the lack of a validated measurement method hampers the development of a national standard for the allocation of nurses per ICU bed. In order to take the capacity planning of nurses beyond rough estimates and assumptions, an accurate method for measuring nursing workload is essential.
This thesis anticipates on these topics by assessing different nursing workload models and their validity and reliability, with special attention for the NAS, by assessing the association between nursing workload and in-hospital mortality, by developing a new nursing workload model, and finally, by providing an overview of differences in nursing workload over different patient- and contextual groups. - Persistent Identifier
- https://hdl.handle.net/11245.1/0951db10-9092-4428-83ff-4e6d67a44c61
- Downloads
-
Thesis (complete)
Front matter
Chapter 1: General introduction
Chapter 2: Workload scoring systems in the Intensive Care and their ability to quantify the need for nursing time: A systematic literature review
Chapter 3: Validation of the Nursing Activities Score (NAS) using time-and-motion measurements in Dutch Intensive Care Units: An observational study
Chapter 4: The Nursing Activities Score per nurse ratio is associated with in-hospital mortality, whereas the patients per nurse ratio is not
Chapter 5: Nurse Operation Workload (NOW): A new nursing workload model for Intensive Care Units based on time measurements
Chapter 6: Effect of patient characteristics and contextual factors on needed nursing time in Intensive Care Units
Chapter 7: General discussion
Summary; Nederlandse samenvatting; Appendices; Curriculum vitae; Portfolio; List of publications; Author contributions; Dankwoord
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