Aim
To study family satisfaction with care in an Intensive Care Unit (ICU) and its association with nursing workload estimated by the Nursing Activities Score (NAS).

Background
Few previous studies have investigated the association between workload in ICUs and family satisfaction.

Methods
Family Satisfaction ICU 24 (FS ICU-24) questionnaires were distributed to 161 family members (106 respondents). Questionnaires’ score, NAS measurements and Simplified Acute Physiology Score II (SAPS-II) data were analysed.

Results
The mean total level of family satisfaction was equal to 80.72% (±9.59). Family members were more satisfied with the level of care compared with decision making. NAS values revealed a shortage of nurses in the morning shift. Moreover, there was a statistically significant positive correlation between NAS and total satisfaction after adjusting for age, length of stay and SAPS-II.

Conclusions
Improvements in clinical practice require the measurement of care quality which particularly includes family satisfaction. Our results indicated that family members were less satisfied with decision making.

Implications for nursing management
Nurse managers should plan for the successful involvement of family members in the decision-making process. Higher levels of nurse staffing might improve the care provided.

Nursing Activities Score as a predictor of family satisfaction in an adult intensive care unit in Greece.

The increasing costs of treatment in intensive care units (ICUs) and the need to use resources efficiently require adequacy between nursing staff and nursing workload, as a high cost is attributed to the nurse staff of ICUs. The intensity of the nursing work effort should be considered because staffing needs vary according to the amount of patients being cared for, as well as the type of care provided for each of those patients. As the intensity of the nursing work effort increases, the amount of nursing staff required to properly care for patients also increases.

/pdf/nursing-in-the-icu-comparison-of-the-nas-and-time-on-bedside-21njw4i65r.pdf

Nursing in the ICU: comparison of the NAS and time on bedside

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Nursing in the ICU: comparison of the NAS and time on bedside