Nursing workload and patient‐focused outcomes in intensive care: A systematic review.

Autor:	Ross, Paul, Howard, Bethany, Ilic, Dragan, Watterson, Jason, Hodgson, Carol L.
Předmět:	NURSING audit EVALUATION of medical care LENGTH of stay in hospitals CINAHL database MEDICAL databases INTENSIVE care units CONFIDENCE intervals SYSTEMATIC reviews PRESSURE ulcers PATIENT-centered care CRITICAL care nurses INDUSTRIAL psychology DESCRIPTIVE statistics ACCIDENTAL falls ADVERSE health care events MEDLINE ODDS ratio TRACHEA intubation
Zdroj:	Nursing & Health Sciences; Dec2023, Vol. 25 Issue 4, p497-515, 19p
Abstrakt:	The aim of this systematic review was to examine the association of nursing workload on patient outcomes in intensive care units. The primary outcome measure was patient mortality, with adverse events (AE), the secondary outcome measures. Electronic search of databases including MEDLINE, CINAHL, Cochrane, EMCARE, Scopus, and Web of Science were performed. Studies were excluded if they were in non‐ICU settings, pediatric, neonatal populations, or if the abstract/full text was unavailable. Risk of bias was assessed by the ROBINS‐I tool. After screening 4129 articles, 32 studies were identified as meeting inclusion criteria. The majority of included studies were assessed as having a moderate risk of bias. The nursing activities score (NAS) was the most frequently used tool to assess nursing workload. Our systematic review identified that higher nursing workload was associated with patient‐focused outcomes, including increased mortality and AE in the intensive care setting. The varied approaches of measuring and reporting nursing workload make it difficult to translate the findings of the impact of nursing workload on patient outcomes in intensive care settings. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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