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Validation of clinical activity tracking system in Intensive Care Unit to assess nurse workload distribution

机译:重症监护病房临床活动跟踪系统的验证,以评估护士的工作量分配

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Therapeutic Intervention Score System (TISS-28) and the Nursing Activities Score (NAS) are common used to evaluate nursing workload in the Intensive Care Unit (ICU). However, they require experienced researchers to perform, are subject to user bias and experience, and are labor intensive, which all exclude regular use. A Clinical Activities Tracking System (CATS) was developed to evaluate bedside nursing activities automatically. This paper presents the validation of this system in quantifying bedside nursing activities. A total of 30 hours (1 hour/day) of nursing activities were manually recorded by trained researcher. The manually recorded total time spent on bedside nursing activities (Atime) was compared with time recorded using CATS (Ctime). A high correlation was found between Atime and Ctime with R = 0.882, and thus the actual time spent in nursing activity can be estimated using a first order polynomial function. In this study, it was found that the median Atime between 7 am-10 pm is 1.4-1.5 times higher than nursing activities at 10 pm-7 am. Results showed that CATS was able to provide unique and high information on patient bedside nursing activities.
机译:治疗干预评分系统(TISS-28)和护理活动评分(NAS)通常用于评估重症监护室(ICU)的护理工作量。但是,它们需要经验丰富的研究人员才能执行,并且会受到用户偏见和经验的影响,并且劳动强度大,而这一切都排除了常规使用。开发了临床活动跟踪系统(CATS)以自动评估床边护理活动。本文介绍了该系统在量化床边护理活动方面的有效性。由训练有素的研究人员手动记录了总共30个小时(1小时/天)的护理活动。将手动记录在床边护理活动上的总时间(Atime)与使用CATS记录的时间(Ctime)进行了比较。在Atime和Ctime之间发现高度相关,R = 0.882,因此可以使用一阶多项式函数估算护理活动所花费的实际时间。在这项研究中,发现上午7点至晚上10点之间的Atime中位数比晚上10点至早上7点的护理活动高1.4-1.5倍。结果表明,CATS能够提供有关患者床边护理活动的独特而重要的信息。

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