scholarly journals Relationship between the Nursing Workload and the Severity of the Patient's Condition in Adult Intensive Care Units

Aquichan ◽  
2011 ◽  
Vol 11 (2) ◽  
pp. 173-186 ◽  
Author(s):  
Elizabeth Romero-Massa ◽  
Johana Patricia Lorduy-Bolívar ◽  
Carmen Pájaro-Melgar ◽  
Carolina Andrea Pérez-Duque ◽  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Apache Ii ◽  
Nursing Workload

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.

scholarly journals Factors associated with nursing workload in three intensive care units

2021 ◽  
Vol 55 ◽  
Author(s):  
Diana Isabel Cáceres Rivera ◽  
Claudia Consuelo Torres ◽  
Luis Alberto López Romero
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Diagnostic Category ◽  
Multiple Linear Regression Model ◽  
Apache Ii ◽  
Nursing Workload ◽  
Bivariate Analysis ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Factors Associated

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.

scholarly journals Benchmarkıng ındıcators nursing workload ın Intensıve Care Unıts

2016 ◽  
Vol 2 (4) ◽  
pp. 277 ◽  
Author(s):  
Thomai Kollia ◽  
Georgios Argyriou ◽  
Evangelia Prevyzi ◽  
Athanasia Nestor ◽  
Anastasia Kotanidou ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Intervention ◽  
Apache Ii ◽  
Activity Score ◽  
Nursing Workload ◽  
Saps Ii ◽  
Nursing Activity ◽  
Score Apache

Introduction: The high and continues increasing nursing workload in the Intensive Care Unit (ICU) is a remarkable increase in mortality factor of heavy ill patients.Aim: The aim of this study was a comparison evaluation between the score of Nursing Workload (NW), Nursing Activity Score (NAS) and Comprehensive Nursing Intervention Score (CNIS) in nurses who treat critically ill patients in Intensive Care Unit (ICU).Material and Methods: The studied population was 100 patients who were hospitalized in Intensive Care Units (ICU) hospitals in Athens and private clinic of Piraeus. It was used a special designed questionnaire by the researchers based on Nursing Activity Score (NAS) score and Comprehensive Nursing Intervention Score (CNIS) score. Data analysis was performed with the statistical package SPSS 17.0.Results: The 56% of study were men. The average age of the sample was 74 ± 15 years. The average Nursing Activity Score (NAS) for the first 10 days of hospitalization was 55, 4 ± 4, 9 and Comprehensive Nursing Intervention Score (CNIS) was 129, 5 ± 15, 4. Compared with indicators gravity nursing workload, with prognostic score APACHE II, SAPS II, the Glasgow scale and with laboratory markers creatinine and white blood showed that the Nursing Activity Score (NAS) and Comprehensive Nursing Intervention Score (CNIS) indicators a statistically significant difference (p = 0.005 and p <0.001, respectively) compared with patient outcome.Conclusions: The nursing workload (NW) as measured on scales Nursing Activity Score (NAS) and Comprehensive Nursing Intervention Score (CNIS).  Both scales are equality and validity. Similarly, the outcome of these patients was associated with disease severity as measured by the score APACHE II and SAPS II.

scholarly journals Fatores associados à carga de trabalho de enfermagem em terapia intensiva: quais se devem considerar?

2017 ◽  
Vol 11 (12) ◽  
pp. 5305
Author(s):  
Ana Maria Laus ◽  
Mayra Gonçalves Menegueti ◽  
Maria Auxiliadora-Martins ◽  
Lucieli Dias Pedreschi Chaves ◽  
Silvia Helena Camelo
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Statistical Significance ◽  
Apache Ii ◽  
University Hospital ◽  
Nursing Workload ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Terapia Intensiva ◽  
Score Apache

RESUMOObjetivo: analisar comparativamente a carga de trabalho de Enfermagem em duas unidades de terapia intensiva. Método: estudo quantitativo, de coorte transversal, descritivo, realizado em duas UTI de um hospital universitário. A amostra foi aleatória constituindo-se de 100 pacientes. A análise foi realizada por meio da regressão multivariada, cuja variável dependente foi carga de trabalho de Enfermagem, permanecendo, no modelo final, as variáveis independentes com significância estatística menor que 0,05. Resultados: a maioria dos pacientes foi do sexo masculino (60%), com média de idade de 52,3 anos. A carga de trabalho de Enfermagem nas UTI apresentou a média do escore NAS total do conjunto de pacientes de 75,65 e escore APACHE II de 25,5. Conclusão: o tempo de permanência, o sexo e a faixa etária não apresentaram associação significativa com a carga de trabalho de Enfermagem, porém, esta se associou ao escore de gravidade (APACHE II) e à condição de saída do paciente (alta/óbito). Descritores: Carga de trabalho; Unidades de Terapia Intensiva; Enfermagem. ABSTRACT Objective: to analyze comparatively the Nursing workload in two intensive care units. Method: quantitative, cross-sectional, descriptive study performed in two ICUs of a university hospital. The sample was random and consisted of 100 patients. The analysis was performed through multivariate regression, whose dependent variable was Nursing workload, remaining, in the final model, the independent variables with statistical significance lower than 0.05. Results: the majority of the patients were male (60%), with a mean age of 52.3 years. The workload of Nursing in the ICU presented the mean of the total NAS score of the set of patients of 75.65 and APACHE II score of 25.5. Conclusion: length of stay, sex and age group did not present a significant association with the nursing workload, however, this was associated with the severity score (APACHE II) and the patient's exit status (discharge / death). Descritores: Workload; Intensive Care Units, Nursing. RESUMEN Objetivo: analizar comparativamente la carga de trabajo de Enfermería en dos unidades de terapia intensiva. Método: estudio cuantitativo, de cohorte transversal, descriptivo, realizado en dos UTI de un hospital universitario. La muestra fue aleatoria constituyéndose de 100 pacientes. El análisis fue realizado por medio de la regresión multivariada, cuya variable dependiente fue carga de trabajo de Enfermería, permaneciendo, en el modelo final, las variables independientes con significancia estadística menor que 0,05. Resultados: la mayoría de los pacientes fue la del sexo masculino (60%), con promedio de edad de 52,3 años. La carga de trabajo de Enfermería en las UTI presentó la media del score NAS total del conjunto de pacientes de 75,65 y score APACHE II de 25,5. Conclusión: el tiempo de permanencia, el sexo y el grupo de edad no presentaron asociación significativa con la carga de trabajo de Enfermería, pero, ésta se asoció al score de gravedad (APACHE II) y la condición de salida del paciente (alta / óbito). Descritores: Carga de Trabajo; Unidades de Terapia Intensiva; Enfermagem.

scholarly journals Nurse Operation Workload (NOW), a new nursing workload model for intensive care units based on time measurements: An observational study

2021 ◽  
Vol 113 ◽  
pp. 103780
Author(s):  
Charlotte C. Margadant ◽  
Nicolette F. de Keizer ◽  
Marga E. Hoogendoorn ◽  
Rob J. Bosman ◽  
Jan Jaap Spijkstra ◽  
...  
Keyword(s):  
Intensive Care ◽  
Observational Study ◽  
Intensive Care Units ◽  
Nursing Workload

The objective nursing workload and perceived nursing workload in Intensive Care Units: Analysis of association

2021 ◽  
Vol 114 ◽  
pp. 103852
Author(s):  
M.E. Hoogendoorn ◽  
S. Brinkman ◽  
J.J. Spijkstra ◽  
R.J. Bosman ◽  
C.C. Margadant ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Workload

scholarly journals Prognostic factors for the short-term mortality of patients with rheumatoid arthritis admitted to intensive care units

2020 ◽  
Author(s):  
Toshifumi Fujiwara ◽  
Kentaro Tokuda ◽  
Kenta Momii ◽  
Kyohei Shiomoto ◽  
Hidetoshi Tsushima ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Intensive Care ◽  
Prognostic Factors ◽  
Intensive Care Units ◽  
Fatal Outcome ◽  
Laboratory Data ◽  
International Normalized Ratio ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Icu Admission

Abstract Background: Patients with rheumatoid arthritis (RA) have high mortality risk and are frequently treated in intensive care units (ICUs). Methods: This was a retrospective observational study. This study included 67 patients (20 males, 47 females) with RA who were admitted at the ICU of our institution for ≥48 h between January 2008 and December 2017. We analyzed the 30-day mortality of these patients and the investigated prognostic factors in RA patients admitted to our ICU.Results: Upon admission, the median age was 70 (range, 33–96) years, and RA duration was 10 (range, 0–61) years. The 5-year survival after ICU admission was 47%, and 30-day, 90-day, and 1-year mortality rates were 22%, 27%, and 37%, respectively. The major reasons for ICU admission were cardiovascular complications (24%) and infection (40%) and the most common ICU treatments were mechanical ventilation (69%), renal replacement (25%), and vasopressor (78%). In the 30-day mortality group, infection led to a fatal outcome in most cases (67%), and nonsurvival was associated with a significantly higher glucocorticoid dose, updated Charlson’s comorbidity index (CCI), and acute physiology and chronic health evaluation (APACHE) II score. Laboratory data obtained at ICU admission showed that lower platelet number and total protein and higher creatinine and prothrombin time international normalized ratio (PT-INR) indicated significantly poorer prognosis. The multivariate Cox proportional hazard model revealed that nonuse of csDMARDs, high updated CCI, increased APACHE II score, and prolonged PT-INR were associated with a higher risk of mortality after ICU admission.Conclusion: Our study demonstrated that the nonuse of csDMARDs, high updated CCI, elevated APACHE II score, and coagulation abnormalities predicted poorer prognosis in RA patients admitted to the ICU.

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 ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Nursing Workload

scholarly journals Accuracy and reliability of APACHE II scoring in two intensive care units

Anaesthesia ◽  
2001 ◽  
Vol 56 (1) ◽  
pp. 47-50 ◽  
Author(s):  
K. H. Polderman ◽  
A. R. J. Girbes ◽  
L. G. Thijs ◽  
R. J. M. Strack van Schijndel
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Apache Ii
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