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BioMed Research International
Volume 2013 (2013), Article ID 463153, 9 pages
http://dx.doi.org/10.1155/2013/463153
Research Article

Scope of Nursing Care in Polish Intensive Care Units

1Chair of Development in Nursing, Faculty of Nursing and Health Sciences, Medical University, U1. Staszica 4-6, 20-081 Lublin, Poland
2Chair and Department of Management in Nursing, Faculty of Nursing and Health Sciences, Medical University, Lublin, Poland

Received 10 April 2013; Revised 3 September 2013; Accepted 9 October 2013

Academic Editor: Stephen M. Pastores

Copyright © 2013 Mariusz Wysokiński et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. The TISS-28 scale, which may be used for nursing staff scheduling in ICU, does not reflect the complete scope of nursing resulting from varied cultural and organizational conditions of individual systems of health care. Aim. The objective of the study was an attempt to provide an answer to the question what scope of nursing care provided by Polish nurses in ICU does the TISS-28 scale reflect? Material and Methods. The methods of working time measurement were used in the study. For the needs of the study, 252 hours of continuous observation (day-long observation) and 3.697 time-schedule measurements were carried out. Results. The total nursing time was 4125.79 min. (68.76 hours), that is, 60.15% of the total working time of Polish nurses during the period analyzed. Based on the median test, the difference was observed on the level of between the nurses’ workload resulting from performance of activities qualified into the TISS-28 scale and load resulting from performance of interventions within the scopes of care not considered in this scale in Polish ICUs. Conclusions. The original version of the TISS-28 scale does not fully reflect the workload among Polish nurses employed in ICUs.