Evidence map›Paper›PMID 39696189›Full record

ArticleBMC nursing2024

Predicting nursing workload in digestive wards based on machine learning: A prospective study.

Yulei Song, Xueqing Zhang, Dan Luo, Jiarui Shi, Qiongqiong Zang, Ye Wang, Haiyan Yin, Guihua Xu, Yamei Bai

Abstract read
In one paragraph

Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yulei Song *School of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Xueqing Zhang *School of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Dan LuoSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Jiarui ShiSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Qiongqiong ZangSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Ye WangSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Haiyan YinSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China.
Guihua XuSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China. guihua.xu@njucm.edu.cn.
Yamei BaiSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, China. czbym@njucm.edu.cn.

Funding

National Natural Science Foundation of China 72004102Youth Fund for Humanities and Social Sciences Research of the Ministry of Education 19YJCZH139
6 · The paper itself

Abstract

backgroundThe process of assessing and allocating nursing staff, as well as evaluating performance, relies heavily on nursing workload, which is strongly associated with patient safety outcomes. Nevertheless, most previous studies have utilized cross-sectional data collection methods, which limit the precision of workload prediction. Static workload models do not incorporate longitudinal changes in influential factors, potentially resulting in delayed or erroneous nursing management decisions and ultimately causing imbalances in nurses' workload.

aimTo employ machine learning algorithms to facilitate the dynamic prediction of nursing workload on the basis of patient characteristics.

methodsThis prospective cohort quantitative study was conducted between March 2019 and August 2021 in two general hospitals located in China. Data on the characteristics of 133 patients over the course of 1339 hospital days, as well as direct nursing time, were collected. A longitudinal investigation of nursing workload was carried out, applying multiple linear regression to identify measurable factors that significantly impact nursing workload. Additionally, machine learning methods were applied to dynamically predict the nursing time needed for each patient.

resultsThe mean direct nursing workload varied greatly across hospitalizations. Significant factors contributing to increased care needs included complications, comorbidities, body mass index (BMI), income, history of past illness, simple clinical score (SCS), and activities of daily living (ADL). The predictive performance improved through machine learning, with the random forest model demonstrated the best performance (root mean square error (RMSE): 1148.38; coefficient of determination (R

conclusionsThe variability in nursing workload during hospitalization is influenced primarily by patient self-care capacity, complications, and comorbidities. The random forest algorithm, a machine learning algorithm, effectively handles a wide range of features, such as patient characteristics, complications, comorbidities, and other factors. This algorithm has demonstrated good performance in predicting workload. IMPLICATIONS FOR NURSING MANAGEMENT: This study introduces a quantitative model designed to evaluate nursing workload throughout the duration of hospitalization. By employing the model, nursing managers can consider multiple factors that impact workload comprehensively, resulting in enhanced comprehension and interpretation of workload variations. Through the application of a random forest algorithm for workload prediction, nursing managers can anticipate and estimate workload in a proactive and precise manner, thereby facilitating more efficient human resource planning.

Indexed as

Machine learningNursing workloadPrediction

Identifiers

PMID39696189
PMCPMC11657428

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.