He Mengli^1,, Fu Yingping¹, Duan Baofeng²

Objective: To systematically evaluate the effectiveness of the critical care nursing scoring system in the human resource allocation of ICU nurses. METHODS: A computer search of The Cochrane Library, PubMed, EMbase, Web of Science, CINAHL, China Biomedical Literature Database, China Knowledge Network, Wanfang and Weipu databases for literature on the critical care nursing scoring system in ICU nurse human resource allocation was conducted with a search time frame of build to November 2022.Two researchers screened the literature and extracted data according to inclusion and exclusion criteria, and the Cochrane Risk of Bias Assessment Tool was used for methodological quality assessment and RevMan 5. 3 software was used for statistical analysis. RESULTS: Fifteen studies were ultimately included. Meta-analysis results showed that the intensive care scoring system reduced inpatient length of stay [MD: -1.36, 95% CI (-3.44, -2.88)], inpatient healthcare costs [MD: -0.87, 95% CI (-0.94, - 0.81)], reduced the incidence of inpatient complications [OR: 0.33, 95% CI( 0.23, 0.46)], improved patient and family satisfaction [OR: 4.89, 95% CI (3.27, 7.30)], and improved nurse job satisfaction [OR:5.65, 95% CI (2.73, 11.70)]. CONCLUSION: The included literature the evaluation results were of moderate quality and could be improved in terms of blinding and allocation concealment. The critical care nursing scoring system was able to reduce patient hospital costs, reduce length of stay, reduce the incidence of complications, improve patient and family satisfaction with nursing care, and improve nurse satisfaction with nursing care to some extent, and more high-quality literature should be included for further evaluation in the future.

intensive care scoring system, human resource allocation, ICU, system evaluation, Intensive Care Unit (ICU)