Nursing professionals critical care provision time distribution analyzed through theTISS-28
Article Sidebar
Main Article Content
Abstract
Introduction: Currently, therapeutic interventions have become more complex and specialized, but the Therapeutic Intervention Scoring System-28 (TISS-28) has been identified as an adequate tool in the planning of the corresponding nursing activities.
Objective: To estimate through the Therapeutic Intervention Scoring System-28 (TISS-28) the degree of complexity of the necessary nursing interventions to provide care to patients in critical status.
Methods: This is a descriptive study on 270 adult, pediatric, and neonatal patients in critical status. The TISS-28, and nursing and patient sociodemographic instruments were used. A descriptive statistical analysis using the sociodemographic and work-related variables was carried out. Bi-variate analysis and logistic regression were calculated in order to analyze the nursing performance by levels of complexity.
Results: The interventions provided by the nursing staff in the internal medicine service in Grade II is 9.8 times more than in the rest of the patients, grade III increases by 68 times when the patient has an excess hospital stay.
Discussion: Patients in the intensive care or surgical services require more care.
Conclusion: The TISS-28 offers an estimate on the evolution and attention time required by patients in critical status as well as the corresponding ideal nurse-patient ratios.
Publication Facts
Reviewer profiles N/A
Author statements
- Editor & editorial board
- profiles
- Academic society
- N/A
- Publisher
- Universidad Nacional Autónoma de México
To learn about these publication facts, click 
PF is maintained by the Public Knowledge Project
Article Details
Dimensions citation
MÉTRICAS
- Captures
- Mendeley - Readers: 45
References
2. Pérez-Gutiérrez N. Análisis de mortalidad de pacientes en unidad de cuidados intensivos en un hospital del departamento del Meta, Colombia. Investigaciones andina. 2015; 18(33): 1605-24. https://doi.org/10.33132/01248146.644
3. Lagos-Garrido ME, Paravic-Klijn T. Generación, difusión y transferencia del conocimiento de enfermería a la práctica del cuidado. Cienc. enferm. 2015; 21(2): 127-34. http://dx.doi.org/10.4067/S0717-95532015000200012
4. Rodríguez-Jiménez S, Cárdenas-Jiménez M, Pacheco-Arce AL, Ramírez-Pérez M. Una mirada fenomenológica del cuidado de enfermería. Enferm. univ. 2014; 11(4): 145-53. https://doi.org/10.1016/S1665-7063(14)70927-3
5. Pujante-Palazón I, Rodríguez-Mondéjar JJ, Armero-Barranco D, Sáez-Paredes P. Prevención de neumonía asociada a ventilación mecánica, comparación de conocimientos entre tres unidades de críticos. Enferm. Intensiva. 2016; 27(3): 120-8. https://doi.org/10.1016/j.enfi.2015.10.001
6. Oliveira Moscheta-Campagner A, Celiny Ramos-Garcia P, Pedro-Piva J. Aplicação de escores para estimar carga de trabalho de enfermagem em unidade de terapia intensiva pediátrica. Rev Bras Ter Intensiva. 2014; 26(1): 36-43. https://doi.org/10.5935/0103-507X.20140006
7. Molina-Mula J, Vaca-Auz J, Muñoz-Navarro P, Cabascango-Cabascango K, Cabascango-Cabascango C. Gestión de la calidad de los cuidados de enfermería hospitalaria basada en la evidencia científica. Index Enferm. 2016; 25(3): 151-5. https://bit.ly/33yZI9N
8. Reyes-Segura SM, Parellada-Blanco J, García-Vega ME, Martínez-Verzonis N. Aplicación del sistema pronóstico TISS-28 en salas de atención al grave. Rev Cub Med Int Emerg. 2015; 1(4): 53-66. https://bit.ly/2QxMZif
9. Nieri AS, Manousaki K, Kalafati M, Grilio-Padilha K, Stafseth SK, Katsoulas T, et al. Validation of the nursing workload scoring systems "Nursing Activities Score" (NAS), and "Therapeutic Intervention Scoring System for Critically Ill Children" (TISS-C) in a Greek Paediatric Intensive Care Unit. Intensive Crit Care Nurs. 2018; 48: 3-9.https://doi.org/10.1016/j.iccn.2018.03.005
10. Cullen DJ, Civetta JM, Briggs BA, Ferrara LC. Therapeutic intervention scoring system: a method for quantitative comparison of patient care. Crit Care Med. 1974; 2(2): 57-60.
11. Vivanco-Allende A, Rey C, Concha A, Martínez-Camblor P, Medina A, Mayordomo-Colunga J. Validación de la escala simplificada de puntuación de intervenciones terapéuticas (TISS-28) en niños críticamente enfermos. An pediatr. 2020: 92(6): 339- 44. https://doi.org/10.1016/j.anpedi.2019.10.002
12. Laus AM, Gonçalves-Menegueti M, Martins MA, Dias Pedreschi-Chaves L, Camelo SH. Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar? Rev enferm UFPE on line. 2017; 11(Supl. 12): 5305-11. https://doi.org/10.5205/1981-8963-v11i12a22847p5305-5311-2107
13. Tekdos-Seker Y, Hergunsel O, Bostanci I, Zeydan A. Utility of the therapeutic intervention scoring system-28 to predict mortality in intensive care units. EJMO. 2018; 2(1): 35-9. http://doi.org/10.14744/ejmo.2017.00719
14. Royo-Puerto M, Araiz-Marín AB, Palacios-Laseca M, Gago-Gallego N, Latorre-Navascuez R, Bascuas-Hernández J. Análisis de la carga de trabajo y cálculo de la ratio enfermera-paciente en cuidados intensivos en pacientes tratados con hipotermia tras parada cardiaca extrahospitalaria. Enferm Cardiol. 2019; 26(76): 43-53.
15. Saltos-Rivas M, Pérez-Cardoso CN, Suárez-Mella R, Linares-Giler SM. Análisis de la carga laboral del personal de enfermería, según gravedad del paciente. Rev. cuba. enferm. 2018; 34(2): 43-53. https://bit.ly/36xyMdO
16. Martín-Sánchez FJ, Carbajosa V, Llorens P, Herrero P, Jacob J, Miró Ò, et al. Tiempo de estancia prolongado en los pacientes ingresados por insuficiencia cardiaca aguda. Gac. sanit. 2016; 30(3): 191-200. http://dx.doi.org/10.1016/j.gaceta.2016.01.003
17. Justo-Martínez M, Domínguez-Orozco V, Pérez Castro-y Vásquez JA, Gusman-Morales E. Eficacia de las intervenciones de enfermería dependientes en el paciente de terapia intensiva. Rev. Conamed. 2018; 3(16): 3-7. https://bit.ly/37xwk64
18. Fátima-Perão O, Camargo-Bub MB, Hernández-Rodríguez A, Zandonadi GC. Gravidade de pacientes e carga de trabalho de enfermagem em unidade de terapia intensiva. Cogitare Enferm. 2014; 19(2): 261-8. https://bit.ly/3fZEFn7
19. Romero-Massa E, Lorduy-Bolivar JP, Pájaro-Melgar C, Pérez-Duque CA. Relación entre la carga laboral de enfermería y la gravedad del paciente en unidades de cuidado intensivo de adultos. Aquichan. 2011; 11(2): 173-86. https://bit.ly/2I3AsC9
20. Tavares-Araujo M, Baia-Henriques AV, Cancio-Velloso IS, Ferreira-de Queiroz C, França-Nonato L. Carga de trabalho e custo de uma equipe de enfermagem em terapia intensiva. Arq. Ciênc. Saúde. 2016; 23(4): 21-6. https://doi.org/10.17696/2318-3691.23.4.2016.385
21. Stochero-Velozo KD, Celiny Ramos-Garcia P, Pedro-Piva J, Holmer-Fiori H, Drescher-Cabral D, Einloft PR, et al. Scores TISS-28 versus NEMS to size the nursing team in a pediatric intensive care unit. Einstein (São Paulo). 2017; 15(4): 470-5. http://doi.org/10.1590/S1679-45082017AO4028
22. Chacón-Lozsán FJ, Delgado C, Castillo Y, Pacheco PA, Sánchez-Narváez MC. Score Therapeutic Intervention Scoring System de ingreso a la unidad de cuidados intensivos como predictor de mortalidad intra-hospitalaria. Acta colombiana de cuidado intensivo. 2015; 15(4): 307-11. https://doi.org/10.1016/j.acci.2015.07.001
23. Valls-Matarín J, Salamero-Amorós M, Roldán-Gil C. Análisis de la carga de trabajo y uso de los recursos enfermeros en una unidad de cuidados intensivos. Enferm. Intensiva. 2015; 26(2): 72-81. https://doi.org/10.1016/j.enfi.2015.02.002
24. Cabral-Ferreira P, Machado RC, Fortes-Vitor A, Brendão de Cavalho-Lira AL, Soares-Martins QS. Nursing measure in intensive care unit: evidence about the nursing activites score. Rev Rene. 2014; 15(15): 888-97. http://dx.doi.org/10.15253/2175-6783.2014000500019
25. Reynaldos-Grandon KL, Toffoletto MC, Molina-Muñoz Y, Grillo-Padilha K, Sánchez-Aguiera NA, Maldonado-Mardones EI. Adaptación transcultural para Chile del nursing activities score para medir la carga de trabajo de enfermería en unidades de cuidados intensivos. Cienc. enferm. 2018; 24: 1-14. http://doi.org/10.4067/s0717- 95532018000100212
26. Cuadros-Carlesi K, Grillo-Padilha K, Toffoletto MC, Henriquez-Roldan C, Canales- Juan MA. Ocurrencia de incidentes de seguridad del paciente y carga de trabajo de enfermería. Rev. Latino-Am. Enfermagem. 2017; 25(6): 1-8. https://doi.org/10.1590/1518-8345.1280.2841
27. Wang ZW, Zheng J, You LM, Wang YX, Gao MR, Guan XD. Evaluation of the simplified therapeutic intervention scoring system: Chinese version. Intensive Crit Care Nurs. 2018; 45: 85-90. https://doi.org/10.1016/j.iccn.2017.09.009
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Enfermería Universitaria by Universidad Nacional Autónoma de México it is distributed under the License Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International
Accepted and published articles become open-access under the terms of the Creative Commons CC BY-NC-ND 4.0 license, which authorizes the reproduction and sharing without commercial purposes, provided the corresponding acknowledgments to their authors. Authors are allowed to manage a self-archive copy of the article’s published version so that they can open-access it in their personal or institutional web pages, and/or any other broad-diffusion space.
