Multicenter application of a nursing workload measurement scale in adult hospitalization units

作     者：María Fuensanta Hellín Gil Marzena Mikla Ana Myriam Seva Llor María Dolores Roldán Valcárcel Francisco Javier Ibáñez-López María JoséLópez Montesinos María Fuensanta Hellín Gil;Marzena Mikla;Ana Myriam Seva Llor;María Dolores Roldán Valcárcel;Francisco Javier Ibá?ez-López;María José López Montesinos

作者机构：University of MurciaMurciaSpain Biomedical Research Institute of Murcia(IMIB)MurciaSpain 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2022年第9卷第4期

页      面：460-466,I0002页

核心收录：

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：supported by the Carlos III Health Institute (ISCIII)(AES-Spanish acronyms for Strategic Action in Health-2018 call) in relation to the Spanish National Plan for Scientific and Technical Research and Innovation 2017/2020 aimed at projects and initiatives in health services research,as a research priority in the challenge "Health,demographic change and wellbeing" the "Spanish Pluriregional FEDER Operational Programme (POPE) 2014-2020" 

主　　题：Hospital Measurement Nursing administration research Workload 

摘      要：Objectives:The study aimed to the multicenter application of a nursing workload measurement scale in the internal medicine and surgery adults hospitalization ***:The study design was a multicenter,observational,and descriptive study.A multicenter application of the MIDENF®nursing workload measurement scale was carried out,which consists of 21 items,and covers the four nursing functions(patient care items,teaching,manager,and researcher),in units of hospitalization of adults of internal medicine and surgery of four different *** item contains one or more of the nursing interventions of Nursing Interventions Classification(NIC)and has an assigned time,after comparing the real time it takes to perform each intervention with the North American Nursing Diagnosis Association(NANDA)standardized *** study was carried out during nine months of the year 2020,measuring two days each month in the three work shifts(morning,evening,and night)to all patients admitted on the days of measurement in the indicated ***:The descriptive and inferential analysis of 11,756 completed scales,5,695 in general surgery and 6,061 in internal medicine,showed a greater care load for the two units during the morning shift(227,034 min in general surgery,261,835 min in internal medicine),especially in the items of“self-care,“medication,“common invasive procedures,“fluid therapy,and“patient and family support,while the managerial function was similar during the three work shifts in the two units studied,getting values between 57,348 and 62,*** the analysis by shift and unit,statistical significance was obtained both for the total workload and the four nursing functions(P0.001).Conclusions:It is shown that the use of validated scales with the standardized language of nursing functions,adapted to the units,provides objective information to adjust the nursing staff to the real situation of care in any hospital and unit where it is applied,improving quality