https://doi.org/10.4081/scenario.2019.391
Pazienti ad alta e bassa complessità clinica: impatto sul carico di lavoro infermieristico
Ricevuto: 1 novembre 2019
Accettato: 1 novembre 2019
Pubblicato: 1 novembre 2019
Accettato: 1 novembre 2019
Abstract Views: 616
PDF: 275
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Autori
La grande eterogenicità dei pazienti ricoverati in terapia intensiva ha amplificato la diseguaglianza tra gravità clinica e complessità assistenziale. In passato sono stati proposti in terapia intensiva dei sistemi che, basandosi sul numero di insufficienze d’organo presenti nei pazienti, permettessero di identificare i pazienti a bassa versus alta complessità .
Valentin A & Ferdinande P. Recommendations on basic requirements for intensive care units: structural and organizational aspects. ESICM Working Group on Quality Improvement. Intensive Care Med 2011; 37(10):1575-87.
Capuzzo M, Volta C, Tassinati T, Moreno R, Valentin A, Guidet B et al. Hospital mortality of adults admitted to Intensive Care Units in hospitals with and without Intermediate Care Units: a multicentre European cohort study. Crit Care. 2014;18 (5):551.
Moreno R & Miranda DR. Nursing staff in intensive care in Europe: the mismatch between planning and practice. Chest 1998;113(3):752-8.
Miranda DR, Rivera-Fernández R & Nap RE. Critical care medicine in the hospital: lessons from the EURICUS-studies. Med Intensiva 2007; 31(4):194-20.
Miranda DR, Moreno R & Iapichino G. Nine equivalents of nursing manpower use score (NEMS). Intensive Care Med. 1997;23(7):760-5
Miranda DR, de Rijk A, Schaufeli W. Simplified Therapeutic Intervention Scoring System: the TISS-28 items--results from a multicenter study. Crit Care Med. 1996;24(1):64-73.
Iapichino G, Mistraletti G, Corbella D, Bassi G, Borotto E, Miranda DR et al. Scoring system for the selection of high-risk patients in the intensive care unit. Crit Care. 2006;34(4):1039-43.
Lucchini A, Chinello V, Lollo V, De Filippis C, Schena M, et al. The implementation of NEMS and NAS systems to assess the nursing staffing levels in a polyvalent intensive care unit. Assist Inferm Ric. 2008;27(1), 18-26.
Miranda DR, Nap R, de Rijk A, Schaufeli W, Iapichino G & TISS Working Group. Nursing activities score. Crit Care Med. 2003;31(2):374-82.
Stafseth SK, Solms D & Bredal IS. The characterisation of workloads and nursing staff allocation in intensive care units: a descriptive study using the Nursing Activities Score for the first time in Norway. Intensive Crit Care Nurs. 2011;27(5):290-4.
Lucchini A, De Felippis C, Elli S, Schifano L, Rolla F, Pegoraro F et al. Nursing Activities Score (NAS): 5 years of experience in the intensive care units of an Italian University hospital. Intensive Crit Care Nurs. 2014;30(3), 152-60.
Nogueira Lde S, Domingues Cde A, Poggetti RS, de Sousa RM. Nursing workload in intensive care unit trauma patients: analysis of associated factors. PLoS One. 2014 Nov 6;9(11):e112125. doi: 10.1371/journal.pone.0112125. eCollection 2014
Lucchini A, Elli S, De Felippis C, Greco C, Mulas A, Ricucci P, et al. The evaluation of nursing workload within an Italian ECMO Centre: A retrospective observational study. Intensive Crit Care Nurs. 2019 Aug 7:102749. doi: 10.1016/j.iccn.2019.07.008. [Epub ahead of print].
Patroniti N, Bellani G & Pesenti A. Nonconventional support of respiration. Curr Opin Crit Care 2011;17(5):527-3.
Daud-Gallotti RM, Costa SF, Guimarães T, Padilha KG, Inoue EN, Vasconcelos TN, et al. Nursing workload as a risk factor for healthcare associated infections in ICU: a prospective study. PLoS One. 2012;7(12):e52342.
Morandi A, Brummel NE & Ely EW. (2011) Sedation, delirium and mechanical ventilation: the 'ABCDE' approach. Curr Opin Crit Care 17 (1), 43-9.
Elli S, Cannizzo L, Foti G, Fumagalli R, Lucchini A. Isolation precautions in multi drug resistent infections and nursing workload in a general intensive care unit. Prof Inferm. 2017;70(4):231-237.
Le Gall JR, Lemeshow S & Saulnier F.A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA 1993;270(24): 2957-63.
Iapichino G, Pezzi A, Borotto E, Mistraletti G, Meroni M & Corbella D. Performance determinants and flexible ICU organisation. Minerva Anestesiol. 2005;71(6); 273-80.
Iapichino G, Radrizzani D, Rossi C, Pezzi A, Anghileri A, Boffelli S, et al. Proposal of a flexible structural-organizing model for the Intensive Care Units. Minerva Anestesiol 2007;73(10):501-6.
Schwab F, Meyer E, Geffers C & Gastmeier P. Understaffing, overcrowding, inappropriate nurse: ventilated patient ratio and nosocomial infections: which parameter is the best reflection of deficits? J Hosp Infect 2012;80(2),133-9.
Lucchini A, Bambi S, Galazzi A, Elli S, Negrini C, Vaccino S, Triantafillidis S, et al. Unplanned extubations in general intensive care unit: A nine-year retrospective analysis. Acta Biomed. 2018 Dec 7;89(7-S):25-31.
Palese A, Comisso I, Burra M, DiTaranto PP, Peressoni L, Mattiussi E, et al. Nursing Activity Score for estimating nursing care need in intensive care units: findings from a face and content validity study. J Nurs Manag. 2016;24(4):549-59.
Padilha KG, Stafseth S, Solms D, Hoogendoom M, Monge FJ, Gomaa OH, et al. Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit. Rev Esc Enferm USP. 2015 Feb;49 Spec No:131-7
Agenzie di supporto
Come citare
Lucchini, A., Vimercati, S., Bertin, A., Ciucur, M., Coppolecchia, G., Giannini, L., Minotti, D., Moretta, D., Rolli, B., Tancredi, V., Ceccarelli, S., La Marca, M. A., & Elli, S. (2019). Pazienti ad alta e bassa complessità clinica: impatto sul carico di lavoro infermieristico. Scenario® - Il Nursing Nella Sopravvivenza, 36(3), 10–15. https://doi.org/10.4081/scenario.2019.391
Aniarti ha scelto di applicare la Licenza Creative Commons Attribuzione Non Commerciale 4.0 Internazionale (CC BY-NC 4.0) a tutti i manoscritti da pubblicare.