Nursing care time and quality indicators for adult intensive care: correlation analysis

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

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The characterisation of workloads and nursing staff allocation in intensive care units: A descriptive study using the Nursing Activities Score for the first time in Norway

Intensive and Critical Care Nursing ◽

10.1016/j.iccn.2011.07.003 ◽

2011 ◽

Vol 27 (5) ◽

pp. 290-294 ◽

Cited By ~ 39

Author(s):

Siv K. Stafseth ◽

Diana Solms ◽

Inger Schou Bredal

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Nursing Staff ◽

Descriptive Study ◽

Staff Allocation ◽

First Time

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Professional competences of nurse to work in Intensive Care Units: an integrative review

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000100025 ◽

2012 ◽

Vol 20 (1) ◽

pp. 192-200 ◽

Cited By ~ 25

Author(s):

Silvia Helena Henriques Camelo

Keyword(s):

Intensive Care ◽

Resource Management ◽

Intensive Care Units ◽

Nursing Care ◽

Care Delivery ◽

Integrative Review ◽

Leadership Communication ◽

Thematic Units ◽

Data Grouping ◽

Care Practices

This study aimed to identify and analyze nurses' competences to work at Intensive Care Units-ICU. An integrative review method was used, and data were collected in LILACS, SciELO and BDENF, from August to October 2010. Ten articles were identified, published in the last 12 years. Data grouping permitted the construction of thematic units related to nurses' competences: nursing care management, high-complexity nursing care delivery, decision making, leadership, communication, continuing/permanent education, human resource management, material resource management. The professional competences identified can support the outline of guidelines to constitute the profile of nursing working in intensive care units and drive/mobilize the improvement of nursing care practices.

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Dimensionamento de enfermagem em UTI: uma análise às legislações vigentes

Revista Recien - Revista Científica de Enfermagem ◽

10.24276/rrecien2358-3088.2019.9.26.11-22 ◽

2019 ◽

Vol 9 (26) ◽

pp. 11

Author(s):

Caroline Guimarães Pançardes da Silva Marangoni

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Nursing Staff ◽

Quality Care ◽

Measurement Instrument ◽

National Average ◽

Complex Patients ◽

Terapia Intensiva

Com o intuito de garantir uma assistência de qualidade e com segurança, é imprescindível realizar o dimensionamento do pessoal de enfermagem. Para o Conselho Federal de enfermagem, é necessário utilizar metodologia para classificação dos pacientes. Nas Unidades de Terapia Intensiva desde 2009 Nursing Activities Score (NAS) é o instrumento de mensuração mais adequado para pacientes complexos. O foco principal desta revisão foi avaliar se as legislações vigentes estão em consonância com a média das NAS em UTI’s Adultas brasileiras. O presente estudo tratou-se de uma revisão bibliográfica integrativa realizada a partir da revisão de produções científicas publicadas nos últimos cinco anos (2011-2016). Após a avaliação dos dados, foi possível chegar a uma média nacional de 71,2% de NAS, e assim relacionar com as legislações vigentes. O resultado mostrou que a Legislação do Conselho Federal de enfermagem apresenta-se mais adequada.Descritores: Dimensionamento de Enfermagem, Nursing Activities Score e Carga de Trabalho. Dimensioning of nursing in ICU: an analysis of current legislationAbstract: In order to ensure quality care and safety, it is imperative to carry out the nursing staff sizing. For the Federal Nursing Council, it is necessary to use methodology for the classification of patients. In Intensive Care Units since 2009 Nursing Activities Score (NAS) is the most appropriate measurement instrument for complex patients. The main focus of this review was to evaluate whether current legislation is in line with the average of NAS in Brazilian Adult ICUs. The present study was an integrative bibliographical review based on the review of scientific productions published in the last five years (2011-2016). After the evaluation of the data, it was possible to reach a national average of 71.2% of NAS, and thus relate to the current legislation. The result showed that the Federal Nursing Council Legislation is more adequate.Descriptors: Nursing Dimensioning, Nursing Activities Score and Workload. Dimensionamiento de enfermería en UTI: un análisis las legislaciones vigentesResumen: Con el fin de garantizar una asistencia de calidad y con seguridad, es imprescindible realizar el dimensionamiento del personal de enfermería. Para el Consejo Federal de enfermería es necesario utilizar metodología para clasificación de los pacientes. En las Unidades de Terapia Intensiva desde el año 2009 el Nursing Activities Score (NAS) es el instrumento de medición más adecuado para los pacientes complejos. El foco principal de esta revisión fue evaluar si las legislaciones vigentes están en consonancia con la media de las NAS en UTI's Adultas brasileñas. El presente estudio se trató de una revisión bibliográfica integrativa realizada a partir de la revisión de producciones científicas publicadas en los últimos cinco años (2011-2016). Después de la evaluación de los datos fue posible llegar a un promedio nacional del 71,2% de NAS, y así relacionarse con las legislaciones vigentes. El resultado mostró que la Legislación del Consejo Federal de enfermería se presenta más adecuada.Descriptores: Dimensionamiento de Enfermería, Nursing Activities Score y Carga de Trabajo.

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Barriers to Providing High-Quality Nursing Care in Intensive Care Units: A Qualitative Study

Medical - Surgical Nursing Journal ◽

10.5812/msnj.110265 ◽

2020 ◽

Vol In Press (In Press) ◽

Author(s):

Nasrin Rezaee ◽

Mahnaz Ghaljeh ◽

Alireza Salar

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Nursing Care ◽

Work Motivation ◽

Quality Care ◽

Sampling Technique ◽

Care Quality ◽

High Quality ◽

High Quality Care ◽

High Workload

Background: Providing high-quality nursing care is the vision of healthcare systems. Several factors contribute to providing high-quality care, which many of them need further investigation. In this line, qualitative research that helps researchers to access the thoughts and feelings of participants can play an important role in identifying care challenges. Objectives: Therefore, this study aimed to identify nurses’ concerns about the nursing care quality process in Intensive Care Units (ICUs). Methods: In this study, a conventional content analysis was used for data analyses. Data were collected by unstructured interviews with 10 ICU nurses. Participants were selected using the purposive sampling technique. The sampling continued upon reaching data saturation. Results: In total 290 codes were extracted, that using analysis and compare were categorized into three main themes: "care obstacles", "motivational obstacles", and "management obstacles". Twelve secondary themes were also extracted, including: "high workload", "not considering the educational needs", "not considering the work standards", "out of duty cares", "ward's bad structure", "personal motivation shortage", "poor work motivation", "personal and organizational motivation interference", "rules without work support", "work inconsistency in the ward", "keeping the position", and "inefficient communications between nurses and physicians". Conclusions: In this study, barriers to nursing high-quality care and its related motivational and managerial dimensions were investigated. In other words, the present study identified barriers in different dimensions, and by identifying the effective factors in providing quality care has facilitated the implementation of measures to address the problems.

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Nursing care time in the Intensive Care Unit: evaluation of the parameters proposed in COFEN Resolution Nº 293/04

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692012000200015 ◽

2012 ◽

Vol 20 (2) ◽

pp. 325-332 ◽

Cited By ~ 7

Author(s):

Fernanda Maria Togeiro Fugulin ◽

Ana Cristina Rossetti ◽

Carolina Martins Ricardo ◽

João Francisco Possari ◽

Maria Cristina Mello ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Patient Care ◽

Intensive Care Units ◽

Nursing Care ◽

Nursing Staff ◽

Sao Paulo ◽

São Paulo ◽

Staff Members ◽

Minimum Number

This study aimed to evaluate the parameters established in COFEN Resolution 293/04 concerning nursing staff dimensioning in adult intensive care units (AICU). The research was conducted in six hospitals in São Paulo City. The daily quantitative average of professionals needed for patient care was calculated according to the parameters established by COFEN. The obtained results were compared with the existing number of daily staff members in these units. It was observed that the proportions recommended by COFEN for the nurse category are superior to those used in the hospitals studied, which represents a challenge for Brazilian nursing. Mean care time values were found appropriate and represent important standards for dimensioning the minimum number of professionals in AICU. This study contributed to the validation of the parameters indicated in Resolution 293/04 for nursing staff dimensioning in the AICU.

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Nurses' beliefs and attitudes toward visiting in adult critical care settings

American Journal of Critical Care ◽

10.4037/ajcc1993.2.3.238 ◽

1993 ◽

Vol 2 (3) ◽

pp. 238-245 ◽

Cited By ~ 41

Author(s):

KT Kirchhoff ◽

E Pugh ◽

RM Calame ◽

N Reynolds

Keyword(s):

Critical Care ◽

Intensive Care ◽

Intensive Care Units ◽

Nursing Care ◽

Reasoned Action ◽

Care Delivery ◽

Critical Care Nurses ◽

Attitudes And Beliefs ◽

Negative Consequences ◽

Beliefs And Attitudes

OBJECTIVE: To assess the beliefs and attitudes of critical care nurses about the effects of visiting on patients, staff and family. DESIGN: Both interviews and questionnaires were used to gather data on nurses' attitudes and beliefs about visiting and open visiting according to the format of Ajzen and Fishbein's Theory of Reasoned Action. SETTING: Five Utah intensive care units and three Ohio intensive care units. SAMPLE: Critical care nurses in Utah (N = 29) and Ohio (N = 41) were interviewed to assess their beliefs about the effects of visiting on patients, families, nurses and nursing care delivery. RESULTS: Nurses believed the consequence of visiting was more positive for the patient from a psychological perspective than from a physiological perspective but that the effects might differ depending on the patient, the visitor and the circumstances. They believed that visiting had negative consequences for families, because they became exhausted, and that visiting was disruptive for nursing care delivery. Their attitudes about effects of visiting on nursing staff were consistently more negative than were attitudes about the effects on the patient and the family. CONCLUSION: To provide an optimal situation for visiting, its negative consequences must be minimized and nurses' attitudes and beliefs about visiting must be assessed and addressed.

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Nursing workload at a gastroenterology unit

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692009000600013 ◽

2009 ◽

Vol 17 (6) ◽

pp. 1009-1014 ◽

Cited By ~ 12

Author(s):

Marcia Raquel Panunto ◽

Edinêis de Brito Guirardello

Keyword(s):

Intensive Care ◽

Nursing Care ◽

Care Delivery ◽

Descriptive Study ◽

Nursing Workload ◽

Nursing Team ◽

The Mean ◽

Nas Score ◽

Gastroenterology Unit

One of the biggest challenges nurses face is the need to justify the quantity and quality of staff for care delivery. For this, management instruments are available which help them to determine the staff needed in the nursing team. This descriptive study aims to evaluate the nursing workload at a specialized clinical and surgical gastroenterology unit. To collect data, the Nursing Activities Score (NAS) was used during 30 consecutive days, with 1080 comments, obtained from the records of 149 patients. The mean NAS score was 34.9% and, considering that each point of NAS corresponds to 0.24 hour, on the average, 8.4 hours of nursing care were required within 24 hours. This means that this profile is of patients who demand intermediate and semi-intensive care, which suggests that the NAS study can be used to evaluate the workload of nurses at that unit.

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Nursing workload in an inpatient unit

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692011000500011 ◽

2011 ◽

Vol 19 (5) ◽

pp. 1139-1145 ◽

Cited By ~ 6

Author(s):

Ana Paula de Brito ◽

Edinêis de Brito Guirardello

Keyword(s):

Intensive Care ◽

Nursing Care ◽

Nursing Staff ◽

Descriptive Study ◽

Inpatient Unit ◽

University Hospital ◽

Nursing Workload ◽

Nas Score

This study evaluated the nursing workload in an inpatient unit of a university hospital. This descriptive study applied the Nursing Activities Score (NAS) over the course of 30 consecutive days. A total of 1,080 observations were obtained from the medical files of 156 patients. The average scored obtained in the NAS instrument was 47.31%. Considering that each single NAS score corresponds to 0.24 hours, an average of 11.35 hours of nursing care was required. This amount of hours correspond to the profile of inpatients demanding semi-intensive and intensive care, suggesting that the NAS can be used to evaluate the workload of the nursing staff in this unit.

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