Nurse - patient relationship according to TISS 28. Clinical application at Intensive Care Unit – 2011

Abstract

The Therapeutic Intervention Scoring System (TISS 28) has been used around the world to calculate the number of nurses in intensive care units according to classification of patients and type of intervention (Tables 1 and 2). Taking into account that in Colombia there is no updated legislation fo r that purpose, that score was used to set the number of professionals needed in four adult intensive care units (AICU) of the city of Neiva, since the current reality shows a marked disproportion. We used the descriptive, prospective method, longitudinal, population consisted of 1454 records taken during a month, information was collected through direct observation through the TISS 28 format. For the statistical analysis it was used t-student and chi square. The TISS 28 score ranged between 22 and 29 in the four AICU, value directly proportional to the number of nursing interventions and the extent to which patients were classified. This categorization was highly significant with chi square 1% (16,812). The surgical AICU had the highest score, the other three got similar results. The average time for the development of nursing interventions in all AICU of the study was over 360 minutes in a six-hour shift, with a highly significant t-student, 1% (4541), indicating lack o f professionals and hence workload. The nurse-patient relationship was 1:2 in contrast with the current one that is 1:10 and 1:7.