Buccione Emanuele, Pinto Floriana, Lo Cascio Alessio, Palumbo Viola, Hart Kerry, Marchuk Allison, Walsh Jessica-Lynn, Howlett Alexandra, Rasero Laura, Ausili Davide, Bambi Stefano
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.
Neonatal Intensive Care Unit, Health Local Authority 3 Pescara, 65124 Pescara, Italy.
Nurs Rep. 2025 Jan 10;15(1):18. doi: 10.3390/nursrep15010018.
Complexity of care, adequate staffing levels, and workflow are key factors affecting nurses' workloads. There remain notable gaps in the current evidence regarding clinical complexity classification and related staffing adjustment, limiting the capacity for optimal staffing practices. This study aimed to adapt and validate the Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool (WANNNT-SC) for an Italian context to allow the assessment of newborns admitted to NICUs. This was a validation study. To evaluate the reliability of the tool among different professionals, a correlation test was performed using Pearson's correlation, which revealed a strong correlation (r = 0.967, = 0.01). In the test-retest phase, there was a significant correlation (r = 0.910 and = 0.01). Using an analysis of variance, we found that the higher the I-WANNNT-SC score was, the higher the predicted death rate (F = 13.05 and < 0.001). The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool represents the first tool available for an Italian context that aims to measure the nursing workload in neonatal intensive care. It could allow adjustments in nursing staffing based on NICU activities and patient needs. This study was prospectively approved by the local Ethics Committee "Palermo 1" (Protocol CI-NICU-00).
护理的复杂性、充足的人员配备水平和工作流程是影响护士工作量的关键因素。目前关于临床复杂性分类和相关人员配备调整的证据仍存在显著差距，限制了最佳人员配备实践的能力。本研究旨在对温尼伯新生儿护理需求手术综合评估工具（WANNNT-SC）进行调整和验证，以适用于意大利的情况，从而能够对入住新生儿重症监护病房（NICU）的新生儿进行评估。这是一项验证性研究。为了评估该工具在不同专业人员中的可靠性，使用皮尔逊相关性进行了相关性测试，结果显示出很强的相关性（r = 0.967，P = 0.01）。在重测阶段，存在显著相关性（r = 0.910，P = 0.01）。通过方差分析，我们发现I-WANNNT-SC得分越高，预测死亡率越高（F = 13.05，P < 0.001）。意大利版温尼伯新生儿护理需求手术综合评估工具是首个适用于意大利情况的、旨在衡量新生儿重症监护护理工作量的工具。它可以根据NICU的活动和患者需求调整护理人员配备。本研究已获得当地伦理委员会“巴勒莫1”的前瞻性批准（方案CI-NICU-00）。
