Drawing the Line Between Medium Care and Intensive Care. A Prospective Observational Study Based on the Nursing Activities Score

Critical Illness Clinical Trial

Official title:

Drawing the Line Between Medium Care and Intensive Care. A Prospective Observational Study Based on the Nursing Activities Score

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01633606
• Other study ID #: NAS-ICU-2012
• Status: Completed
• Phase: N/A
• First received: July 2, 2012
• Last updated: January 28, 2014
• Start date: February 2013
• Est. completion date: September 2013

Study information

• Verified date: January 2014
• Source: Katholieke Universiteit Leuven
• Contact: n/a
• Is FDA regulated: No
• Health authority: Belgium: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

The aim of the study is to develop a screening instrument, based on the nursing activities score, by which we can distinguish medium care patients from the intensive care patients in terms of nurse staffing.

The main study question is: What is the most discriminative NAS cut off for medium care patient?

Each nursing shift the NAS and TISS 28 scores will be calculated for each patient who is admitted to the 8 participating units.

Nurses will be asked to answer 3 questions (see detailed description here under)at the end of their working shift concerning each patient appointed to them.

Each morning medical staff and head nurses will be asked 2 questions (see detailed description here under) for concerning patient admitted to there ward.

In order to determine the NAS cut off for medium care patient, all morning questionnaire scores will be compared to the NAS an TISS28 scores of that same morning.

Secondary study questions are:

• Can NAS score based on one nursing shift predict the severity of care in the subsequent nursing shift?

• Is there a difference in appreciation of severity of care between nurses, head nurses and medical staff?

• Which variables influence the perception of severity of care?

• How does NAS relate to TISS28, APACHE and NEMS?

Description:

Nursing questionnaire:

1. How many beds were appointed to you?

1. 1

2. 2

3. 3

4. 4

5. 5

6. 6

2. For how many of such patients you could care for maximally?

1. 1

2. 2

3. 3

4. 4

5. >4

3. This patients' burden of care corresponds to:

1. An intensive care patient who requires more than standard intensive care

2. An intensive care patient who requires standard intensive care

3. A medium care patient

medical staff and head nurse questionaire:

1. For how many of such patients you could care for maximally?

1. 1

2. 2

3. 3

4. 4

5. >4

2. This patients' burden of care corresponds to?

1. An intensive care patient who requires more than standard intensive care

2. An intensive care patient who requires standard intensive care

3. A medium care patient

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1000
• Est. completion date: September 2013
• Est. primary completion date: September 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• admission to one of the 9 critical area's

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Critical Illness

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Katholieke Universiteit Leuven

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	most discriminative NAS cut off for identifying medium care patient versus intensive care patient		1 year	No