Mapping nursing interventions using the Therapeutic Intervention Scoring System in bloodless liver transplantations

The Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine the nursing workload, diagnostic, monitoring and therapeutic needs. To evaluate nursing activities of “King’s-TISS” score grouped in organ systems...

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Published inIntensive & critical care nursing Vol. 61; p. 102917
Main Authors Rengeiné, T.K., Tihanyi, E., Dinya, E., Smudla, A., Kóbori, L., Kanizsai, P., Fazakas, J.
Format Journal Article
LanguageEnglish
Published Newcastle Elsevier Ltd 01.12.2020
Elsevier Limited
Subjects
Blood
Blood products
Bloodless transplantation
Clinical decision making
Clinical medicine
Creatinine
Critical care
Decision making
Field study
Hemostasis
Illnesses
Immunology
Intensive care
Intervention
Liver
Liver diseases
Liver transplants
Mapping
Nursing
Nursing care
Nursing workload
Patients
Physiology
Transplants
Transplants & implants
Workforce planning
Workloads
Intensive care
Bloodless transplantation
Hemostasis
Nursing workload
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Abstract The Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine the nursing workload, diagnostic, monitoring and therapeutic needs. To evaluate nursing activities of “King’s-TISS” score grouped in organ systems and nurse patient ratio in the perioperative 48 hours of blood product free liver transplantations (LT). The “King’s-TISS” score’s were analysed by nursing procedures and grouped, scored according to organ systems. The nursing workloads were studied during LT (T1), on arrival on the ICU (T2) and 12–24-48 hours after LT (T3-T4-T5). The total of “King’s-TISS” score points were decreased by ≥20% daily (p = 0.001). The mean score of 104 ± 3.5 points (CI:104–105) during LT decreased to 84.7 ± 12 points (CI:83–86) in 48 hours (T5). The “metabolic” and “haemostasis” points increased (p = ).01), the “immunology” points unchanged (T2-T5) postoperatively. A slight decrease was observed in case of “basic nursing care”, “monitoring”, “neurologic support”, “renal support” and “cardiovascular support” points (T2-T5, p < .01). The “invasive intervention” and “ventilatory support” points strongly decreased (T2-T5, p < .001). One “King’s-TISS” point was found to equal 7.4 minutes with a nurse patient ratio of 2:1 intraoperatively and 1:1 postoperatively. Absence of blood product administration in LT decreases the total and organ specific workload, except the metabolic, haemostasis, immunology and basic support requirement. It was not within the scope of the King’s-TISS score to analyse the application of viscoelastic haemostasis test and coagulation factor concentrate administration.
AbstractList BACKGROUNDThe Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine the nursing workload, diagnostic, monitoring and therapeutic needs. OBJECTIVESTo evaluate nursing activities of "King's-TISS" score grouped in organ systems and nurse patient ratio in the perioperative 48 hours of blood product free liver transplantations (LT). METHODSThe "King's-TISS" score's were analysed by nursing procedures and grouped, scored according to organ systems. The nursing workloads were studied during LT (T1), on arrival on the ICU (T2) and 12-24-48 hours after LT (T3-T4-T5). RESULTSThe total of "King's-TISS" score points were decreased by ≥20% daily (p = 0.001). The mean score of 104 ± 3.5 points (CI:104-105) during LT decreased to 84.7 ± 12 points (CI:83-86) in 48 hours (T5). The "metabolic" and "haemostasis" points increased (p = ).01), the "immunology" points unchanged (T2-T5) postoperatively. A slight decrease was observed in case of "basic nursing care", "monitoring", "neurologic support", "renal support" and "cardiovascular support" points (T2-T5, p < .01). The "invasive intervention" and "ventilatory support" points strongly decreased (T2-T5, p < .001). One "King's-TISS" point was found to equal 7.4 minutes with a nurse patient ratio of 2:1 intraoperatively and 1:1 postoperatively. CONCLUSIONAbsence of blood product administration in LT decreases the total and organ specific workload, except the metabolic, haemostasis, immunology and basic support requirement. It was not within the scope of the King's-TISS score to analyse the application of viscoelastic haemostasis test and coagulation factor concentrate administration.
The Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine the nursing workload, diagnostic, monitoring and therapeutic needs. To evaluate nursing activities of “King’s-TISS” score grouped in organ systems and nurse patient ratio in the perioperative 48 hours of blood product free liver transplantations (LT). The “King’s-TISS” score’s were analysed by nursing procedures and grouped, scored according to organ systems. The nursing workloads were studied during LT (T1), on arrival on the ICU (T2) and 12–24-48 hours after LT (T3-T4-T5). The total of “King’s-TISS” score points were decreased by ≥20% daily (p = 0.001). The mean score of 104 ± 3.5 points (CI:104–105) during LT decreased to 84.7 ± 12 points (CI:83–86) in 48 hours (T5). The “metabolic” and “haemostasis” points increased (p = ).01), the “immunology” points unchanged (T2-T5) postoperatively. A slight decrease was observed in case of “basic nursing care”, “monitoring”, “neurologic support”, “renal support” and “cardiovascular support” points (T2-T5, p < .01). The “invasive intervention” and “ventilatory support” points strongly decreased (T2-T5, p < .001). One “King’s-TISS” point was found to equal 7.4 minutes with a nurse patient ratio of 2:1 intraoperatively and 1:1 postoperatively. Absence of blood product administration in LT decreases the total and organ specific workload, except the metabolic, haemostasis, immunology and basic support requirement. It was not within the scope of the King’s-TISS score to analyse the application of viscoelastic haemostasis test and coagulation factor concentrate administration.
ArticleNumber 102917
Author Rengeiné, T.K.
Tihanyi, E.
Dinya, E.
Kanizsai, P.
Kóbori, L.
Fazakas, J.
Smudla, A.
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Keywords Intensive care
Bloodless transplantation
Hemostasis
Nursing workload
Language English
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Snippet The Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine the nursing...
BackgroundThe Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine...
BACKGROUNDThe Simplified Therapeutic Intervention Scoring System adapted to liver transplantation by King's College Hospital rank 138 activities to determine...
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crossref
elsevier
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StartPage 102917
SubjectTerms Blood
Blood products
Bloodless transplantation
Clinical decision making
Clinical medicine
Creatinine
Critical care
Decision making
Field study
Hemostasis
Illnesses
Immunology
Intensive care
Intervention
Liver
Liver diseases
Liver transplants
Mapping
Nursing
Nursing care
Nursing workload
Patients
Physiology
Transplants
Transplants & implants
Workforce planning
Workloads
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Title Mapping nursing interventions using the Therapeutic Intervention Scoring System in bloodless liver transplantations
URI https://dx.doi.org/10.1016/j.iccn.2020.102917
https://www.proquest.com/docview/2460598809
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