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Nursing Activities Score and workload in the intensive care unit of a university hospital

OBJECTIVE: The nursing workload consists of the time spent by the nursing staff to perform the activities for which they are responsible, whether directly or indirectly related to patient care. The aim of this study was to evaluate the nursing workload in an adult intensive care unit at a university...

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Autores principales: Altafin, Juliana Aparecida Morini, Grion, Cintia Magalhães Carvalho, Tanita, Marcos Toshyiuki, Festti, Josiane, Cardoso, Lucienne Tibery Queiroz, Veiga, Caio Fabrício Fonseca, Kamiji, Danielle, Barbosa, Álan Roger Gomes, Matsubara, Caio Cesar Takeshi, Lara, Aline Bobato, Lopes, Cesar Castello Branco, Blum, Djavani, Matsuo, Tiemi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Medicina intensiva 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4188466/
https://www.ncbi.nlm.nih.gov/pubmed/25295824
http://dx.doi.org/10.5935/0103-507X.20140041
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author Altafin, Juliana Aparecida Morini
Grion, Cintia Magalhães Carvalho
Tanita, Marcos Toshyiuki
Festti, Josiane
Cardoso, Lucienne Tibery Queiroz
Veiga, Caio Fabrício Fonseca
Kamiji, Danielle
Barbosa, Álan Roger Gomes
Matsubara, Caio Cesar Takeshi
Lara, Aline Bobato
Lopes, Cesar Castello Branco
Blum, Djavani
Matsuo, Tiemi
author_facet Altafin, Juliana Aparecida Morini
Grion, Cintia Magalhães Carvalho
Tanita, Marcos Toshyiuki
Festti, Josiane
Cardoso, Lucienne Tibery Queiroz
Veiga, Caio Fabrício Fonseca
Kamiji, Danielle
Barbosa, Álan Roger Gomes
Matsubara, Caio Cesar Takeshi
Lara, Aline Bobato
Lopes, Cesar Castello Branco
Blum, Djavani
Matsuo, Tiemi
author_sort Altafin, Juliana Aparecida Morini
collection PubMed
description OBJECTIVE: The nursing workload consists of the time spent by the nursing staff to perform the activities for which they are responsible, whether directly or indirectly related to patient care. The aim of this study was to evaluate the nursing workload in an adult intensive care unit at a university hospital using the Nursing Activities Score (NAS) instrument. METHODS: A longitudinal, prospective study that involved the patients admitted to the intensive care unit of a university hospital between March and December 2008. The data were collected daily to calculate the NAS, the Acute Physiology and Chronic Health Evaluation (APACHE II), the Sequential Organ Failure Assessment (SOFA) and the Therapeutic Intervention Scoring System (TISS-28) of patients until they left the adult intensive care unit or after 90 days of hospitalization. The level of significance was set at 5%. RESULTS: In total, 437 patients were evaluated, which resulted in an NAS of 74.4%. The type of admission, length of stay in the intensive care unit and the patients’ condition when leaving the intensive care unit and hospital were variables associated with differences in the nursing workload. There was a moderate correlation between the mean NAS and APACHE II severity score (r=0.329), the mean organic dysfunction SOFA score (r=0.506) and the mean TISS-28 score (r=0.600). CONCLUSION: We observed a high nursing workload in this study. These results can assist in planning the size of the staff required. The workload was influenced by clinical characteristics, including an increased workload required for emergency surgical patients and patients who died.
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spelling pubmed-41884662014-10-16 Nursing Activities Score and workload in the intensive care unit of a university hospital Altafin, Juliana Aparecida Morini Grion, Cintia Magalhães Carvalho Tanita, Marcos Toshyiuki Festti, Josiane Cardoso, Lucienne Tibery Queiroz Veiga, Caio Fabrício Fonseca Kamiji, Danielle Barbosa, Álan Roger Gomes Matsubara, Caio Cesar Takeshi Lara, Aline Bobato Lopes, Cesar Castello Branco Blum, Djavani Matsuo, Tiemi Rev Bras Ter Intensiva Original Articles OBJECTIVE: The nursing workload consists of the time spent by the nursing staff to perform the activities for which they are responsible, whether directly or indirectly related to patient care. The aim of this study was to evaluate the nursing workload in an adult intensive care unit at a university hospital using the Nursing Activities Score (NAS) instrument. METHODS: A longitudinal, prospective study that involved the patients admitted to the intensive care unit of a university hospital between March and December 2008. The data were collected daily to calculate the NAS, the Acute Physiology and Chronic Health Evaluation (APACHE II), the Sequential Organ Failure Assessment (SOFA) and the Therapeutic Intervention Scoring System (TISS-28) of patients until they left the adult intensive care unit or after 90 days of hospitalization. The level of significance was set at 5%. RESULTS: In total, 437 patients were evaluated, which resulted in an NAS of 74.4%. The type of admission, length of stay in the intensive care unit and the patients’ condition when leaving the intensive care unit and hospital were variables associated with differences in the nursing workload. There was a moderate correlation between the mean NAS and APACHE II severity score (r=0.329), the mean organic dysfunction SOFA score (r=0.506) and the mean TISS-28 score (r=0.600). CONCLUSION: We observed a high nursing workload in this study. These results can assist in planning the size of the staff required. The workload was influenced by clinical characteristics, including an increased workload required for emergency surgical patients and patients who died. Associação Brasileira de Medicina intensiva 2014 /pmc/articles/PMC4188466/ /pubmed/25295824 http://dx.doi.org/10.5935/0103-507X.20140041 Text en http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Altafin, Juliana Aparecida Morini
Grion, Cintia Magalhães Carvalho
Tanita, Marcos Toshyiuki
Festti, Josiane
Cardoso, Lucienne Tibery Queiroz
Veiga, Caio Fabrício Fonseca
Kamiji, Danielle
Barbosa, Álan Roger Gomes
Matsubara, Caio Cesar Takeshi
Lara, Aline Bobato
Lopes, Cesar Castello Branco
Blum, Djavani
Matsuo, Tiemi
Nursing Activities Score and workload in the intensive care unit of a university hospital
title Nursing Activities Score and workload in the intensive care unit of a university hospital
title_full Nursing Activities Score and workload in the intensive care unit of a university hospital
title_fullStr Nursing Activities Score and workload in the intensive care unit of a university hospital
title_full_unstemmed Nursing Activities Score and workload in the intensive care unit of a university hospital
title_short Nursing Activities Score and workload in the intensive care unit of a university hospital
title_sort nursing activities score and workload in the intensive care unit of a university hospital
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4188466/
https://www.ncbi.nlm.nih.gov/pubmed/25295824
http://dx.doi.org/10.5935/0103-507X.20140041
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