Intensive and Critical Care Nursing
Volume 23, Issue 3 , Pages 162-169 , June 2007

Nursing workload in intensive care units: A study using the Therapeutic Intervention Scoring System-28 (TISS-28)

  • Katia Grillo Padilha

      Affiliations

    • School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, CEP 05403-000, São Paulo, SP, Brazil
    • Corresponding Author InformationCorresponding author. Tel.: +55 11 3066 7544; fax: +55 11 3066 7546.
  • ,
  • Regina M. Cardoso Sousa

      Affiliations

    • School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, CEP 05403-000, São Paulo, SP, Brazil
  • ,
  • Miako Kimura

      Affiliations

    • School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, CEP 05403-000, São Paulo, SP, Brazil
  • ,
  • Ana Maria Kazue Miyadahira

      Affiliations

    • School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, CEP 05403-000, São Paulo, SP, Brazil
  • ,
  • Diná Almeida Lopes Monteiro da Cruz

      Affiliations

    • School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, CEP 05403-000, São Paulo, SP, Brazil
  • ,
  • Maria de Fátima Vattimo

      Affiliations

    • School of Nursing, University of São Paulo, Av. Dr. Eneas de Carvalho Aguiar, 419, CEP 05403-000, São Paulo, SP, Brazil
  • ,
  • Solange Regina Giglioli Fusco

      Affiliations

    • Hospital of Clinics, University of São Paulo, São Paulo, Brazil
    web address
  • ,
  • Maria Emília Ferraz de Campos

      Affiliations

    • Hospital of Clinics, University of São Paulo, São Paulo, Brazil
  • ,
  • Edoíla Maria Teixeira Mendes

      Affiliations

    • Hospital of Clinics, University of São Paulo, São Paulo, Brazil
  • ,
  • Eliana Rodrigues Carlessi Mayor

      Affiliations

    • Hospital of Clinics, University of São Paulo, São Paulo, Brazil

,Accepted 18 July 2006.

References 

  1. Bastos PG, Sun X, Wagner DP, Knaus WA, Zimmerman JE. Application of the APACHE III prognostic system in Brazilian Intensive Care Units: a prospective multicenter study. Intens Care Med. 1996;22(6):564–570
  2. BRASIL. Ministério da Saúde. Portaria n(3432 de 12 de agosto de 1998. Estabelece critérios de classificação para as Unidades de Tratamento intensivo-UTI [online]. Available at: http://www.amib.com.br/. Accessed February 26, 2004.
  3. 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
  4. Ducci AJ, Padilha KG, Telles SCR, Gutierrez BAO. Gravidade de pacientes e demanda de trabalho de enfermagem em Unidade de Terapia Intensiva: Análise evolutiva segundo o Therapeutic Intervention Scoring System-28 (TISS-28). Rev Bras Terapia Intens. 2004;16(1):22–27
  5. Ferrero OG, Mateo ME, Marin VG, Salas CL. Niveles assistenciale en un servicio de medicina intensiva: análisis de escalas de esfuerzo terapêutico y nivel de gravidad. Enfermeria Intens. 1999;10(1):13–21
  6. Iapichino G, Gattinoni L, Radrizzani D, Simini B, Bertolini G, Ferla L, et al. Volume of activity and occupancy rate in intensive care units: association with mortality. Intens Care Med. 2004;30(2):290–297
  7. Jakob SM, Rothen HU. Intensive care 1980–1995: change in patients characteristics, nursing workload and outcome. Intens Care Med. 1997;23(11):1165–1170
  8. Keene AR, Cullen DJ. Therapeutic Intervention Scoring System: update. Crit Care Med. 1983;11(1):1–3
  9. Kwok WWY, Chau JPC, Low LPL, Thompson DR. The reliability and validity of the therapeutic activities index. J Crit Care. 2005;20(5):257–263
  10. Lefering R, Zart M, Neugebauner EAM. Retrospective evaluation of the simplified Therapeutic Intervention Scoring System (TISS-28) in a surgical intensive care unit. Intens Care Med. 2002;6(12):1794–1802
  11. Metnitz PGH, Vesely H, Valentin A, Popow C, Hiesmay M, Lenz K, et al. Evaluation of an interdisciplinary data set for national intensive care unit assessment. Crit Care Med. 1999;27(8):1486–1491
  12. Miranda DR, Ryan DW, Schaufeli WB, Fidle V. Organization and management of intensive care: a prospective study in European countries. In:  Vincent JL editors. Update in intensive care and emergency medicine. Berlin, Heidelberg, New York: Springer; 1998;
  13. Miranda DR, Rijk AD, Schaufeli W. Simplified therapeutic intervention scoring system: the TISS-28 items—results from a multicenter study. Crit Care Med. 1996;24(1):64–73
  14. Miranda DR, Nap R, Rijik A, Schaufelli W, Iapichino G. Nursing activities score. Crit Care Med. 2003;31(2):374–382
  15. Nunes B. Tradução para o português e validação de um instrumento de medida de gravidade na UTI: TISS-28 Therapeutic Intervention Scoring System [Thesis]. São Paulo 2000:Escola de Enfermagem, Universidade de São Paulo.
  16. Paiva AMG, Matai O, Resende NO, Campana AO. Análise de uma população de doentes atendidos em unidade de terapia intensiva: estudo observacional de sete anos (1992–1999). Rev Bras Terapia Intens. 2002;14(2):173–180
  17. Pirret AM. Utilizing TISS to differentiate between intensive care and high-dependency patients and to identify nursing skills requirements. Intens Crit Care Nurs. 2002;18(1):16–19
  18. Queijo AF, Padilha KG. Insstrumento da medida da carga de trabalho de enfermagem em Unidade de Terapia Intensiva: Nursing Activities score (N.A.S.). Rev Paul Enf. 2004;23(2):114–122
  19. Silva MCM, Sousa RMC. Caracterização dos pacientes adultos e adolescentes das Unidades de Terapia Intensiva do Município de São Paulo. Rev Bras Terapia Intens. 2002;21(1):50–57

PII: S0964-3397(06)00095-4

doi: 10.1016/j.iccn.2006.07.004

Intensive and Critical Care Nursing
Volume 23, Issue 3 , Pages 162-169 , June 2007