Measuring Acuity and Pediatric Critical Care Nursing Workload by Using ICU CAMEO III.

Child Critical Care Critical Care Nursing Humans Intensive Care Units Intensive Care Units, Pediatric Nursing Staff, Hospital Personnel Staffing and Scheduling Workload

Journal

American journal of critical care : an official publication, American Association of Critical-Care Nurses
ISSN: 1937-710X
Titre abrégé: Am J Crit Care
Pays: United States
ID NLM: 9211547

Informations de publication

Date de publication:
01 03 2022
Historique:
entrez: 1 3 2022
pubmed: 2 3 2022
medline: 8 4 2022
Statut: ppublish

Résumé

The Intensive Care Unit Complexity Assessment and Monitoring to Ensure Optimal Outcomes (ICU CAMEO III) acuity tool measures patient acuity in terms of the complexity of nursing cognitive workload. To validate the ICU CAMEO III acuity tool in US children's hospitals. Using a convenience sample, 9 sites enrolled children admitted to pediatric intensive care units (ICUs). Descriptive statistics were used to summarize patient, nursing, and unit characteristics. Concurrent validity was evaluated by correlating the ICU CAMEO III with the Therapeutic Intervention Scoring System-Children (TISS-C) and the Pediatric Risk of Mortality III (PRISM III). Patients (N = 840) were enrolled from 15 units (7 cardiac and 8 mixed pediatric ICUs). The mean number of ICU beds was 23 (range, 12-34). Among the patients, 512 (61%) were diagnosed with cardiac and 328 (39%) with noncardiac conditions; 463 patients (55.1%) were admitted for medical reasons, and 377 patients (44.9%) were surgical. The ICU CAMEO III median score was 99 (range, 59-163). The ICU CAMEO complexity classification was determined for all 840 patients: 60 (7.1%) with level I complexity; 183 (21.8%) with level II; 201 (23.9%), level III; 267 (31.8%), level IV; and 129 (15.4%), level V. Strong correlation was found between ICU CAMEO III and both TISS-C (ρ = .822, P < .001) and PRISM III (ρ = .607, P < .001) scores, and between the CAMEO complexity classifications and the PRISM III categories (ρ = .575, P = .001). The ICU CAMEO III acuity tool and CAMEO complexity classifications are valid measures of patient acuity and nursing cognitive workload compared with PRISM III and TISS-C in academic children's hospitals.

Sections du résumé

BACKGROUND
The Intensive Care Unit Complexity Assessment and Monitoring to Ensure Optimal Outcomes (ICU CAMEO III) acuity tool measures patient acuity in terms of the complexity of nursing cognitive workload.
OBJECTIVE
To validate the ICU CAMEO III acuity tool in US children's hospitals.
METHODS
Using a convenience sample, 9 sites enrolled children admitted to pediatric intensive care units (ICUs). Descriptive statistics were used to summarize patient, nursing, and unit characteristics. Concurrent validity was evaluated by correlating the ICU CAMEO III with the Therapeutic Intervention Scoring System-Children (TISS-C) and the Pediatric Risk of Mortality III (PRISM III).
RESULTS
Patients (N = 840) were enrolled from 15 units (7 cardiac and 8 mixed pediatric ICUs). The mean number of ICU beds was 23 (range, 12-34). Among the patients, 512 (61%) were diagnosed with cardiac and 328 (39%) with noncardiac conditions; 463 patients (55.1%) were admitted for medical reasons, and 377 patients (44.9%) were surgical. The ICU CAMEO III median score was 99 (range, 59-163). The ICU CAMEO complexity classification was determined for all 840 patients: 60 (7.1%) with level I complexity; 183 (21.8%) with level II; 201 (23.9%), level III; 267 (31.8%), level IV; and 129 (15.4%), level V. Strong correlation was found between ICU CAMEO III and both TISS-C (ρ = .822, P < .001) and PRISM III (ρ = .607, P < .001) scores, and between the CAMEO complexity classifications and the PRISM III categories (ρ = .575, P = .001).
CONCLUSION
The ICU CAMEO III acuity tool and CAMEO complexity classifications are valid measures of patient acuity and nursing cognitive workload compared with PRISM III and TISS-C in academic children's hospitals.

Identifiants

DOI: 10.4037/ajcc2022907 PMID: 35229150
pubmed: 35229150
pii: 31691
doi: 10.4037/ajcc2022907
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

119-126

Commentaires et corrections

Type : CommentIn

Informations de copyright

©2022 American Association of Critical-Care Nurses.

Auteurs

Jean Anne Connor (JA)

Jean Anne Connor is the director of nursing research, Cardiovascular, Critical Care and Peri-operative, Patient Care Operations, Boston Children's Hospital, Boston, Massachusetts, and an assistant professor of pediatrics, Harvard Medical School, Boston, Massachusetts.

Christine LaGrasta (C)

Christine LaGrasta is a nurse practitioner III, Inpatient Cardiology, Boston Children's Hospital.

Benjamin Cerrato (B)

Benjamin Cerrato is a project coordinator II, Cardiovascular, Critical Care and Peri-operative, Patient Care Operations, Boston Children's Hospital.

Courtney Porter (C)

Courtney Porter is a program manager, Center for Healthy Adolescent Transition (CHAT), Clinical Services Education and Research, Children's Hospital Los Angeles, California.

Kimberly Gauvreau (K)

Kimberly Gauvreau is a senior biostatistician, Department of Cardiology, Boston Children's Hospital; an associate professor of pediatrics, Harvard Medical School; and an associate professor of biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.

Diana Morrill (D)

Diana Morrill is a project coordinator II, Cardiovascular, Critical Care and Peri-operative, Patient Care Operations, Boston Children's Hospital.

Justine Fortkiewicz (J)

Justine Fortkiewicz is a professional practice specialist, Cardiac Intensive Care Unit (CICU), Children's National Hospital, Washington, District of Columbia.

Mallory Mechler (M)

Mallory Mechler is the CICU clinical leader, Children's Hospital New Orleans, Louisiana.

Amy Donnellan (A)

Amy Donnellan is a CICU nurse practitioner, Cincinnati Children's Hospital, Ohio.

Alexandra Kaduc (A)

Alexandra Kaduc is a nurse educator, Pediatric Cardiac Care Center, Golisano Children's Hospital, Rochester, New York.

Ruby Whalen (R)

Ruby Whalen is a clinical specialist, Cardiac ICU, Nicklaus Children's Hospital, Miami, Florida.

Ashlee Shields (A)

Ashlee Shields is a programmatic specialist, UPMC Children's Hospital of Pittsburgh, and an assistant professor of nursing, Robert Morris University, Pittsburgh, Pennsylvania.

Michelle Bruno (M)

Michelle Bruno is a nurse manager, Pediatric Catheterization Laboratory, Cleveland Clinic Children's Hospital, Cleveland, Ohio.

Angela Jarden (A)

Angela Jarden is the RN program coordinator for the M43 and M53 Pediatric Intensive Care Units, Cleveland Clinic Children's Hospital.

Anne Dey (A)

Anne Dey is the director of critical care, Children's Hospital and Medical Center, Omaha, Nebraska.

Patricia A Hickey (PA)

Patricia A. Hickey is the senior vice president and associate chief nurse, Nursing and Patient Care Operations, Boston Children's Hospital; and an assistant professor of pediatrics, Harvard Medical School.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins de réanimation › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins infirmiers › Soins infirmiers intensifs › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Établissements de santé › Unités hospitalières › Unités de soins intensifs › Unités de soins intensifs pédiatriques › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Personnel hospitalier › Personnel infirmier hospitalier › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › Measuring Acuity and Pediatric Critical Care...
questionsmedicales.fr › Administration des services de santé › Organisation et administration › Gestion du personnel › Affectation du personnel et organisation du temps de travail › Charge de travail › Measuring Acuity and Pediatric Critical Care...