scholarly journals ASSOCIATION BETWEEN WORKLOAD AND ABSENTEEISM IN NURSING TECHNICIANS

2019 ◽  
Vol 28 ◽  
Author(s):  
Carine Feldhaus ◽  
Ronan Felipe de Souza ◽  
Luciana Magnani Fernandes ◽  
Ariana Rodrigues da Silva Carvalho ◽  
Vanessa Bordin ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Statistical Analysis ◽  
Quantitative Approach ◽  
Nursing Workload ◽  
P Value ◽  
Cross Sectional ◽  
Adult Intensive Care Unit ◽  
And Control

ABSTRACT Objective: to identify absenteeism of nursing technicians in an Intensive Care Unit and to verify the association between absenteeism and workload. Method: cross-sectional retrospective study of documentary source and quantitative approach. It was performed in an adult intensive care unit with 4,920 measurements from the Nursing Activities Score in 2017, in order to extract the nursing workload, and control absenteeism, considering the absences recorded in the management register of the department. Descriptive and inferential statistical analysis was performed, dividing the intensive care unit into two groups (ICU I and ICU II), according to team shifts. Results: in the period analyzed, 461 absences were observed, with a higher proportion in ICU II (5.35%, p-value=0.00). This group also had the highest Nursing Activities Score (99.76) average. However, workload and absenteeism showed no statistically significant correlation in the analyzed groups (ICU I, r=0.02 and ICU II, r=0.06). Conclusion: there was no statistically significant association between absenteeism and workload of nursing technicians in the Intensive Care Unit. However, the team with the highest workload was the most absent.

scholarly journals Neonatal near miss in the intensive care unit

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Maria Rita Guimarães Maia ◽  
Rosângela Aparecida Pimenta Ferrari ◽  
Alexandrina Aparecida Maciel Cardelli ◽  
Ieda Harumi Higarashi ◽  
Maria Dalva de Barros Carvalho ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Statistical Analysis ◽  
Scientific Evidence ◽  
Near Miss ◽  
Chi Square ◽  
Cross Sectional ◽  
Live Births ◽  
Neonatal Near Miss

ABSTRACT Objective: To analyze near miss cases among newborns hospitalized in the Intensive Care Unit. Methods: An observational, cross-sectional, retrospective study using the STROBE guideline. Data were collected from 1,101 records of live births (newborns). Statistical analysis used the Epi-Info program 3.3.2 and Chi-square and Fisher’s exact tests. Results: A total of 162 newborns were hospitalized, of which 63 had at least one criterion of near miss. The variables that remained associated with neonatal near miss were weight <1.750 g, gestational age <33 weeks and Apgar at 5 minutes <7, pragmatic criteria to identify cases of neonatal near miss morbidity. Conclusion: Prematurity and low birth weight were the factors that contributed most to the near miss outcome among newborns hospitalized in intensive care, a rate two and a half times higher than the number of deaths, according to scientific evidence.

scholarly journals The nursing workload assessed through the Nursing Activities Score as a predictor for the occurrence of ventilator-associated pneumonia in an adult intensive care unit

2019 ◽  
Vol 9 (9) ◽  
pp. 104
Author(s):  
Fabiola Alves Gomes ◽  
Denise Von Dolinger de Brito Röder ◽  
Thúlio Marquez Cunha ◽  
Rosângela De Oliveira Felice ◽  
Guilherme Silva Mendonça ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Costs ◽  
University Hospital ◽  
Nursing Workload ◽  
Ventilator Associated Pneumonia ◽  
Adult Intensive Care Unit ◽  
Icu Admission ◽  
Stay Time ◽  
The Impact

Objective: Evaluate the relation of nursing workload, evaluated by the Nursing Activities Score (NAS), with the occurrence of Ventilator-associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the impact of VAP on hospitalization costs.Methods: Retrospective cohort study in Adult ICU of a high complexity Brazilian university hospital. The profile, outcomes, costs, and daily NAS from patients were collected. We also proposed some workload indicators based on NAS daily evaluation.Results: The study included 195 patients, 27.17% diagnosed with VAP. VAP was more prevalent in patients diagnosed with trauma on admission. The total costs of care were higher for VAP patients. In all multivariate models tested were predictive for VAP: the patient's intubation that occurs in days prior of the ICU admission day (higher risk if occurs in days prior the ICU admission day) and ventilation time prior ICU (higher risk if higher time). We found others predictors, but these were dependent on the model tested. Additional risk predictors were tracheostomy, propofol use, neuromuscular blocker use and the higher NAS from admission. The protective factors found were the percentage of adequacy of the assignment based in NAS that measure if the workload measured by the NAS was offered and the increment in NAS during the ventilation time.Conclusions: The offering of an adequate nursing work scale (adequate number of professionals for the care), as a function of the nursing workload measured by the NAS, could be effective in the reduction of VAP, hospital stay time and hospital costs.

scholarly journals Epidemiological Study of Mortality Caused by Road Accidents in the Intensive Care Unit of Besat Educational-medical Hospital in Hamadan

2021 ◽  
Author(s):  
Hiva Azami ◽  
Mehrdad Maleki Jamasbi ◽  
Mina Mohammadpour Bayati ◽  
Zahra Bakhtiari ◽  
Shiva Mohammadpour Bayati ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Health Planning ◽  
Night Shift ◽  
Education Level ◽  
P Value ◽  
Road Accidents ◽  
Cross Sectional ◽  
Wide Range ◽  
Single Men

Introduction: Road accidents are one of the causes of death and it's important to investigate the epidemiological indicators in this context. In this regard, this study aimed to determine the epidemiological causes of road accident mortality in the intensive care unit of Besat Educational-medical Hospital in Hamadan during Nowruz Holidays 2018. Material and Methods: In this descriptive cross-sectional study, data of the patients died for 13 days in Nowruz Holidays in the intensive care unit of Besat Hospital in Hamadan, by census method, was extracted from the medical records of patients by using a checklist from a researcher-made questionnaire. Data were analyzed by Fisher's exact test and SPSS 21 software. Results: Of the 28 Patient admitted to the intensive care unit,16 patients died. Most deaths were in the third decade of life, among single men, with a self-employment job, with diploma education level or cycle education level, with more than 10 days of hospitalization and in the night shift. Based on the results, most of the dead persons were rider (81.25%), suffered head trauma (50%), with head surgery (56.25%), without any underlying illness (93.75%) and without successful experience of cardiopulmonary resuscitation (87.5%). There were no statistically significant differences between the variables and mortality rate (P value > 0/05). Conclusion: Young single men with low level of education are a wide range of road accidents victims. Therefore, it seems it's necessary to reduce mortality from these accidents, health planning such as traffic culture training and driving rules, by using social media, should focus on learning and improving the level of community awareness, especially in this group of people.

scholarly journals Caracterização dos pacientes atendidos pela terapia ocupacional em uma unidade de terapia intensiva adulto / Characterization of patients assisted by occupational therapy in adult intenvise care unit

2017 ◽  
Vol 1 (5) ◽  
pp. 574-588 ◽  
Author(s):  
Silvia Mayumi Okuma ◽  
Ana Flávia Marostegan De Paula ◽  
Gabriela Pereira Do Carmo ◽  
Marcela Maria Pandolfi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Occupational Therapy ◽  
Treatment Plan ◽  
Sao Paulo ◽  
São Paulo ◽  
Cross Sectional ◽  
Adult Intensive Care Unit ◽  
The Subject ◽  
Terapia Intensiva

A internação na UTI (Unidade de Terapia Intensiva),  e o processo de adoecimento podem gerar implicações negativas ao sujeito como alterações motoras, cognitivas e na participação nas atividades de vida diária. Muitos pacientes compartilham más experiências vivenciadas durante a internação em UTI (as quais desorganizam o sujeito, identificar as necessidades pode contribuir na elaboração do plano de tratamento adequado às demandas do paciente. Dessa forma,o objetivo do trabalho foi de  caracterizar o perfil desses pacientes atendidos pela Terapia Ocupacional na UTI Adulto. Realizou-se uma pesquisa transversal observacional da qual participaram 37 sujeitos internados na UTI adulto de um hospital público da Zona Leste do município de São Paulo no período de junho a agosto de 2016. Verificou-se que as características mais presentes entre os participantes dos grupos conforme gênero, idade e dias de internação foram:  fraqueza, dor, mobilidade reduzida, limitação no autocuidado, banho e higiene foram os mais presentes entre os participantes. Déficit cognitivo e queixa de memória foram os mais elencados no grupo dos idosos. A internação na UTI e o processo de adoecimento podem gerar implicações negativas ao sujeito como alterações motoras, cognitivas e na participação nas atividades de vida diária. Com base nos resultados identificou-se que os pacientes internados apresentaram fatores que interferem na participação nas atividades de vida diária (autocuidado, banho, higiene, arrumar-se no leito, alimentação e controle de esfíncter), e a atuação da Terapia Ocupacional pode contribuir de forma a minimizar os efeitos deletérios decorrentes da hospitalizaçãoAbstractMany patients live bad experiences during their stay in ICU, that disrupt the subject. Identifying the needs of the person can contribute to the elaboration of the treatment plan. Thus, is importante to identify the profile of the patients treated by Occupational Therapy in an Adult Intensive Care Unit. The study consisted of an observational cross-sectional study in which 37 subjects were hospitalized in the adult ICU of a public hospital in the East of the city of São Paulo from June to August 2016. The presence of weakness, pain, reduced mobility, self-care limitation, bathing and hygiene were the most frequent among the participants according to gender, age and days of hospitalization. Cognitive deficit and memory complaints were the most prominent in the elderly group. ICU hospitalization and the process of illness may cause negative implications for the subject, such as motor and cognitive impairment and difficulties in activities of daily living. The data made it possible to identify the profile of the patients treated by Occupational Therapy in the adult ICU, which makes it possible to guide the practice itself.Keywords: Occupational Therapy, Intensive Care Unit, Adult. ResumenMuchos pacientes comparten de las malas experiencias vivenciadas durante la internação en UCI, las cuales desorganizan el sujeto. Identificar las necesidades del sujeto puede contribuir en la elaboración del plan de tratamiento adecuado a las demandas del paciente. De esa forma, se resalta la importancia de identificar el perfil de los pacientes atendidos por la Terapia Ocupacional en la Unidad de Cuidados Intensivos de Adultos. Se realizó una investigación transversal observacional en que fueron evaluados 37 sujetos ingresados en la UCI de adultos de un hospital público de la Zona Este del municipio de São Paulo en el periodo de junio a agosto de 2016. Se verificó que presencia de flaqueza, dolor, movilidad reducida, limitación en el autocuidado, baño e higiene fueron los más presentes entre los participantes de los grupos según género, edad y días de internação. Déficit cognitivo y queja de memoria fueron los más elencados en el grupo de los ancianos. La internação en la UCI y el proceso de adoecimento pueden generar implicaciones negativas al sujeto como alteraciones motoras, cognitivas y en la participación en las actividades de vida diaria. Los datos posibilitaron identificar el perfil de los pacientes atendidos por la Terapia Ocupacional en la UCI de adultos, lo que posibilita a orientar la práctica.Palabras clave: Terapia Ocupacional, Unidad de Cuidados Intensivos, Adulto.

scholarly journals CARGA DE TRABALHO E DIMENSIONAMENTO DE PESSOAL DE ENFERMAGEM EM TERAPIA INTENSIVA NEONATAL

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Ana Tamara Kolecha Giordani Grebinski ◽  
Francislene Aparecida Biederman ◽  
Caroline Berte ◽  
Grasiely Masotti Scalabrin Barreto ◽  
João Lucas Campos De Oliveira ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quantitative Study ◽  
Neonatal Intensive Care ◽  
Intensive Therapy ◽  
Nursing Workload ◽  
Cross Sectional ◽  
Nursing Team ◽  
Terapia Intensiva ◽  
The Mean

Objetivo: Mensurar a carga de trabalho da equipe de enfermagem de uma Unidade de Terapia Intensiva Neonatal (UTIN) e dimensionar o quadro de pessoal necessário para o suprimento desta demanda. Metodologia: Estudo transversal, documental e quantitativo. Foram coletadas variáveis de caracterização clínica e demográfica da amostra (n=105) de recém-nascidos e da carga de trabalho da enfermagem por meio do Nursing Activities Score (NAS). O dimensionamento foi calculado com base em equação para terapia intensiva e ajustado à Resolução nº 543/2017 do Conselho Federal de Enfermagem. Resultados: A média do NAS da UTIN foi de 749,9. Obteve-se quadro dimensionado de 43 profissionais, com déficit de 17 enfermeiros em comparação ao quadro disponível. Conclusão: O quadro de enfermeiros da UTIN é insuficiente.Descritores: Carga de trabalho; Dimensionamento; Equipe de enfermagem; Unidades de terapia intensiva neonatal.WORKLOAD AND SIZING OF THERAPY IN NURSING STAFF INTENSIVE NEWBORNObjective: To measure the workload of the nursing team of a Neonatal Intensive Care Unit (NICU) and to size the personnel needed to supply this demand. Method: Cross-sectional, documentary and quantitative study. Clinical and demographic characterization variables of the sample (n = 105) of newborns and the nursing workload were collected through the Nursing Activities Score (NAS). The design was calculated based on a formula for intensive therapy and adjusted to Resolution 543/2017 of the Federal Nursing Council. Results: The mean of the NICU NAS was 749.9. It was obtained a dimensioned picture of 43 professionals, with a deficit of 17 nurses in comparison to the available picture. Conclusion: Nurses from the NICU are insufficient.Descriptors: Workload; Sizing; Nursing team; Neonatal intensive care units.CARGA DE TRABAJO Y DIMENSIONAMIENTO DE PERSONAL DE ENFERMERÍA EN TERAPIA INTENSIVA NEONATALObjetivo: Medir la carga de trabajo del equipo de enfermería de una Unidad de Terapia Intensiva Neonatal (UTIN) y dimensionar el cuadro de personal necesario para el aprovisionamiento de esta demanda. Metodologia: Estudio transversal, documental y cuantitativo. Se recogieron variables de caracterización clínica y demográfica de la muestra (n = 105) de recién nacidos y de la carga de trabajo de la enfermería por medio del Nursing Activities Score (NAS). El dimensionamiento fue calculado con base en fórmula para terapia intensiva y ajustado a la Resolución 543/2017 del Consejo Federal de Enfermería. Resultados: El promedio del NAS de la UTIN fue de 749,9. Se obtuvo un cuadro dimensionado de 43 profesionales, con déficit de 17 enfermeros en comparación al cuadro disponible. Conclusión: El cuadro de enfermeros de la UTIN es insuficiente.Descriptores: Carga de trabajo; Dimensionamiento; Equipo de enfermería; Unidades de terapia intensiva neonatal.

scholarly journals Medication time out as a strategy for patient safety: reducing medication errors

2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Laís Lima Santos ◽  
Flávia Giron Camerini ◽  
Cíntia Silva Fassarella ◽  
Luana Ferreira de Almeida ◽  
Daniel Xavier de Brito Setta ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Medication Errors ◽  
University Hospital ◽  
P Value ◽  
Cardiac Intensive Care Unit ◽  
Cross Sectional ◽  
Material Resources ◽  
Time Out ◽  
Cardiac Intensive Care

ABSTRACT Objectives: to analyze the implementation of the medication time out strategy to reduce medication errors. Methods: this is a quantitative, cross-sectional, inferential study, with direct observation of the implementation of the medication time out strategy, carried out in a cardiac intensive care unit of a university hospital in Rio de Janeiro. Results: 234 prescriptions with 2,799 medications were observed. Of the prescriptions analyzed, 143 (61%) had at least one change with the use of the strategy. In the prescriptions altered, 290 medications had some type of change, and 104 (35.9%) changes were related to potentially harmful medication. During the application of the strategy, prescriptions with polypharmacy had 1.8 times greater chance of presenting an error (p-value = 0.031), which reinforces the importance of the strategy for prescriptions with multiple medications. Conclusions: the implementation of the medication time out strategy contributed to the interception of a high number of medication errors, using few human and material resources.

scholarly journals Venous thromboembolism in patients with COVID-19 and correlation with D-dimers: a single-centre experience

2020 ◽  
Vol 7 (1) ◽  
pp. e000779
Author(s):  
Muhammad Ziaullah Khan ◽  
Yousaf Jamal ◽  
Benjamin Sutton ◽  
Farrukh Rauf
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Venous Thromboembolism ◽  
Intensive Care Unit Admission ◽  
Queen Elizabeth Hospital ◽  
P Value ◽  
Cross Sectional ◽  
Hospitalised Patients ◽  
Imaging Results ◽  
Single Centre Experience

ObjectiveTo study the frequency of venous thromboembolism in hospitalised patients with COVID-19 and correlation with the D-dimers and thromboprophylaxis.DesignCross-sectional descriptive study.Place and duration of studyQueen Elizabeth Hospital, 20 April 2020–13 May 2020.Patients and methodsOne hundred and seven (n=107) patients of PCR-confirmed COVID-19 pneumonia admitted to Queen Elizabeth Hospital, Birmingham, between 20 April 2020 and 13 May 2020 were included in the study using consecutive sampling. Data were collected using the Excel audit tool and included age, gender, weight, estimated eGFR, D-dimer values on admission, intensive care unit admission, presence of respiratory failure, imaging results for evaluation of venous thromboembolism (VTE) and anticoagulation received on admission. The data were entered in the SPSS (V.17) and were analysed. Data were summarised as means±SD, number or percentage as appropriate. A p value of less than 0.05 was considered significant.ResultsThe frequency of VTE was found to be 11.2% in patients hospitalised with COVID-19 pneumonia. The mean D-dimers were 3322.24 ng/mL±9603 ng/mL with the values significantly higher for patients with VTE and those requiring intensive care unit admission. All of the seven patients (100%) with D-dimers value above 2000 ng/mL who underwent imaging were found to have VTE.ConclusionVTE is frequent in patients with COVID-19 pneumonia despite anticoagulation. A higher D-dimers value correlates well with the risk of VTE in these patients and further evaluation of such patients for VTE is necessary especially with D-dimers values above 2000 ng/mL.

scholarly journals A Descriptive Study of Nosocomial Infections in an Adult Intensive Care Unit in Fiji: 2011-12

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Keshni Naidu ◽  
Ilisapeci Nabose ◽  
Sharan Ram ◽  
Kerri Viney ◽  
Stephen M. Graham ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Nosocomial Infections ◽  
Descriptive Study ◽  
Published Data ◽  
Gram Negative Bacteria ◽  
Preventive Interventions ◽  
Gram Negative ◽  
Adult Intensive Care Unit

Nosocomial infections in an intensive care unit (ICU) are common and associated with a high mortality but there are no published data from the Oceania region. A retrospective study in Fiji’s largest ICU (2011-12) reported that 114 of a total 663 adult ICU admissions had bacteriological culture-confirmed nosocomial infection. The commonest sites of infection were respiratory and bloodstream. Gram negative bacteria were the commonest pathogens isolated, especiallyKlebsiella pneumoniae(extended-spectrumβ-Lactamase-producing),Acinetobacter,andPseudomonasspecies. Mortality for those with a known outcome was 33%. Improved surveillance and implementation of effective preventive interventions are needed.

scholarly journals Faktor Risiko Kegagalan Ventilasi non Invasif di Pediatric Intensive Care Unit (PICU) RSUD Dr. Moewardi

Sari Pediatri ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 177
Author(s):  
Leksmana Hidayatullah ◽  
Sri Martuti ◽  
Pudjiastuti Pudjiastuti
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
P Value ◽  
Invasive Ventilation ◽  
Cross Sectional ◽  
Non Invasive ◽  
Non Invasive Ventilation

Latar belakang. Ventilasi non invasif (non invasive ventilation = NIV) dapat menjadi alternatif ventilasi selain intubasi endotrakeal, belum banyak didapatkan penelitian mengenai NIV di negara berkembang. Karakteristik awal pasien mempunyai peranan sebagai faktor risiko kegagalan NIV, tetapi masih didapatkan hasil yang beragam.Tujuan. Menganalisis faktor risiko kegagalan terapi NIV berdasarkan karakteristik awal pasien di Pediatric Intensive Care Unit Rumah Sakit Umum Daerah Dr. Moewardi.Metode. Penelitian analitik dengan desain cross sectional dengan besar sampel 25 anak, dilakukan pengambilan data melalui rekam medik dengan periode november 2016 sampai mei 2018.Hasil. Didapatkan hasil, sebanyak 10 dari 25 pasien (40%) gagal NIV, 22 pasien (88%) sebagai lini pertama sedangkan sebagai penyapihan ventilator sebanyak 3 pasien (12%). Analisis multivariat dengan menggunakan regresi logistik menunjukkan jalur nutrisi enteral (P value 0,028 ;OR 10,64 (1,29-87,56)CI 95%) dapat menjadi prediktor kegagalan penggunaan NIV.Kesimpulan. Pemberian Nutrisi secara enteral pada saat awal penggunaan NIV dapat dijadikan prediktor kegagalan.

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