Process / pipelineWorkload measurement and staffing assessment
Nursing Workload NEMS
The Nine Equivalents of Nursing Manpower Use Score (NEMS) is a validated assessment instrument specifically designed to quantify nursing workload in intensive care unit (ICU) settings. Developed by Miranda, Moreno, and Iapichino, NEMS measures the intensity of nursing care required based on therapeutic interventions and patient monitoring activities. Unlike severity of illness scores that focus on mortality risk, NEMS directly measures the nursing effort expended, making it particularly useful for ICU staffing decisions and workload documentation.
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Sources
- Miranda, D. R., Moreno, R., & Iapichino, G. (1997). Nine equivalents of nursing manpower use score (NEMS). Intensive Care Medicine, 23(7), 760-765. DOI: 10.1007/s001340050406 ↗
- Cullen, D. J., Civetta, J. M., Briggs, B. A., & Ferrara, L. C. (1974). Therapeutic Intervention Scoring System (TISS): A method for quantitative comparison of patient acuity. Critical Care Medicine, 2(2), 57-60. DOI: 10.1097/00003246-197402000-00001 ↗