Identifying Performance Obstacles among Intensive Care Nurses

2005 ◽  
Vol 49 (11) ◽  
pp. 1019-1023 ◽  
Author(s):  
Ayse P. Gurses ◽  
Pascale Carayon
Keyword(s):  
Intensive Care ◽  
Work Organization ◽  
Cross Sectional Study ◽  
Physical Work ◽  
Nursing Workload ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Quality Of Working Life ◽  
Intensive Care Nurses ◽  
Performance Obstacles

In this paper, we compare findings of two studies aimed at identifying performance obstacles among intensive care nurses. The first study is a qualitative study where data was collected from 15 intensive care nurses using individual, semi-structured interviews. The second study is a cross-sectional study conducted among 298 nurses from 17 intensive care units (ICUs) of seven hospitals using a questionnaire survey. Based on the results of these two studies, the most commonly experienced performance obstacles among ICU nurses include inadequate help from others, tools and equipment, ineffective inter-provider communication, materials and supplies, poor physical work environment, and family issues. The results of these two studies have implications regarding efforts aimed at redesigning ICU work organization in order to reduce nursing workload and improve quality of working life and quality and safety of care.

scholarly journals Burnout and depressive symptoms in intensive care nurses: relationship analysis

2018 ◽  
Vol 71 (1) ◽  
pp. 135-141 ◽  
Author(s):  
Eduardo Motta de Vasconcelos ◽  
Milva Maria Figueiredo De Martino ◽  
Salomão Patrício de Souza França
Keyword(s):  
Intensive Care ◽  
Depressive Symptoms ◽  
Beck Depression Inventory ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Exact Test ◽  
Intensive Care Nurses ◽  
Relationship Analysis ◽  
Quantitative Descriptive

ABSTRACT Objective: To analyze the existence of a relationship between burnout and depressive symptoms among intensive care unit nursing staff. Method: A quantitative, descriptive, cross-sectional study with 91 intensive care nurses. Data collection used a sociodemographic questionnaire, the Maslach Burnout Inventory - Human Services Survey, and the Beck Depression Inventory - I. The Pearson test verified the correlation between the burnout dimension score and the total score from the Beck Depression Inventory. Fisher's exact test was used to analyze whether there is an association between the diseases. Results: Burnout was presented by 14.29% of the nurses and 10.98% had symptoms of depression. The higher the level of emotional exhaustion and depersonalization, and the lower professional accomplishment, the greater the depressive symptoms. The association was significant between burnout and depressive symptoms. Conclusion: Nurses with burnout have a greater possibility of triggering depressive symptoms.

Relationship between Stress Perceived and Gastrointestinal Symptoms in Intensive Care Nurses During COVID-19 Pandemic: A Cross-Sectional Study

2022 ◽  
Vol 8 (4) ◽  
pp. 217-230
Author(s):  
Tuğba Menekli ◽  
Runida Doğan ◽  
Erman Yıldız
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Perceived Stress ◽  
Stress Level ◽  
Gastrointestinal Symptoms ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Intensive Care Nurses ◽  
Gi Symptoms

The purpose of this study is to determine the relationship between perceived stress and gastrointestinal (GI) symptoms during the COVID-19 outbreak in the intensive care unit (ICU) nurses. This cross-sectional study was conducted with 170 nurses working in the ICUs of a hospital in eastern Turkey. Descriptive, chi-square and multiple linear regression analyses were used to analyze data. In the last three months, 48.2% of the nurses had complaints such as heartburn, 44.1% abdominal distension, 41.7% diarrhea/ constipation. The mean perceived stress level experienced by the nurses was found to be 29.30±5.73. Results from regression analysis included perceived stress score, gender, perceived health status, diet, having been infected with COVID-19 before and risk degree of the ICU in question in terms of COVID-19 revealed a statistically significant associated with scores obtained from GI symptoms. Perceived stress level, health perception status, having been infected with COVID-19 before and the high-risk status of the intensive care unit in question for COVID-19 were predictive factors for the occurrence of gastrointestinal symptoms. These findings may provide a basis for creating a healthy work environment where factors contributing to work-related stress are reduced and coping strategies are developed. Keywords: gastrointestinal symptoms, intensive care, nurses, stress

scholarly journals Predictors of nursing workload in elderly patients admitted to intensive care units

2008 ◽  
Vol 16 (2) ◽  
pp. 218-223 ◽  
Author(s):  
Cleber Ricardo de Sousa ◽  
Leilane Andrade Gonçalves ◽  
Maria Cecília Toffoleto ◽  
Karine Leão ◽  
Kátia Grillo Padilha
Keyword(s):  
Intensive Care ◽  
Elderly Patients ◽  
The Elderly ◽  
Simplified Acute Physiology Score ◽  
Cross Sectional Study ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Significant Difference ◽  
Surgical Icu ◽  
Independent Risk Factors

The age of patients is a controversial issue in admission to intensive care unit (ICU). The aim of this study was to compare severity and nursing workload of elderly patients with 60-69, 70-79, and e"80 years of age and to identify predictors of nursing workload in elderly patients. A cross sectional study was performed with a sample of 71 elderly patients admitted to three ICU in the city of Sao Paulo, Brazil from October to November 2004. Data were prospectively collected using Nursing Activities Score (NAS) and Simplified Acute Physiology Score II (SAPS II). There was no significant difference in nursing workload among the elderly patients age subgroups (p=0.84). Multiple regression analysis indicated that the independent risk factors of high nursing workload were severity, age e"70 years, and to be a surgical ICU patient. Age as an isolated factor should not be discriminative for elderly patients admission to ICU.

Nursing workload in neurological intensive care units: Cross-sectional study

2013 ◽  
Vol 29 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Alda Ferreira Queijo ◽  
Renata Soares Martins ◽  
Rafaela Andolhe ◽  
Elaine Machado Oliveira ◽  
Ricardo Luis Barbosa ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Cross Sectional Study ◽  
Nursing Workload ◽  
Sectional Study ◽  
Cross Sectional ◽  
Neurological Intensive Care

scholarly journals Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale

2020 ◽  
Vol 18 (1) ◽  
pp. 79
Author(s):  
Georgia Fasoi ◽  
Eirini C. Patsiou ◽  
Areti Stavropoulou ◽  
Evridiki Kaba ◽  
Dimitrios Papageorgiou ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Significance Level ◽  
Study Results ◽  
Total Data

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.

scholarly journals Severity and workload of nursing with patients seeking admission to an intensive care unit

2017 ◽  
Vol 22 (1) ◽  
Author(s):  
Meire Cristina Novelli e Castro ◽  
Magda Cristina Queiroz Dell'Acqua ◽  
Igor Chagas Unger ◽  
Claudia Maria Silva Cyrino ◽  
Priscila Masquetto Vieira de Almeida
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Demographic Data ◽  
Simplified Acute Physiology Score ◽  
Cross Sectional Study ◽  
The State ◽  
Nursing Workload ◽  
Sectional Study ◽  
Cross Sectional ◽  
Seriously Ill

Abstract Objective: To identify the severity and workload of nursing with adult patients seeking admission to an Intensive Care Unit (ICU). Methods: A cross-sectional study with a quantitative, exploratory and prospective approach was performed, developed in a hospital in the state of São Paulo. Demographic data on patients were collected, the Simplified Acute Physiology Score III (SAPS III) was applied to assess the severity of patients and the Nursing Activities Score (NAS) was used to evaluate nursing workload, between July and August 2014. Results: The overall mean score of the SAPS III was 30.52 ± 18.39 and that of the NAS was 58.18 ± 22.29. The group of patients admitted to the ICU showed higher severity and higher workload of nursing compared to non-admitted patients. Non-admitted patients had an NAS of 53.85. Conclusion: The nursing workload in patients who were not admitted to the ICU was also high. The evaluation of workload in other contexts where patients are seriously ill is important. The workload assessment in other contexts where severely ill patients are found is evident.

scholarly journals Nursing workload in burn intensive care unit

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Luciana Mendes Amadeu ◽  
Magda Cristina Queiroz Dell’Acqua ◽  
Meire Cristina Noveli Castro ◽  
Valéria de Castilho Palhares ◽  
Clarita Terra Rodrigues Serafim ◽  
...  
Keyword(s):  
Intensive Care ◽  
Cross Sectional Study ◽  
Nursing Workload ◽  
Clinical Aspects ◽  
Large Hospital ◽  
Cross Sectional ◽  
Burn Victims ◽  
Significant Difference ◽  
Student’S T ◽  
Spearman’S Correlation

ABSTRACT Objectives: To measure the nursing workload in the Burn Intensive Care Units and evaluate its association with clinical variables, length of stay, and outcome of hospitalization. Methods: Cross-sectional study carried out in a Brazilian public large hospital. The study included 33 patients. The nursing workload was assessed using the Nursing Activities Score (NAS) every 24 hours. We performed 447 Nursing Activities Score assessments. For the statistical analysis, Student’s t-test, ANOVA, and Spearman’s correlation test were used. The considered significant difference was 5% (p ≤ 0.05). Results: The Nursing Activities Score mean was 84% (± 4.4), which corresponded to 20.2 hours. There was an association between the nursing workload and the patient’s severity (p <0.010), burned body surface (p = 0.010), and hospitalization outcome (p = 0.020). Conclusion: Burn victims, assisted in the ICU, demanded a high nursing workload, which was influenced by clinical aspects and the hospitalization outcome. These findings point to the need to reconsider the nurse staffing related to this care profile.

scholarly journals Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit

2015 ◽  
Vol 49 (spe) ◽  
pp. 131-137 ◽  
Author(s):  
Katia Grillo Padilha ◽  
Siv Stafseth ◽  
Diana Solms ◽  
Marga Hoogendoom ◽  
Francisco Javier Carmona Monge ◽  
...  
Keyword(s):  
Intensive Care ◽  
The Netherlands ◽  
Delphi Technique ◽  
Cross Sectional Study ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Future Studies ◽  
The Mean ◽  
Nas Score ◽  
Interpretation Method

ABSTRACT Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus. Results The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers’ consensus. Conclusion NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results.

Sign in / Sign up

Export Citation Format

Share Document