The evaluation of nursing workload within an Italian ECMO Centre: A retrospective observational study

Lucchini, Alberto; Elli, Stefano; Felippis, Christian De; Greco, C; Mulas, Andrea; Ricucci, Paolo

doi:10.1016/j.iccn.2019.07.008

Cited by 54 publications

(46 citation statements)

References 28 publications

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“…Third, there are factors missing that could explain the association with a high NAS. For example, we do not have patients on ECMO ( Lucchini et al, 2019 ) and we did not extract prone positioning sessions. Finally, we compared patients at different times of the year.…”

Section: Lsimitationsmentioning

confidence: 99%

Impact of COVID-19 on nursing time in intensive care units in Belgium

Bruyneel

Gallani

Tack

et al. 2021

Intensive and Critical Care Nursing

123

107

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Introduction The COVID-19 pandemic has had a significant impact on nursing practice in intensive care unit (ICU) and, consequently, on workload. Objective To assess the nurse-patient (N:P) ratio required by COVID-19 patients and to identify the factors that influence nursing in this context. Design This study was a retrospective observational study that evaluated the N:P ratio using the Nursing Activities Score (NAS). Setting Three Belgian French-speaking hospitals, including five ICUs. Patients included COVID-19 and non-COVID-19 patients in the ICU. Measurements and Main Results The study included 95 COVID-19 patients and 1,604 non-COVID-19 patients (control group) resulting in 905 and 5,453 NAS measures, respectively. The NAS was significantly higher among the COVID-19 patients than in the control group (p=<0.0001). In the COVID-19 group, these higher scores were also observed per shift and uniformly across the three hospitals. COVID-19 patients required more time in the activities of monitoring and titration (χ2= 457.60, p=<0.0001), mobilisation (χ2= 161.21, p=<0.0001), and hygiene (χ2= 557.77, p=<0.0001). Factors influencing nursing time measured by NAS in the COVID-19 patients were age < 65 years old (p=0.23), the use of continuous venovenous hemofiltration (p=0.002), a high APACHE II score (p=0.006), and patient death (p=0.002). A COVID-19 diagnosis was independently associated with an increase in nursing time (OR=4.8, 95% CI:3.6-6.4). Conclusions Patients hospitalised in the ICU due to COVID-19 require significantly more nursing time and need an average N:P ratio of almost 1:1.

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Section: Lsimitationsmentioning

confidence: 99%

Impact of COVID-19 on nursing time in intensive care units in Belgium

Bruyneel

Gallani

Tack

et al. 2021

Intensive and Critical Care Nursing

123

107

View full text Add to dashboard Cite

show abstract

“…Since 2005, in our ICU we have been recording the Nursing Activities Score (NAS) of all admitted patients daily, to measure the nursing workload. The NAS of every patient is recorded at 6 a.m. by the nurse, reporting the previous 24 hours (Miranda et al, 2003;Lucchini et al, 2019a). The NAS filling criteria were the same as those published by Padilha et al (2015).…”

mentioning

confidence: 99%

Nursing Activities Score is increased in COVID-19 patients

Lucchini

Giani

Elli

et al. 2020

Intensive and Critical Care Nursing

Self Cite

127

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“…The Extracorporeal Life Support Organization (ELSO) guidelines suggest that these patients should be centralised in referral centres where, an adequate nurse-to-patient ratio could be guaranteed in addition to the technical equipment. The use of NAS in an Italian ECMO centre, demonstrated that the nurse to patient in ECMO ratio was between 1:1.5 and 1:1 ( Lucchini et al, 2019 )…”

mentioning

confidence: 99%