Marga Hoogendoorn

28 Table 1. Scoring systems. Scoring system (Year 1 st publication) Score per shift or per 24h Main content Scoring method Systems measuring nursing and/or therapeutic interventions 1. TISS-76 (1974) 15 Therapeutic Intervention Scoring System Per 24h Classification of medical interventions - 76 medical interventions - 1-4 points per intervention - Total score categorized into four levels of care with expected Nurse:Patient-ratio. 2. PRN-system (1978) 16 Project Research in Nursing Per 24h Classification of nursing interventions - 8 categories of nursing interventions - 35 tasks per category - 1 - 20 points per nursing task - 1 point is 5 minutes. 3. NISS (1978) 17 Nursing Intervention Scoring System Per shift Classification of nursing interventions - 15 categories of nursing interventions - 1-4 points scale of nursing care (preventive till compensatory nursing) - 1 point is 6.75 minutes 4. Classification system of Jackson Memorial Medical Centre (1979) 18 Per shift Classification of nursing interventions - 44 nursing interventions - 1-6 points score per intervention. - 1 point is 4 minutes 5. NDS (1983) 19 Nurse Dependency Scoring System Per shift Classification of nurse dependency - 6 categories of nurse-dependency - Score of 0-4 per category - Total score categorized to different Nurse:Patient-ratios. 6. Computerized Acuity System (1986) 20 Per shift Classification of nursing activities - Software program calculating direct and indirect nursing activities from a care plan - Calculation of points representing the nursing time per activity - 1 point is 1 minute 7. PINI (1988) 21 Patient Intensity for Nursing Index Per shift Classification of nursing intensity - 12 dimensions of nursing care (i.e. complexity tasks, complications, mobility) - Level I – V per dimension, representing the complexity of nursing care (basic till intense/high or complex) 8. TOSS (1991) 22 Time Oriented Score System Per 24h Classification of nursing activities - List of nursing 14 activities - Categories of estimated time per activity. 9. NCR-11 (1992) 23 Nursing Care Recording System Per shift Classification of nursing activities - Description of nursing contribution to 11 categories of nursing and medical procedures - 1-3 points per category, points representing intensity - Total oints categorized to estimated nursing time