Instrumentos basados en medidas indirectas para UCI: TISS y NEMS / Instruments based on indirect measures for ICU: TISS and NEMS

RESUMEN

En este artículo, sexto de la serie de instrumentos para medir cargas de trabajo de Enfermería, se describen dos de los ocho instrumentos creados para ser aplicados en las unidades de cuidados intensivos, basados en medidas indirectas, el Therapeutic Intervention Scoring System (TISS) y el Nine Equivalents for Nursing Manpower Use (NEMS). El TISS, descrito por primera vez en 1974, se diseñó para clasificar a los pacientes críticos en función de la gravedad de su enfermedad. El primer estudio que cuantifica cargas de Enfermería a partir de la puntuación TISS, es de Cullen y se publica en 1977. Una de las mayores críticas que recibe el TISS está relacionada con la multiplicidad de versiones hechas a partir del instrumento original. El NEMS se puede considerar una evolución del TISS ya que es un instrumento diseñado para medir cargas de trabajo en Enfermería a partir de una simplificación del TISS 28. La primera publicación es de 1997

ABSTRACT

This article, the sixth in a series describing instruments used to measure workload in nursing care, depicts two of the eight instruments created for application in intensive care units. These instruments: Therapeutic Intervention Scoring System (TISS) and the Nine Equivalents for Nursing Manpower Use (NEMS) were based on indirect measures. TISS, described for the first time in 1974, was designed to classify critical patients according to the severity of their condition. The first study quantified nursing workloads using the TISS score, was written by Cullen and published in 1977. One of the major criticisms of the TISS is related to the multiplicity of versions elaborated using the original instrument as a start point. NEMS can be considered as an evolution of the TISS, as it is an instrument designed to measure workloads in nursing based on a simplification of the TISS 28. The first publication dates back to 1997