Drawing the Line Between Medium Care and Intensive Care. A Prospective Observational Study Based on the Nursing Activities Score

The aim of the study is to develop a screening instrument, based on the nursing activities score, by which we can distinguish medium care patients from the intensive care patients in terms of nurse staffing.

The main study question is: What is the most discriminative NAS cut off for medium care patient?

Each nursing shift the NAS and TISS 28 scores will be calculated for each patient who is admitted to the 8 participating units.

Nurses will be asked to answer 3 questions (see detailed description here under)at the end of their working shift concerning each patient appointed to them.

Each morning medical staff and head nurses will be asked 2 questions (see detailed description here under) for concerning patient admitted to there ward.

In order to determine the NAS cut off for medium care patient, all morning questionnaire scores will be compared to the NAS an TISS28 scores of that same morning.

Secondary study questions are:

* Can NAS score based on one nursing shift predict the severity of care in the subsequent nursing shift? * Is there a difference in appreciation of severity of care between nurses, head nurses and medical staff? * Which variables influence the perception of severity of care? * How does NAS relate to TISS28, APACHE and NEMS?

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Key information

Conditions

Critical Illness Disease Attributes Pathologic Processes Pathological Conditions, Signs and Symptoms

Sex eligibility

All sexes

Study type

Observational

About this study

Nursing questionnaire:

How many beds were appointed to you?

1
2
3
4
5
6
For how many of such patients you could care for maximally?

1
2
3
4
>4
This patients' burden of care corresponds to:

An intensive care patient who requires more than standard intensive care
An intensive care patient who requires standard intensive care
A medium care patient

medical staff and head nurse questionaire:

For how many of such patients you could care for maximally?

1
2
3
4
>4
This patients' burden of care corresponds to?

An intensive care patient who requires more than standard intensive care
An intensive care patient who requires standard intensive care
A medium care patient

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

admission to one of the 9 critical area's

Treatment and study plan

Primary outcomes

most discriminative NAS cut off for identifying medium care patient versus intensive care patient

Time frame: 1 year

Sponsors and collaborators

Lead sponsor

KU Leuven

Other

Registry information

Important dates

Study start: 2013
Primary completion: 2013
Study completion: 2013
First posted: Jul 4, 2012
Registry last updated: Jan 29, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed