We´re looking to start measuring nursing workload in high complexity units. There´s evidence of the application of TISS - 28 in cardiac surgery patients but i´m not 100% sure if there is any incovenient to apply in other non surgical cardiac units.
Dear Cristobal,
I don't think TISS28 is validated for Cardiology Units. But if its for your own purpose you can modify the scoring list !! If you start with the TISS-76 you probably cover most of your activities.
Here are some interesting links:
http://www.cardiac-icu.org/TISS28.html
http://www.wilmarschaufeli.nl/publications/Schaufeli/076.pdf
Best regards,
Jan
Thanks Dr. Bakker! The idea is to apply it in all of our medium - high acuity units (medical, surgical, cardiac surgery recovery, coronary and neurological unit).
Best Regards.
Cristobal P.
The limitations of the TISS-28 is it is based on how we provided critical care 20 years ago. A great deal of nursing care has changed since then that are not captured in the TISS-28. For example we keep patients more awake, promote more mobilization than before yet these items are not captured in the TISS-28. I would argue, because it misses important advances in critical care, it has a tendency to underscore workload.
Saying that, this tool does have a lot of validity and reliability evidence in ICUs around the world.
Dear Vini, I agree with you that TISS 28 perhaps is not the best tool for a reliable nursing workload measurement. A great part of our work like management issues, service and procedures coordination or taking care of patient's relatives is not adequately reflected in current tools, maybe NAS.
Best regards!
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