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Implementation of these transition programmes in clinical practice may be more feasible, because we estimated that one full-time equivalent of manpower of the entire team could take on a case load of 250 300 transitioning patients in this transition programme.
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The mean simplified acute physiology score, versionII was 44.2 and the mean nine equivalent of nursing manpower score per day was 36.2.
Clinical variables were disease category (trauma, medical, surgical and head injury/disease), Simplified Acute Physiology Score (SAPS) II [ 14], Nine Equivalent of Nursing Manpower use score (NEMS) [ 15], MV, duration of MV and length of stay in the ICU (LOS ICU).
The simplified acute physiology score, versionII has routinely been used for severity scoring in patients older than 16 years [ 7], and the nine equivalent of nursing manpower use score [ 8] has been used for resource utilisation in all patients.
Nine Equivalents of Nursing Manpower Use Score.
During the studied period a total of 457 patients were analyzed with a median of NEMS (Nine Equivalents of Nursing Manpower Use Score) of 30; the nurse to patient ratio was 1 4 in the PICU and 1 2 in the AICU.
Similarly, although 46 Nine Equivalents of Nursing Manpower Use Score (NEMS) points were assumed to be equivalent to the nursing activities of one nurse per day, the mean NEMS was only 26.5 in a large sample of ICUs [16].
We extracted from the prospective database Rhea patient's characteristics, intensity of treatment, decisions of limitations of treatment (withholding, withdrawing and anticipated withholding), nurse workload (NEMS: Nine Equivalents of nursing Manpower Score), patient status at ICU and hospital discharge.
The simplest («nine equivalents of nurse manpower use score» [NEMS], care levels) add the difficulty of not being useful for the calculation of staff, because the design is not oriented towards nursing.
To determine the relationship between nursing workload measured through the nine equivalents of nursing manpower use (NEMS) scale and that measured through the nursing activities score (NAS) scale and to analyse staff needs as determined through each of the scales.
Therapeutic Intervention Scoring System (TISS-28) [17], OMEGA [18] and Nine Equivalents of nursing Manpower use Score (NEMS) [19], the most commonly used scores, are derived from the TISS score, which was developed as a severity index.
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