Procjena radnog opterećenja medicinskih sestara u jedinici intenzivne medicine primjenom bodovnih sustava

master's thesis

• Title (english): Assessment of the nursing workload in intensive care units with the use of a scoring system
• Author: Ljiljana Vuković
• Mentor: Vesna Vegar-Brozović (mentor)
• Committee member: Ino Husedžinović (predsjednik povjerenstva)
• Committee member: DINKO TONKOVIĆ (član povjerenstva)
• Committee member: Vesna Vegar-Brozović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2014-09-24, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Anesthesiology and Reanimatology

Abstract

Visoki troškovi intenzivne medicine, kvaliteta liječenja i sigurnost bolesnika zahtijevaju mjerenje radnog opterećenja medicinskih sestara kako bi se utvrdili odgovarajući uvjeti koji su relevantni, ne samo za planiranje zdravstvene njege, već i za upravljanje ljudskim potencijalima. U svrhu procjene radnog opterećenja medicinskih sestara u jedinicama intenzivne medicine korištena su dva bodovna sustava: NEMS i kategorizacija bolesnika.
Cilj istraživanja je odrediti povezanost između kategorizacije bolesnika i NEMS-a i njihovu sposobnost da pokažu je li broj medicinskih sestara u jedinici intenzivne medicine optimalan za pružanje kvalitetne zdravstvene njege.
U istraživanje je uključeno 265 bolesnika u dobi između 18 i 92 godine. Kategorizacija i NEMS su se bolesnicima određivali svaki dan, od prvog do sedmog dana hospitalizacije u JIM-u. Medicinske sestre su svoje mišljenje o zadovoljstvu pruženom kvalitetom skrbi ocjenjivale na Likertovoj ljestvici ocjenama od 1-5.
Zadovoljstvo medicinskih sestara pruženom kvalitetom skrbi značajno negativno korelira s prosječnim NEMS-om i kategorizacijom. U istraživanju je dokazana visoka povezanost između kategorizacije i NEMS-a, što ukazuje na to da se svaki od navedenih bodovnih sustava može koristiti za procjenu sestrinskog radnog opterećenja u JIM-u. Rezultati istraživanja pokazali su da je NEMS jednostavniji, primjenjiviji, brži i korisniji bodovni sustav i trebalo bi ga, umjesto kategorizacije, koristiti za procjenu radnog opterećenja medicinskih sestara u jedinicama intenzivne medicine.

Abstract (english)

High costs of intensive care medicine, quality of care and patient safety demand an assessment of nursing workload in order to determine the appropriate relevant conditions for healthcare planning, as well as for human resources management. Two scoring systems were used in nursing workload assessment in an intensive care unit: NEMS and patient classification.
The goal of this research is to determine a correlation between patient classification and NEMS, as well as their ability to determine whether the size of the nursing staff in intensive care units is optimal for providing quality care.
265 patients ages 18 to 92 were involved in research. Patient classification and NEMS were done on a daily basis, from the first to the seventh day of hospitalization in the ICU. The nursing staff expressed their opinion about the provided quality of care on a five point Likert scale.
Nursing staff satisfaction with provided quality of care has a significant negative correlation with the average NEMS and classification. The research has proven a high degree of correlation between classification and NEMS, which indicates that both scoring systems can be used in assessment of nursing workload in ICUs. The results have shown that the NEMS scoring system is simpler, easier to apply, faster and more useful, and should, therefore, be used instead of classification for nursing workload assesment in intensive care units.

• Keywords: radno opterećenje; medicinske sestre; jedinica intenzivne medicine
• Keywords (english): workload; nursing; intensive care unit
• Language: croatian
• URN:NBN: urn:nbn:hr:105:017750
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2015-11-09 12:22:04