Nursing Activities Score in the intensive care unit: Analysis of the related factors

Padilha, Kátia Grillo; Sousa, Regina Márcia Cardoso de; Queijo, Alda Ferreira; Mendes, Ana Márcia Chiaradia; Miranda, Dinis Reis

doi:10.1016/j.iccn.2007.09.004

Cited by 101 publications

(133 citation statements)

References 21 publications

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“…In this study, demographics and clinical findings were similar to previously published articles in the ICU and PICU field [28][29][30][31][32]. The mortality rates in the MICU and SICU are comparable to those in other studies [28,29].…”

Section: Discussionsupporting

confidence: 88%

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Measuring the nursing workload per shift in the ICU

et al. 2012

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Purpose: In the intensive care unit (ICU) different strategies and workload measurement tools exist to indicate the number of nurses needed. The gathered information is always focused on manpower needed per 24 h. However, a day consists of several shifts, which may be unequal in nursing workload. The aim of this study was to evaluate if differences in nursing workload between consecutive shifts can be identified by a nursing workload measurement tool. Methods: The nursing activities score (NAS) was registered per patient for every shift during a 4-week period in a prospective, observational research project in the surgical-pediatric ICU (SICU-PICU) and medical ICU (MICU) of an academic hospital. Results: The NAS was influenced by the patient characteristics and the type of shift. Furthermore, the scores were lower during night shifts, in weekends and in MICU patients. Overall, the mean NAS per nurse per shift was 85.5 %, and the NAS per 24 h was 54.7 %. Conclusion: This study has shown that the nursing workload can be measured per working shift. In the ICU, the NAS differentiates the nursing workload between shifts, patients and units.

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Section: Discussionsupporting

confidence: 88%

“…The PICU, MICU and SICU NAS/24 h ranged between 53.5 and 57.0 %. On average the NAS/24 h was 54.7 %, which was lower than the NAS (66.4, 72.9 %) in two Brazilian studies [31,35]. No straightforward explanation can be found for this difference, apart from normal variation between centers.…”

Section: Discussionmentioning

confidence: 57%

Measuring the nursing workload per shift in the ICU

et al. 2012

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“…With regard to the characteristics of the total sample, similarity with other studies was found for the following variables: age (12)(13)(14) , gender (12)(13)(14)(15)(16)(17) , origin (15)(16)(17) , antecedents (15)(16)(17) , severity of illness (14,16) and nursing workload upon admission at the ICU (12,(14)(15)17) . Mortality and length of stay (LOS) in ICU greatly varied in literature (12)(13)(14)(15)(16)(17) and were intermediate in this research when compared to findings described in other studies.…”

Section: Discussionsupporting

confidence: 68%

“…Mortality and length of stay (LOS) in ICU greatly varied in literature (12)(13)(14)(15)(16)(17) and were intermediate in this research when compared to findings described in other studies.…”

Section: Discussionmentioning

confidence: 50%

“…Moreover, studies that analyzed the influence of different variables (gender, age, LOS, mortality, severity, origin and treatment type) on NAS scores evidenced that age did not interfere in the nursing workload demand, reasserting that therapeutic investments are applied to promote patients' clinical improvement, independently of the age range (12)(13)17) .…”

Section: Discussionmentioning

confidence: 99%

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Carga de trabalho de enfermagem requerida por adultos, idosos e muito idosos em Unidade de Terapia Intensiva

Sousa

Padilha

Nogueira

et al. 2009

Rev. esc. enferm. USP

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The study's objectives were to compare nursing workload among adults, elderly and very elderly patients, including in the analyses the interventions and evolution of the workload between admission and discharge. This prospective longitudinal study involved 600 adult patients in general ICU in four city hospitals in Sao Paulo. The results showed that, independent of the age, it had the similarity of the nursing workload in the admission, as well as in the evolution of the patients' care. Differences between the groups were observed in the NAS on ICU's discharge and the following instrument's items: Monitoring and titration and Hygiene procedures in admission, Respiratory support and Intravenous hyperalimentation in discharge and Mobilization and positioning in discharge and admission. In conclusion, the results evidenced that the age interfered only in specific aspects of the nursing workload required by patients in ICUs.

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Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea: A cross‐sectional study

Park

2023

Nursing Open

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Aim This study aimed to calculate the total daily nursing workload and the optimal number of nurses per general unit based on the nursing intensity. Design This study was conducted using a cross‐sectional study. Methods Three units at one general hospital were investigated. Patient classification according to nursing needs was performed for over 10 days in each unit in September 2018. The direct and non‐direct nursing time and nursing intensity scores were analysed using descriptive statistics. Results For the internal medicine unit, the average direct nursing time per patient was 1.0, 1.5, 2.2 and 2.9 h for Groups 1, 2, 3 and 4, respectively. For the surgical unit, the average direct nursing time per patient was 0.9, 1.4, 2.1 and 2.6 h for Groups 1, 2, 3 and 4, respectively. 5 and 9 additional nurses were needed in the internal medicine and surgical nursing units. Patient Contribution This study confirmed that the optimal number of nurses was not achieved and that the nursing intensity was very high. Long‐term efforts, such as improving the nursing environment, should be made to ensure an optimal number of nurses in various nursing units.

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Nursing Activities Score in the intensive care unit: Analysis of the related factors

Cited by 101 publications

References 21 publications

Measuring the nursing workload per shift in the ICU

Measuring the nursing workload per shift in the ICU

Carga de trabalho de enfermagem requerida por adultos, idosos e muito idosos em Unidade de Terapia Intensiva

Calculating the optimal number of nurses based on nursing intensity by patient classification groups in general units in South Korea: A cross‐sectional study

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