Marga Hoogendoorn

29 Table 1. Continued. Scoring system (Year 1 st publication) Score per shift or per 24h Main content Scoring method 10. WICSS (1993) 24 Weezenlanden IC Scoring System Per shift Classification of nursing activities - 111 nursing activities in direct and indirect nursing patient care - 1-20 points per activity - 1 point is 6 minutes 11. Acuity tool (1995) 25 Per 24h Classification of nursing intensity - Five categories of nursing care intensity; minimal till life-support - Estimated hours of nursing time per category 12. CCPD (1996) 26 Critical Care Dependency System Per shift Classification of nursing intensity - 7 nursing activity related groups - 1 – 4 points of nursing intensity per activity, 1 is low and 4 is high intensity - Total points categorized to estimated nursing time 13. TISS-28 (1996) 27 Therapeutic Intervention Scoring System Per 24h Classification of medical interventions - Simplified version of the TISS-76 with 28 therapeutic medical interventions - 1-4 points per intervention. - Total score categorized into four levels of care with expected Nurse:Patient-ratio 14. CritScore (1996) 28 Per 24h Classification of medical interventions - 70 therapeutic medical interventions - 1-4 points per intervention - Total score categorized into four levels of care with expected Nurse:Patient-ratio 15. NEMS (1997) 29 Nine Equivalents of Nursing Manpower Per shift or per 24h Classification of medical interventions - Simplified version of the TISS-28 with 9 activities performed on an IC - 1-8 points per activity - Total score categorized into four levels of care with expected Nurse:Patient-ratio 16. Acuity System (1999) 30 Per 24h Classification of estimated nursing time - Assignment of patient to level I-V description of the expected nursing time for level V 17. ICNSS (2001) 31 Intensive Care Nursing Scoring System Per shift Classification of nursing intensity - 16 different health problems of patients - 1 point (preventive) - 4 points (compensatory) - Points representing intensity of nursing care - Total score categorized to different Nurse:Patient-ratios. 18. Perroca’s instrument (2002) 32 Per 24h Classification of nursing intensity - Nine areas of the care process - Complexity of care per area graded from 1- 4. - Total score categorized to levels of care with a description of expected nursing time for an ICU patient.

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