Nursing activities score: a comparative study about retrospective and prospective applications in intensive care units
Nursing activities score: a comparative study about retrospective and prospective applications in intensive care units
复制标题
DOI：
10.1590/s0103-21002008000400008
复制
发表时间：
2008-01-01
影响因子：
0.7
通讯作者：
Padilha, Kátia Grillo
中科院分区：
文献类型：
--
作者：
Ducci, Adriana Janzantte;Padilha, Kátia Grillo
目的：分析护理活动评分（NAS）测量重症监护室（ICU）前瞻性护理工作量的性能，并比较前瞻性和回顾性应用该仪器获得的NAS值，此外还验证前瞻性和回顾性应用的项目的一致性程度。研究方法：NAS应用前瞻性和回顾性学生t，皮尔逊系数和类内相关（ICC）被用来验证相关性和同质性。对于每个项目之间的一致性，使用Kappa系数。结果：前瞻性和回顾性NAS平均值（Pearson 0.65和ICC 0.623）之间存在差异（p < 0.001）。Kappa不适用于11个项目，因为在单一回答类别中的一致率很高。10个项目（47.6%）的协议等于或高于中度。具有非常强和强一致性的项目是指通常不存在的客观数据：不一致。有分项的项目一致性较低。结论：前瞻性NAS在测量ICU护理工作量方面表现良好。
Objectives: To analyze the performance of the Nursing Activities Score (NAS) to measure the prospective nursing work-load in Intensive Care Units (ICU) and to compare the NAS values obtained in prospective and retrospective applications of the instrument, in addition to verifying the degree of concordance in the items that comprise it applied prospectively and retrospectively. Methods: NAS was applied prospectively and retrospectively Student's t, Pearson's coefficient and Intra-class correlation (ICC) were used to verify correlation and homogeneity For agreement between each item, the Kappa coefficient was used. Results: There were differences (p < 0.001) between the prospective and retrospective NAS averages (Pearson 0.65 and ICC 0.623). Kappa was not applied to 11 items due to the high percentage of agreement in a single response category. Ten items (47.6%) had agreements equal or higher than moderate. Items with very strong and strong agreement refer to objective data that usually do not present: disagreements. Items with sub-items had lower agreements. Conclusions: Prospective NAS performed well in measuring nursing work-load at die ICU.