Análisis de la carga de trabajo y uso de los recursos enfermeros en una unidad de cuidados intensivos

Valls-Matarín, J.; Salamero-Amorós, M.; Roldán-Gil, Carmen

doi:10.1016/j.enfi.2015.02.002

Cited by 23 publications

(20 citation statements)

References 21 publications

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“…Studies published in Brazil generally aim to verify the NAS mean by associating the score with the nursing workload and the sizing of professionals, and the interest in highlighting which are the most punctuated items on the scale in their samples (19) . Studies of international origin are frequent in Spain and Italy and also basically aim to analyze the workload of NAS-related ICU nursing (20)(21) . Studies that aimed to measure the ICU nursing workload showed NAS mean of 51.47% and 47% (22)(23) .…”

Section: Resultsmentioning

confidence: 99%

The influence of nursing activities score on clinical alarms service

2020

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ABSTRACT Objectives: to estimate the magnitude of the Nursing Activities Score effect on multiparametric monitor alarm response and staff response time. Methods: an observational, cross-sectional study outlined as an open cohort, performed in an Adult General Intensive Care Unit. The time taken for alarms triggered by the multi-parameter monitors was timed and characterized as attended or not. Results: the study obtained a total of 254 alarms triggered from the multiparameter monitors of 63 patients. The mean number of alarms triggered was 4.5 alarms per period/observation and 1.5 alarms/hour. The study showed that the Nursing Activities Score is associated with an additional probability of 4% (p < 0.05) of an alarm being met, for each additional point in the scale, and reduction in team response time. Conclusion: it has been verified that Nursing Activities Score has a direct relationship with the attendance and with the response time to the alarms triggered.

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Section: Resultsmentioning

confidence: 99%

The influence of nursing activities score on clinical alarms service

2020

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“…Globally, several countries have estimated the nursing workload in ICUs through the NAS, i.e., Spain, with 65.9 (12) , Croatia with 77 (13) , Holland with 43 (14) , and Iran with 113.6 (15) . In a previous work carried out in our country by this research group, an initial result of 60.51 in an ICU of high complexity was obtained (16) .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with nursing workload in three intensive care units

Rivera

Contreras

Romero

2021

Rev. esc. enferm. USP

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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.

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“…Destaca-se duas variáveis clinicas que se revelam preocupantes: o tempo médio de internação de 20,2 (±15,5) dias e o percentual de mortalidade (54,8%). Esses resultados foram superiores a outras pesquisas (Nassif et al, 2018;Valls-matarín et al, 2015). Contudo cabe lembrar que a instituição estudada é referência em cuidados de média e alta complexidade, atendendo inúmeras cidades da região e convive diariamente com a superlotação em todas as unidades de internação.…”

Section: Discussionunclassified

Carga de trabalho da enfermagem em unidade de terapia intensiva: um estudo de método misto

Freitas

Magnago

Magalhães

et al. 2020

RSD

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This study aimed to analyze the nursing workload of an Intensive Care Unit. It is a mixed method study with a convergent parallel design. Quantitative data were collected using the Nursing Activities Scores in 73 patient records and submitted to descriptive and correlational analysis. Qualitative data were collected through interviews with 18 nursing workers and analyzed using the content analysis. Later, the quantitative and qualitative data were analyzed together, aiming at their integration. It was verified that patients occupy 70% of the time of a nursing worker, which indicates a high nursing workload. This result was confirmed by qualitative data, organized into the following categories: Care demand of ICU patients at a university hospital and Work organization: repercussions on nursing workload and patient safety, that evidenced a perception of high workload and problems in the work organization that even interfere with patient safety. Quantitative and qualitative data converged with each other and indicated that nursing workers are overloaded.

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Análisis de la carga de trabajo y uso de los recursos enfermeros en una unidad de cuidados intensivos

Cited by 23 publications

References 21 publications

The influence of nursing activities score on clinical alarms service

The influence of nursing activities score on clinical alarms service

Factors associated with nursing workload in three intensive care units

Carga de trabalho da enfermagem em unidade de terapia intensiva: um estudo de método misto

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