scholarly journals Nursing workload in intensive care units and the influence of patient and nurse characteristics

2020 ◽  
Author(s):  
Kolsoom Nasirizad Moghadam ◽  
Minoo Mitra Chehrzad ◽  
Shademan Reza Masouleh ◽  
Abbas Mardani ◽  
Maryam Maleki ◽  
...  
Aquichan ◽  
2011 ◽  
Vol 11 (2) ◽  
pp. 173-186 ◽  
Author(s):  
Elizabeth Romero-Massa ◽  
Johana Patricia Lorduy-Bolívar ◽  
Carmen Pájaro-Melgar ◽  
Carolina Andrea Pérez-Duque ◽  

Objetivo: determinar la relación entre la demanda de carga laboral de enfermería y la gravedad del paciente en unidades de cuidados intensivos de adultos en la ciudad de Cartagena, en el mes de julio de 2008. Método: investigación de corte longitudinal. Muestra de 42 pacientes, se obtuvieron registros TISS-28 y registros Apache II. Se realizó el cálculo de media aritmética, desviación estándar y proporciones, así como el cálculo del coeficiente de correlación de Pearson. Resultados: participaron 42 pacientes; la media para la edad fue 58,2 años (IC 95% 52,1-64,4). El 51,3% fueron mujeres. Se obtuvieron 42 calificaciones del Apache II al ingreso de los pacientes a la UCI con un promedio de 28,9, de los cuales el 66,7% (28) tienen un mal pronóstico, y 188 calificaciones de TISS-28, con un promedio de 28,7 (IC 95% 25,7-31,7). El promedio de TISS de egreso fue de 25,7 (IC 95% 22,4-28,9) por paciente. El 61,9% de los pacientes perteneció a la clase III. La razón enfermera/paciente clase IV fue de 0,57 inferior a 1:1(1). Se encontró una asociación entre el Apache II y TISS-28 de 0,55 (0,501-0,75) y un coeficiente de determinación de 0,38 (p<0,05). Conclusiones: existe una moderada correlación entre el TISS-28 y el Apache II dejando ver sobrecarga de trabajo de enfermería en las UCI, lo que repercute en la atención directa al paciente crítico.


2021 ◽  
Vol 113 ◽  
pp. 103780
Author(s):  
Charlotte C. Margadant ◽  
Nicolette F. de Keizer ◽  
Marga E. Hoogendoorn ◽  
Rob J. Bosman ◽  
Jan Jaap Spijkstra ◽  
...  

2021 ◽  
Vol 114 ◽  
pp. 103852
Author(s):  
M.E. Hoogendoorn ◽  
S. Brinkman ◽  
J.J. Spijkstra ◽  
R.J. Bosman ◽  
C.C. Margadant ◽  
...  

2013 ◽  
Vol 29 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Alda Ferreira Queijo ◽  
Renata Soares Martins ◽  
Rafaela Andolhe ◽  
Elaine Machado Oliveira ◽  
Ricardo Luis Barbosa ◽  
...  

Author(s):  
Georgia Fasoi ◽  
Eirini C. Patsiou ◽  
Areti Stavropoulou ◽  
Evridiki Kaba ◽  
Dimitrios Papageorgiou ◽  
...  

Introduction: Nursing activities score scales are valuable instruments for assessing the quality of nursing care provided in critically ill patients and easy to use in validating nurse staffing. The aim of this study was the assessment of nursing workload (NW) as a predictive factor of mortality by using the nursing activities score (NAS) scale. Materials and Methods: In this cross-sectional study of 91 days during 2019, convenience sampling was employed to recruit 82 registered nurses (RN) from three intensive care units (ICUs) of two public hospitals with 41 beds in total. Data were collected using the NAS scale, the researcher’s observation, the information given by the staff, and the nursing care reports. Descriptive and inductive statistics were used with significance level α = 0.05. The Statistical Package for Social Sciences (SPSS 25.0) was used for analyzing the data. Results: Females were the majority of the sample (84.1%), with a mean age of 38.9 (7.7) years, 87.8% had a nursing degree from a technological educational institute (T.E.I), the average working experience was 14 (8.1) years and the ICU experience was 12.9 (8.5) years. There were 3764 daily records of NAS with an average of 54.81 (2.34) and total NAS of 756.51 (150.27). The NW of the first day’s admission in the ICU was 65.15 (13.05), NW was 13.15 h/day and the NW of patients who died was 57.37 (4.06). The optimal nurse/patient ratio (NPR) was 1:1.82, while the existing NPR was 1:2.86. The mortality rate was 28.7%. Conclusion: Although the study results did not demonstrate a significant correlation between NW and mortality, the NW in ICU appeared to be relatively higher for patients who died than for those who survived. This result may serve as an indication for a positive correlation between these two variables. In addition, NW was found to be moderate, while one ICU nurse can take care of more than one patient.


Author(s):  
Diana Isabel Cáceres Rivera ◽  
Claudia Consuelo Torres ◽  
Luis Alberto López Romero

ABSTRACT Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing workload was estimated based on the NAS. A descriptive and bivariate analysis stratified by ICU was performed using a robust multiple linear regression model, and the factors associated with the nursing workload (p < 0.05) were estimated. Results: In this study, 362 records were included. The median NAS was 68.1 points (Q1:47.2–Q3:116.7). APACHE II (β = 3.13, CI: 95% 2.28; 3.98), days of stay in ICU ≥3 (β = 16.78, CI: 95% 6.15; 27.41), surgery provenance service (β = 22.31, CI: 95% 9.76; 34.86), and traumatology and emergencies diagnostic category (β = 33.72, CI 95%: 9.90; 57.53) were associated with high NAS scores. Conclusion: The nursing staff spend approximately 70% of their time on a single patient, and administrative work takes up most of their time. Hospital stays of longer than 3 days, high APACHE II score, coming from the surgery department, and having a diagnosis of trauma and emergency were associated with a high workload.


2014 ◽  
Vol 16 (8) ◽  
Author(s):  
Mohammad Karim Bahadori ◽  
Ramin Ravangard ◽  
Mehdi Raadabadi ◽  
Seyed Masod Mosavi ◽  
Mohammad Gholami Fesharaki ◽  
...  

2020 ◽  
Vol 10 (32) ◽  
pp. 3-10
Author(s):  
Meire Cristina Novelli e Castro ◽  
Priscila Masquetto Vieira de Almeida ◽  
Magda Cristina Queiroz Dell’Acqua ◽  
Wilza Carla Spiri ◽  
Claudia Maria Silva Cyrino ◽  
...  

O objetivo deste estudo foi analisar a variação na carga de trabalho de enfermagem em UTI e a tendência com o Escore Eletrônico de Atividades de Enfermagem em UTI. Os dados foram coletados a partir dos resultados das avaliações do Nursing Activities Score (NAS), realizadas por enfermeiros em uma UTI de hospital público, entre setembro de 2007 a julho de 2014, totalizando 83 meses. Um total de 35.262 aferições do NAS foram realizadas em 4.731 pacientes. Os resultados mostraram evolução ascendente do NAS com uma tendência ao aumento da carga de trabalho. Ao considerar o início da série histórica entre os últimos cinquenta meses, tem-se o aumento mensal de 0,26, o que evidencia o aumento da carga de trabalho de enfermagem em UTI mês a mês continuamente. Conclui-se que a série temporal demonstrou que houve um aumento da carga de trabalho de enfermagem em UTI de forma contínua e ascendente.Descritores: Unidades de Terapia Intensiva, Carga de Trabalho, Enfermagem. Temporal assessment of the nursing workload in the ICUAbstract: The aim of this study was to analyze the variation in the nursing workload in the ICU and the trend with the Electronic Nursing Activities Score in the ICU. Data were collected from the results of the Nursing Activities Score (NAS) assessments, performed by nurses in a public hospital ICU, between September 2007 and July 2014, totaling 83 months. A total of 35,262 NAS measurements were performed in 4,731 patients. The results showed an upward evolution of the NAS with a tendency to increase the workload. When considering the beginning of the historical series between the last fifty months, there is a monthly increase of 0.26, which evidences the increase of the nursing workload in the ICU month by month continuously. It was concluded that the time series demonstrated that there was an increase in the nursing workload in the ICU in a continuous and ascending manner.Descriptors: Intensive Care Units, Workload, Nursing. Valoración temporal de la carga de trabajo de enfermería en la UCIResumen: El objetivo de este estudio fue analizar la variación en la carga de trabajo de enfermería en la UCI y la tendencia con la puntuación electrónica de las actividades de enfermería en la UCI. Los datos fueron recolectados de los resultados de las evaluaciones del Puntaje de Actividades de Enfermería (NAS), realizadas por enfermeras en una UCI de un hospital público, entre septiembre de 2007 y julio de 2014, totalizando 83 meses. Se realizaron un total de 35,262 mediciones NAS en 4,731 pacientes. Los resultados mostraron una evolución ascendente del NAS con una tendencia a aumentar la carga de trabajo. Cuando se considera el comienzo de la serie histórica entre los últimos cincuenta meses, hay un aumento mensual de 0.26, lo que evidencia el aumento de la carga de trabajo de enfermería en la UCI mes a mes continuamente. Se concluyó que la serie temporal demostró que hubo un aumento en la carga de trabajo de enfermería en la UCI de manera continua y ascendente.Descriptores: Unidades de Cuidados Intensivos, Carga de Trabajo, Enfermería. 


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