Nurse-Perceived Patient Adverse Events depend on Nursing Workload

Kang, Jeong-Hee; Kim, Chul-Woung; Lee, Sang-Yi

doi:10.1016/j.phrp.2015.10.015

Cited by 55 publications

(50 citation statements)

References 12 publications

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“…(13,17) There was only one case of fall in this study, a rate much lower than the ones found in other studies that also addressed this event. (6,8) This study has some limitations, mostly regarding the low risk profile of the patients admitted in the ICU studied. This is associated with a more frequent admission of less severe and complex cases, such as patients in the postoperative period of low risk elective surgeries, and also with the lack of a semi-intensive unit in the hospital assessed.…”

Section: Discussionmentioning

confidence: 99%

“…(4) An inadequate allocation of nursing staff is associated with an increase in the occurrence of AEs in ICUs. (7,8) Studies show an association between nurse staffing and adverse outcomes, such as infections, increased mortality, postoperative complications, unplanned extubation and medication errors. (8,9) Considering the importance of preventing AEs and the need to offer a safe nursing care to the patient, we ask: what are the factors that influence the occurrence of AEs in ICU?…”

Section: Introductionmentioning

confidence: 99%

“…(7,8) Studies show an association between nurse staffing and adverse outcomes, such as infections, increased mortality, postoperative complications, unplanned extubation and medication errors. (8,9) Considering the importance of preventing AEs and the need to offer a safe nursing care to the patient, we ask: what are the factors that influence the occurrence of AEs in ICU? The objective of this study was to assess the incidence of AEs and to associate them with the nursing workload, the nursing team staffing and the severity of disease measured by predictive scales.…”

Section: Introductionmentioning

confidence: 99%

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Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

et al. 2017

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Objective: To assess the incidence of adverse events and associate them with nursing workload, nursing team staffing and the severity of the patients. Method: A quantitave, cross-sectional, prospective study was conducted with 304 consecutive patients admitted to the General Intensive Care Unit of a private hospital between September and December 2013 (four months). Results: There were 39 adverse events, and the most prevalent was pressure sore. Patients who presented an event had a higher mean age, higher prevalence of clinical admissions, longer hospital stay, higher scores in the Acute Physiology and Chronic Health Evaluation (APACHE) II and in the Nursing Activities Score (NAS) and lower score in the Braden scale and in the Glasgow scale. There was no significant difference regarding nursing team staffing. Conclusion: There was a higher incidence of adverse events in patients who presented a profile of greater risk and severity identified by predictive scales. ResumoObjetivo: Avaliar a incidência de eventos adversos e associá-los com a carga de trabalho de enfermagem, o dimensionamento da equipe de enfermagem e o perfil de gravidade do paciente. Métodos: Foi realizado um estudo transversal, prospectivo, com abordagem quantitativa, em 304 pacientes consecutivos internados em Unidade de Terapia Intensiva geral de um hospital privado, admitidos entre setembro e dezembro de 2013 (quatro meses). Resultados: Ocorreram 39 eventos adversos sendo a lesão por pressão a mais prevalente. Os pacientes que apresentaram algum evento tiveram maior média de idade, maior prevalência de internações clínicas, internações mais prolongadas, maior escala Acute Physiology and Chronic Health Evaluation (APACHE) II, maior pontuação do Nursing Activities Score (NAS), menor escore na escala de Braden e menor escala de Glasgow e não tiveram diferenças significantes em relação ao dimensionamento da equipe de enfermagem. Conclusão: Houve maior incidência de eventos adversos em pacientes que exibiram um perfil de maior risco e gravidade identificados por meio de escalas preditoras.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

et al. 2017

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“…Statistical analysis was inspired by Ausserhofer et al's study (21) as well as that of Kang et al (30). Patient safety incidents reported by nurses were divided into dichotomous variables including never and very short time (0), occasionally, and frequently (1).…”

Section: Patient Adverse Outcomesmentioning

confidence: 99%

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

Abadi¹,

Akbari²,

Akbari³

et al. 2016

Iran Red Crescent Med J

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Introduction: Adverse patient outcomes have become a big concern in the quality of healthcare. Different factors can have an impact on the variety and rate of adverse patient outcomes. Objectives: The present study aimed at determining the rate of patient safety during events and evaluating nursing workloads as well as identifying the main factors that affect the incidence rate of patient safety events among nurses. Methods: This cross-sectional study was conducted on 293 nurses working in 24 wards of Baqiyatallah hospital in Tehran, Iran, in 2016. The sampling method was stratified random sampling. Data were collected using a self-administered questionnaire, which was classified into 4 subtitles: Individual and organizational characteristics, perceived subjective, objective workloads, and some patient safety events during the past 6 months. Binary and multiple regressions were used to survey the relationship between variables using the SPSS Version 23 software. Results: Bloodstream infection, pressure ulcer, and patient falls were the most reported adverse outcomes during the past 6 months with 76.1%, 66.2%, and 59%, respectively. At least one of the 6 adverse outcomes was reported by nurses within the range of 45%-77%. Of all individual characteristics, the only significant relationship occurred between work experience and bloodstream infection (P value = 0.28 and 0.32). No significant relationship was detected between adverse patient outcomes and objective workloads. Regression models revealed that the subjective workload of adverse patient outcomes increased with making adjustments in the individual and organizational characteristics. The incidence rates of adverse outcomes were 5.69-9.78 times more than the fixed shifts in all rotational shift works. Conclusions: The nurses reported a high incidence rate of all patient safety events, and the results revealed that the objective workload could not be a predictor for patient adverse events. According to the findings, subjective workload and work shift were significantly related to the incidence rate of adverse patient events. In conclusion, good regulation of sleep-wake cycles can be an important factor for decreasing the rate of adverse patient events.

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“…Além da sobrecarga de trabalho já ter sido apresentada como relacionada diretamente com a segurança do paciente, com a ocorrência de eventos adversos a esta relacionados, há também relações bem estabelecidas com a saúde do trabalhador em enfermagem, sendo que a sobrecarga pode resultar em absenteísmo, rotatividade profissional e doenças ocupacionais (20)(21) . O trabalho, que é considerado elemento que compõe a identidade de um indivíduo, gerando significados presentes na relação com sua organização, e compondo vivências de prazer e sofrimento, é elemento determinante com implicações na saúde mental dos trabalhadores (22) .…”

Section: Discussionunclassified

Saúde Do Trabalhador De Enfermagem: Resgate Da Produção Científica

et al. 2017

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RESUMO: Este estudo teve como objetivo resgatar e analisar a produção de conhecimento publicada sobre a saúde do trabalhador de enfermagem e de saúde gerada pelos integrantes do Grupo de Estudos Sobre a Saúde do Trabalhador de Enfermagem e Saúde. Trata-se de um estudo documental, descritivo e exploratório, com análise quantitativa dos dados referentes à produção entre 1997 e 2016. Em 20 anos, foram geradas 343 publicações. A análise mostrou o predomínio de publicações de pesquisadores doutores (146; 42,57%), seguidos dos mestres (105; 30,61%) e graduandos (62; 18,08%), sendo a maioria "resumos e resumos expandidos publicados em anais" (172; 50,15%), seguidos de artigos publicados em periódicos científicos (74; 21,57% NURSING WORKER HEALTH: IDENTIFICATION OF SCIENTIFIC PRODUCTIONABSTRACT: The present study aimed to identify and analyze the scientific publications on health and nursing worker health generated by members of the Study Group on Occupational Health of Nursing and Health Personnel (GESTES). Descriptive-exploratory, documentary study of quantitative approach of data related to scientific publications of 1997 and 2016. In 20 years, 343 publications were generated. Analysis showed a predominance of publications by doctors (146; 42, 57%), followed by masters (105; 30, 61%) and graduate students (62; 18, 08%), most of them "abstracts and extended abstracts published in annals" (172; 50.15%), followed by articles published in scientific journals (74; 21, 57%). The theme "Exposure to workloads and/or work wear Process" prevailed, demonstrating the risks to worker health. It is concluded that the research group identified a significant volume of scientific publications on the referred theme during the study period. SALUD DEL TRABAJADOR DE ENFERMERÍA: RESCATE DE LA PRODUCCIÓN CIENTÍFICA RESUMEN: Estudio cuyo objetivo fue rescatar y analizar la producción de conocimiento publicada acerca del tema salud del trabajador de enfermería y salud generada por los integrantes del Grupo de Estudios Sobre Salud del Trabajador de Enfermería y Salud. Es un estudio documental, descriptivo y exploratorio, con análisis cuantitativo de los datos referentes a la producción entre 1997 y 2016. En 20 años, fueron producidas 343 publicaciones. El análisis ha apuntado predominio de publicaciones de doctores (146; 42,57%), maestros (105; 30,61%) y graduandos (62; 18,08%), siendo la mayoría "resúmenes y resúmenes expandidos publicados en anales" (172; 50,15%), además de artículos publicados en periódicos científicos (74; 21,57%). La temática "Exposiciones a cargas de trabajo y/o Proceso de desgaste en el Trabajo" fue la predominante, evidenciándose los riesgos a la salud del trabajador. Se concluye que el grupo de investigación ha presentado producción científica expresiva en el dicho periodo, contribuyendo con el desarrollo del conocimiento científico acerca del tema en cuestión. DESCRIPTORES: Enfermería; Grupos de investigación; Salud del trabajador; Investigación; Equipo de salud; Desarrollo de personal. DESCRIPTORS:

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Nurse-Perceived Patient Adverse Events depend on Nursing Workload

Cited by 55 publications

References 12 publications

Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

The Association of Nursing Workloads, Organizational, and Individual Factors with Adverse Patient Outcome

Saúde Do Trabalhador De Enfermagem: Resgate Da Produção Científica

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