This study explores nursing workload measurement and visualization in pediatric intensive care units (PICUs) through a medical informatics lens. The complexity of nursing tasks in PICUs makes workload assessment challenging. However, evidence suggests that higher workloads are associated with adverse outcomes. The literature from 1990 to 2024 was reviewed using CINAHL, PubMed, and Google Scholar, and 15 articles (8 in Japanese and 7 in English) were analyzed to include both regional and international perspectives. Several workload assessment tools (TISS-28, NEMS, CAMEO, and NAS) were identified, revealing large performance differences between new and experienced nurses. A key finding indicates that the current medical remuneration system fails to account for variations in nurses' skill levels. This study proposes linking CAMEO-based nursing actions with the Japanese standardized nursing action master to quantify expertise in clinical information systems, which may improve both evaluation and remuneration of care.
Takami et al. (Thu,) studied this question.