Nursing Activities Score and workload in the intensive care unit of a university hospital
| Autor: | Danielle Kamiji, Lucienne Tibery Queiroz Cardoso, Cintia Magalhães Carvalho Grion, Tiemi Matsuo, Djavani Blum, Caio Fabrício Fonseca Veiga, Caio Cesar Takeshi Matsubara, Álan Roger Gomes Barbosa, Cesar Castello Branco Lopes, Josiane Festti, Aline Bobato Lara, Juliana Aparecida Morini Altafin, MT Tanita |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Nursing staff Hospitals university Adolescent MEDLINE Nursing workload Workload Nursing Staff Hospital Critical Care and Intensive Care Medicine Nurse's Role law.invention Young Adult Nursing team Nursing law Medicine Humans Longitudinal Studies Prospective Studies Young adult APACHE Aged Aged 80 and over Intensive care units business.industry General Medicine Original Articles Length of Stay Middle Aged University hospital Intensive care unit Severity of illness index Adult intensive care unit Female business |
| Zdroj: | Revista Brasileira de Terapia Intensiva |
| ISSN: | 1982-4335 |
| Popis: | Objective The nursing workload consists of the time spent by the nursing staff to perform the activities for which they are responsible, whether directly or indirectly related to patient care. The aim of this study was to evaluate the nursing workload in an adult intensive care unit at a university hospital using the Nursing Activities Score (NAS) instrument. Methods A longitudinal, prospective study that involved the patients admitted to the intensive care unit of a university hospital between March and December 2008. The data were collected daily to calculate the NAS, the Acute Physiology and Chronic Health Evaluation (APACHE II), the Sequential Organ Failure Assessment (SOFA) and the Therapeutic Intervention Scoring System (TISS-28) of patients until they left the adult intensive care unit or after 90 days of hospitalization. The level of significance was set at 5%. Results In total, 437 patients were evaluated, which resulted in an NAS of 74.4%. The type of admission, length of stay in the intensive care unit and the patients’ condition when leaving the intensive care unit and hospital were variables associated with differences in the nursing workload. There was a moderate correlation between the mean NAS and APACHE II severity score (r=0.329), the mean organic dysfunction SOFA score (r=0.506) and the mean TISS-28 score (r=0.600). Conclusion We observed a high nursing workload in this study. These results can assist in planning the size of the staff required. The workload was influenced by clinical characteristics, including an increased workload required for emergency surgical patients and patients who died. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|