title: Moving on from 'patient dependency' and 'nursing workload' to managing risk in critical care.
abstract: The contribution nurses make to the management of critically ill patients is usually appraised through the use of concepts such as 'patient dependency' or 'nursing workload'. These concepts fail to address the knowledge, skills and experience of nurses and consequently fail to acknowledge the risk presented by critically ill patients. This paper describes the development of a tool that attempts to measure risk and the process of risk management undertaken by nurses who coordinate the shifts and lead the nursing team. The results of this pilot study indicated that the tool was valid, but reliability has not yet been demonstrated. Thus the tool requires further refinement and testing. We chose to publish at this time because we feel the paper offers a new way of examining the contribution of nurses working in critical care.
authors.affiliation: Royal Free Hampstead NHS Trust, London NW3 2QG, UK. carol.ball@rfh.nthames.nhs.uk
authors.forename: Carol
authors.initials: C
authors.lastname: Ball
authors.forename: Guy
authors.initials: G
authors.lastname: Walker
authors.forename: Paul
authors.initials: P
authors.lastname: Harper
authors.forename: Deborah
authors.initials: D
authors.lastname: Sanders
authors.forename: Maura
authors.initials: M
authors.lastname: McElligott
mesh_terms: D000203:Activities of Daily Living; D002322:Career Mobility; D002983:Clinical Competence / Q000592:standards; D003422:Critical Care / Q000458:organization & administration*; D006801:Humans; D020380:Needs Assessment / Q000458:organization & administration*; D024802:Nurse's Role; D015401:Nursing Administration Research; D009730:Nursing Assessment / Q000458:organization & administration*; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration*; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D018802:Patient-Centered Care / Q000458:organization & administration; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration*; D010687:Philosophy, Nursing; D010865:Pilot Projects; D018570:Risk Assessment / Q000458:organization & administration*; D016526:Workload