Bodovni sustav aktivnosti medicinskih sestara u jedinici intenzivnog liječenja Kliničkog bolničkog centra Rijeka

master's thesis

• Title (english): Nursing activities score in the intensive care unit at Clinical Hospital Center Rijeka
• Author: Snježana Kraljić
• Mentor: Robert Likić (mentor)
• Committee member: Igor Francetić
• Committee member: Jasenka Markeljević
• Committee member: Robert Likić
• Granter: University of Zagreb; School of Medicine; (Department of Anaesthesiology, Resuscitation and Intensive Care in Surgical Specialities); Zagreb
• Defense date and country: 2015-09-14, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Nursing

Abstract

Utjecaj prevelike radne opterećenosti sestara na ishod liječenja bolesnika i ukupne troškove liječenja već je dobro poznat, a brojna istraživanja pokazuju da se optimalizacijom broja medicinskih sestara i uvjeta njihovog rada postiže veća sigurnost bolesnika i kvaliteta zdravstvene skrbi. Bodovni sustavi razvijeni u svrhu mjerenja radnog opterećenja su Therapeutic Intervention Scoring System – TISS, Nine Equivalents of Nursing Manpower Use Score – NEMS, i Nursing Activities Score – NAS.
Cilj istraživanja bio je ispitati radno opterećenje medicinskih sestara i tehničara koji rade na Odjelu za intenzivno liječenje kardiokirurških bolesnika u smjenama od 12 sati, koristeći NEMS i NAS bodovne sustave te utvrditi odnos ova dva bodovna sustava.
Istraživanje je provedeno u Kliničkom bolničkom centru Rijeka na Odjelu za intenzivno liječenje kardiokirurških bolesnika, Klinike za anesteziologiju i intenzivno liječenje. U istraživanje je bilo uključeno 99 bolesnika u dobi između 20 i 85 godina u periodu od 99 dana, te 10 medicinskih sestara koje rade u turnusima tj. u 12 satnim smjenama. NAS i NEMS određivali su se dva puta dnevno, za svakog bolesnika. Potom je učinjena korelacija ova dva bodovna sustava i procijenjen je potreban broj medicinskih sestara.
Radno opterećenje medicinskih sestara u dnevnim smjenama je značajno veće nego u noćnim smjenama. Također je značajno veće radno opterećenje mjereno radnim danom u tjednu nego vikendom i praznikom. NEMS i NAS značajno pozitivno koreliraju, a potreban broj medicinskih sestara procijenjen prema NAS bodovnom sustavu je značajno veći.

Abstract (english)

The effect of excessive workload of nurses on patient outcomes and the total cost of treatment in hospitals is already well known, and numerous studies have shown that the optimization of the number of nurses and conditions of their working environment results in higher patient safety and quality of health care. The scoring systems developed to measure the workload are Therapeutic Intervention Scoring System-TISS, Nine Equivalents of Nursing Manpower Use Score-NEMS, and Nursing Activities Score-NAS.
The aim of this research is to examine the workload of nurses working in shifts of 12 hours at the Department of intensive care for cardiac-surgery patients, using NEMS and NAS scoring systems and to determine the relationship of these two instruments.
The study was conducted at the Clinical Hospital Centre Rijeka, the Department of Intensive Care for cardiac-surgery patients. The study included 99 patients aged between 20 and 85 years during the period of 99 days, and 10 nurses working in 12 hour shifts. NAS and NEMS were calculated twice a day for each patient. Both scales were than correlated, and the number of nurses needed in shifts was estimated.
The workload of nurses in the day shifts is significantly higher than of those in night shifts. Workload measured on weekdays is also significantly higher than on weekends and holidays. NEMS and NAS correlated significantly positively and the required number of nurses is significantly higher when estimated with the NAS score system.

• Keywords: radno opterećenje; medicinske sestre; NAS; NEMS
• Keywords (english): workload; nurses; NAS; NEMS
• Language: croatian
• URN:NBN: urn:nbn:hr:105:078202
• 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: 2016-04-25 11:42:22