Emanuele Buccione, Floriana Pinto, Alessio Lo Cascio, Viola Palumbo, Kerry Hart, Allison Marchuk, Jessica-Lynn Walsh, Alexandra Howlett, The Italian Neonatal Nursing Workload Study Group, Laura Rasero, Davide Ausili, Stefano Bambi
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引用次数: 0
摘要
背景：护理的复杂性、充足的人员配备水平和工作流程是影响护士工作量的关键因素。目前关于临床复杂性分类和相关人员配置调整的证据仍存在显著差距，限制了最佳人员配置实践的能力。本研究旨在适应和验证温尼伯手术新生儿护理需求综合评估工具（WANNNT-SC）在意大利的背景下，允许评估新生儿入住nicu。方法：本研究为验证性研究。结果：为评价该工具在不同专业之间的信度，采用Pearson相关进行相关检验，结果显示有很强的相关性（r = 0.967, p = 0.01）。在重测阶段，相关性显著（r = 0.910, p = 0.01）。通过方差分析，我们发现I-WANNNT-SC评分越高，预测死亡率越高（F = 13.05, p < 0.001）。结论：意大利温尼伯外科新生儿护理需求综合评估工具是意大利首个旨在衡量新生儿重症监护护理工作量的工具。它可以根据新生儿重症监护室的活动和病人的需要调整护理人员。本研究获得了当地伦理委员会“Palermo 1”（Protocol CI-NICU-00）的前瞻性批准。
Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool.
Background: Complexity of care, adequate staffing levels, and workflow are key factors affecting nurses' workloads. There remain notable gaps in the current evidence regarding clinical complexity classification and related staffing adjustment, limiting the capacity for optimal staffing practices. This study aimed to adapt and validate the Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool (WANNNT-SC) for an Italian context to allow the assessment of newborns admitted to NICUs. Methods: This was a validation study. Results: To evaluate the reliability of the tool among different professionals, a correlation test was performed using Pearson's correlation, which revealed a strong correlation (r = 0.967, p = 0.01). In the test-retest phase, there was a significant correlation (r = 0.910 and p = 0.01). Using an analysis of variance, we found that the higher the I-WANNNT-SC score was, the higher the predicted death rate (F = 13.05 and p < 0.001). Conclusions: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool represents the first tool available for an Italian context that aims to measure the nursing workload in neonatal intensive care. It could allow adjustments in nursing staffing based on NICU activities and patient needs. This study was prospectively approved by the local Ethics Committee "Palermo 1" (Protocol CI-NICU-00).
期刊介绍：
Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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