Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool
<b>Background:</b> 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 sta...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-01-01
|
| Series: | Nursing Reports |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2039-4403/15/1/18 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587794654953472 |
|---|---|
| author | Emanuele Buccione Floriana Pinto Alessio Lo Cascio Viola Palumbo Kerry Hart Allison Marchuk Jessica-Lynn Walsh Alexandra Howlett The Italian Neonatal Nursing Workload Study Group Laura Rasero Davide Ausili Stefano Bambi |
| author_facet | Emanuele Buccione Floriana Pinto Alessio Lo Cascio Viola Palumbo Kerry Hart Allison Marchuk Jessica-Lynn Walsh Alexandra Howlett The Italian Neonatal Nursing Workload Study Group Laura Rasero Davide Ausili Stefano Bambi |
| author_sort | Emanuele Buccione |
| collection | DOAJ |
| description | <b>Background:</b> 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. <b>Methods:</b> This was a validation study. <b>Results:</b> 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, <i>p</i> = 0.01). In the test–retest phase, there was a significant correlation (r = 0.910 and <i>p</i> = 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 <i>p</i> < 0.001). <b>Conclusions:</b> 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). |
| format | Article |
| id | doaj-art-43623c13cd0f4c0982760c28af5bbe9e |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-43623c13cd0f4c0982760c28af5bbe9e2025-01-24T13:44:29ZengMDPI AGNursing Reports2039-439X2039-44032025-01-011511810.3390/nursrep15010018Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs ToolEmanuele Buccione0Floriana Pinto1Alessio Lo Cascio2Viola Palumbo3Kerry Hart4Allison Marchuk5Jessica-Lynn Walsh6Alexandra Howlett7The Italian Neonatal Nursing Workload Study GroupLaura Rasero8Davide Ausili9Stefano Bambi10Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, ItalyDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, ItalyNeonatal Intensive Care Unit, Health Local Authority 3 Pescara, 65124 Pescara, ItalyAlberta Children’s Hospital, Alberta Health Services, Calgary, AB T3B 2X9, CanadaSurgery Strategic Clinic Network, Alberta Health Services, Calgary, AB T3B 2X9, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaCumming School of Medicine, University of Calgary, Calgary, AB T2N 1N4, CanadaDepartment of Health Sciences, University of Florence, 50121 Florence, ItalyDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Monza, ItalyDepartment of Health Sciences, University of Florence, 50121 Florence, Italy<b>Background:</b> 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. <b>Methods:</b> This was a validation study. <b>Results:</b> 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, <i>p</i> = 0.01). In the test–retest phase, there was a significant correlation (r = 0.910 and <i>p</i> = 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 <i>p</i> < 0.001). <b>Conclusions:</b> 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).https://www.mdpi.com/2039-4403/15/1/18neonatal intensive care unitcare complexity indexnewbornspretermnurses |
| spellingShingle | Emanuele Buccione Floriana Pinto Alessio Lo Cascio Viola Palumbo Kerry Hart Allison Marchuk Jessica-Lynn Walsh Alexandra Howlett The Italian Neonatal Nursing Workload Study Group Laura Rasero Davide Ausili Stefano Bambi Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool Nursing Reports neonatal intensive care unit care complexity index newborns preterm nurses |
| title | Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool |
| title_full | Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool |
| title_fullStr | Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool |
| title_full_unstemmed | Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool |
| title_short | Cross-Cultural Adaptation and Validation of a Surgical Neonatal Nursing Workload Tool for an Italian Context: The Italian Winnipeg Surgical Complex Assessment of Neonatal Nursing Needs Tool |
| title_sort | cross cultural adaptation and validation of a surgical neonatal nursing workload tool for an italian context the italian winnipeg surgical complex assessment of neonatal nursing needs tool |
| topic | neonatal intensive care unit care complexity index newborns preterm nurses |
| url | https://www.mdpi.com/2039-4403/15/1/18 |
| work_keys_str_mv | AT emanuelebuccione crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT florianapinto crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT alessiolocascio crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT violapalumbo crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT kerryhart crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT allisonmarchuk crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT jessicalynnwalsh crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT alexandrahowlett crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT theitalianneonatalnursingworkloadstudygroup crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT laurarasero crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT davideausili crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool AT stefanobambi crossculturaladaptationandvalidationofasurgicalneonatalnursingworkloadtoolforanitaliancontexttheitalianwinnipegsurgicalcomplexassessmentofneonatalnursingneedstool |