Drawing the Line Between Medium Care and Intensive Care. A Prospective Observational Study Based on the Nursing Activities Score
The aim of the study is to develop a screening instrument, based on the nursing activities score, by which we can distinguish medium care patients from the intensive care patients in terms of nurse staffing.
The main study question is: What is the most discriminative NAS cut off for medium care patient?
Each nursing shift the NAS and TISS 28 scores will be calculated for each patient who is admitted to the 8 participating units.
Nurses will be asked to answer 3 questions (see detailed description here under)at the end of their working shift concerning each patient appointed to them.
Each morning medical staff and head nurses will be asked 2 questions (see detailed description here under) for concerning patient admitted to there ward.
In order to determine the NAS cut off for medium care patient, all morning questionnaire scores will be compared to the NAS an TISS28 scores of that same morning.
Secondary study questions are:
- Can NAS score based on one nursing shift predict the severity of care in the subsequent nursing shift?
- Is there a difference in appreciation of severity of care between nurses, head nurses and medical staff?
- Which variables influence the perception of severity of care?
- How does NAS relate to TISS28, APACHE and NEMS?
研究概览
地位
条件
详细说明
Nursing questionnaire:
How many beds were appointed to you?
- 1
- 2
- 3
- 4
- 5
- 6
For how many of such patients you could care for maximally?
- 1
- 2
- 3
- 4
- >4
This patients' burden of care corresponds to:
- An intensive care patient who requires more than standard intensive care
- An intensive care patient who requires standard intensive care
- A medium care patient
medical staff and head nurse questionaire:
For how many of such patients you could care for maximally?
- 1
- 2
- 3
- 4
- >4
This patients' burden of care corresponds to?
- An intensive care patient who requires more than standard intensive care
- An intensive care patient who requires standard intensive care
- A medium care patient
研究类型
注册 (预期的)
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- admission to one of the 9 critical area's
学习计划
研究是如何设计的?
设计细节
- 观测模型:队列
- 时间观点:预期
队列和干预
团体/队列 |
---|
Acute patients
Patients admitted to the surgical and general ICU (including burn unit), to the coronary care unit, to the emergency department high care zone, to the medical ICU, to the medical medium care unit
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
most discriminative NAS cut off for identifying medium care patient versus intensive care patient
大体时间:1 year
|
1 year
|
合作者和调查者
赞助
调查人员
- 研究主任:Greet Van den Berghe, MD PhD、Catholic University Leuven
- 首席研究员:Karen Decock, RS、Universitaire Ziekenhuizen KU Leuven
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
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