@article{2987813,
    title = "Validation of the nursing workload scoring systems “Nursing Activities Score” (NAS), and “Therapeutic Intervention Scoring System for Critically Ill Children” (TISS-C) in a Greek Paediatric Intensive Care Unit",
    author = "Nieri, A.-S. and Manousaki, K. and Kalafati, M. and Padilha, K.G. and Stafseth, S.K. and Katsoulas, T. and Matziou, V. and Giannakopoulou, M.",
    journal = "Intensive and Critical Care Nursing",
    year = "2018",
    volume = "48",
    pages = "3-9",
    publisher = "Churchill Livingstone",
    issn = "0964-3397",
    doi = "10.1016/j.iccn.2018.03.005",
    keywords = "article;  child;  clinical article;  correlation coefficient;  critically ill patient;  female;  gold standard;  Greece;  Greek (language);  human;  human tissue;  information processing;  male;  nursing;  pediatric hospital;  pediatric intensive care unit;  reliability;  scoring system;  statistics;  validation process;  validity;  workload;  adolescent;  APACHE;  critical illness;  hospitalized child;  infant;  nursing staff;  pediatric intensive care unit;  preschool child;  reproducibility;  translating (language);  validation study, Adolescent;  APACHE;  Child;  Child, Hospitalized;  Child, Preschool;  Critical Illness;  Female;  Greece;  Humans;  Infant;  Intensive Care Units, Pediatric;  Male;  Nursing Staff, Hospital;  Reproducibility of Results;  Translating;  Workload",
    abstract = "Objectives: To assess the reliability and validity of the Greek version of Nursing Activities Score (NAS), and Therapeutic Intervention Scoring System for Critically Ill Children (TISS-C) in a Greek Paediatric Intensive Care Unit (PICU). Research methodology: A methodological study was performed in one PICU of the largest Paediatric Hospital in Athens-Greece. The culturally adapted and validated Greek NAS version, enriched according to the Norwegian paediatric one (P-NAS), was used. TISS-C and Norwegian paediatric interventions were translated to Greek language and backwards. Therapeutic Intervention Scoring System (TISS-28) was used as a gold standard. Two independent observers simultaneously recorded 30 daily P-NAS and TISS-C records. Totally, 188 daily P-NAS, TISS-C and TISS-28 reports in a sample of 29 patients have been obtained during five weeks. Descriptive statistics, reliability and validity measures were applied using SPSS (ver 22.0) (p ≤ 0.05). Results: Kappa was 0.963 for P-NAS and 0.9895 for TISS-C (p < 0.001) and Intraclass Correlation Coefficient for all scale items of TISS-C was 1.00 (p < 0.001). P-NAS, TISS-28 and TISS-C measurements were significantly correlated (0.680 ≤ rho ≤ 0.743, p < 0.001). The mean score(±SD) for TISS-28, P-NAS and TISS-C was 23.05(±5.72), 58.14(±13.98) and 20.21(±9.66) respectively. Conclusion: These results support the validity of P-NAS and TISS-C scales to be used in greek PICUs. © 2018 Elsevier Ltd"
}