Marga Hoogendoorn

CONTENTS Chapter 1 General introduction 8 Chapter 2 Workload scoring systems in Intensive Care and their ability to quantify the need for nursing workload: a systematic literature review 20 Chapter 3 Validation of the Nursing Activities Score (NAS) using time- and-motion measurements in Dutch intensive care units 52 Chapter 4 The objective nursing workload and perceived nursing workload; analysis of association 70 Chapter 5 A bell-shaped association between both the objective and perceived nursing workload and workload satisfaction of Intensive Care nurses 88 Chapter 6 The impact of COVID-19 on nursing workload and planning of nursing staff in Intensive Care; a prospective descriptive multicenter study 104 Chapter 7 General Discussion 126 Summary 141 Samenvatting (Nederlands) 145 Appendices 151 Curriculum Vitae 165 Portfolio 167 List of Publications 171 Author contributions 175 Dankwoord 179

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