scholarly journals Nursing workload in an inpatient unit

2011 ◽  
Vol 19 (5) ◽  
pp. 1139-1145 ◽  
Author(s):  
Ana Paula de Brito ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Nursing Staff ◽  
Descriptive Study ◽  
Inpatient Unit ◽  
University Hospital ◽  
Nursing Workload ◽  
Nas Score

This study evaluated the nursing workload in an inpatient unit of a university hospital. This descriptive study applied the Nursing Activities Score (NAS) over the course of 30 consecutive days. A total of 1,080 observations were obtained from the medical files of 156 patients. The average scored obtained in the NAS instrument was 47.31%. Considering that each single NAS score corresponds to 0.24 hours, an average of 11.35 hours of nursing care was required. This amount of hours correspond to the profile of inpatients demanding semi-intensive and intensive care, suggesting that the NAS can be used to evaluate the workload of the nursing staff in this unit.

scholarly journals Nursing workload at a gastroenterology unit

2009 ◽  
Vol 17 (6) ◽  
pp. 1009-1014 ◽  
Author(s):  
Marcia Raquel Panunto ◽  
Edinêis de Brito Guirardello
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Care Delivery ◽  
Descriptive Study ◽  
Nursing Workload ◽  
Nursing Team ◽  
The Mean ◽  
Nas Score ◽  
Gastroenterology Unit

One of the biggest challenges nurses face is the need to justify the quantity and quality of staff for care delivery. For this, management instruments are available which help them to determine the staff needed in the nursing team. This descriptive study aims to evaluate the nursing workload at a specialized clinical and surgical gastroenterology unit. To collect data, the Nursing Activities Score (NAS) was used during 30 consecutive days, with 1080 comments, obtained from the records of 149 patients. The mean NAS score was 34.9% and, considering that each point of NAS corresponds to 0.24 hour, on the average, 8.4 hours of nursing care were required within 24 hours. This means that this profile is of patients who demand intermediate and semi-intensive care, which suggests that the NAS study can be used to evaluate the workload of nurses at that unit.

scholarly journals Nursing care time and quality indicators for adult intensive care: correlation analysis

2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin
Keyword(s):  
Intensive Care ◽  
Correlation Analysis ◽  
Intensive Care Units ◽  
Quality Indicators ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Delivery ◽  
Average Length ◽  
Quality Care ◽  
Descriptive Study

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

scholarly journals A HOSPITALIZAÇÃO DO ADOLESCENTE NA ÓTICA DOS PROFISSIONAIS DE ENFERMAGEM

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Nathália Da Silva Pimentel Reis ◽  
Maria Fabiane Galdino Dos Santos ◽  
Inez Silva De Almeida ◽  
Helena Ferraz Gomes ◽  
Dayana Carvalho Leite ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Care ◽  
Medical Records ◽  
Rio De Janeiro ◽  
Descriptive Study ◽  
Tertiary Hospital ◽  
Legal Aspects ◽  
Quantitative Approach ◽  
Patient Identification

Objetivo: Compreender a ótica dos profissionais de enfermagem sobre a hospitalização de adolescentes. Metodologia: Pesquisa qualitativa, descritiva, utilizando entrevista com perguntas semi-estruturadas, realizada em uma enfermaria especializada em saúde do adolescente no Rio de Janeiro, no período de fevereiro a abril de 2016, com 15 profissionais de enfermagem. Resultados: A partir da análise de conteúdo de Bardin, definiram-se três categorias: a inexperiência no cuidado de enfermagem ao adolescente como um desafio, especificidades da adolescência, e sentimentos gerados pela hospitalização do adolescente no profissional de enfermagem. Conclusão: Conclui-se que os profissionais de enfermagem se colocaram inexperientes em cuidar desse público e declararam que o cuidado a essa população é um desafio para a equipe.Descritores: Adolescente, Enfermagem, Hospitalização.THE ADOLESCENT’S HOSPITALIZATION IN THE OPTICS OF NURSING PROFESSIONALSObjective: Analyze the contents of nursing notes in patients’ records in an intensive care unit (ICU) of a public tertiary hospital in Fortaleza, CE. It is a descriptive study with quantitative approach that analyzed 151 medical records of patients admitted to an ICU, from September 2014 to February 2015, whose 48 hour and discharge notes were evaluated. Data revealed notes with poor content, which did not express the patients’ situation, nor the nursing care provided. Data concerning date, time, and patient identification were adequate. However, the COREN number and the professional’s signature raised concern given the high percentage of non-compliance regarding ethical and legal aspects. Nursing notes did not reflect the severity of patients, nor the dynamics in the ICUDescriptors: Adolescent, Nursing, HospitalizationADOLESCENTE EN PERSPECTIVA DE LOS PROFESIONALES DE ENFERMERÍAComprender la óptico del profesional de enfermería de hospitalización de los adolescentes. Metodología: cualitativos, investigación descriptiva, utilizando entrevistas con preguntas semi-estructuradas en una sala especializada para la salud de los adolescentes en Río de Janeiro, en el período de febrero a abril 2016 con 15 profesionales de enfermería. Resultados: A partir del análisis de contenido de Bardin, definido tres categorías: la falta de experiencia en la atención de enfermería a la adolescente como un desafío, características de los adolescentes y los sentimientos generados por la hospitalización de los adolescentes en profesionales de enfermería. Conclusión: Se concluye que los profesionales de enfermería se colocaron inexpertos en cuidar de ese público y declararon que el cuidado a esa población es un desafío para el equipo.Descriptores: Adolescente, Enfermería, Hospitalización

scholarly journals Pleasure and suffering in intensive care unit nursing staff

2011 ◽  
Vol 19 (3) ◽  
pp. 565-572 ◽  
Author(s):  
Helena Eri Shimizu ◽  
Djalma Ticiani Couto ◽  
Edgar Merchan-Hamann
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nursing Staff ◽  
Freedom Of Expression ◽  
Descriptive Study ◽  
Descriptive Statistics ◽  
Critical Levels ◽  
Cross Sectional ◽  
Causal Factors ◽  
Professional Achievement

The aim of this study was to analyze the causal factors of pleasure and suffering in Intensive Care Unit (ICU) nursing staff and to compare the occurrence of these factors at the beginning and end of the career. This was a cross-sectional descriptive study conducted with 26 nurses and 96 nursing technicians. The previously validated Pleasure and Suffering Scale was used. The data were analyzed using descriptive statistics with the SPSS 12.0 software and the Kruskal Wallis test was used to assess the presence of these factors at the beginning and end of the career. The results indicated that, for both the nurses and the nursing technicians, the factors that contribute to feelings of pleasure, professional achievement and freedom of expression, and the factors that cause suffering, professional exhaustion and lack of recognition, were encountered at critical levels.

scholarly journals The nursing workload assessed through the Nursing Activities Score as a predictor for the occurrence of ventilator-associated pneumonia in an adult intensive care unit

2019 ◽  
Vol 9 (9) ◽  
pp. 104
Author(s):  
Fabiola Alves Gomes ◽  
Denise Von Dolinger de Brito Röder ◽  
Thúlio Marquez Cunha ◽  
Rosângela De Oliveira Felice ◽  
Guilherme Silva Mendonça ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Costs ◽  
University Hospital ◽  
Nursing Workload ◽  
Ventilator Associated Pneumonia ◽  
Adult Intensive Care Unit ◽  
Icu Admission ◽  
Stay Time ◽  
The Impact

Objective: Evaluate the relation of nursing workload, evaluated by the Nursing Activities Score (NAS), with the occurrence of Ventilator-associated Pneumonia (VAP) in an Intensive Care Unit (ICU) and the impact of VAP on hospitalization costs.Methods: Retrospective cohort study in Adult ICU of a high complexity Brazilian university hospital. The profile, outcomes, costs, and daily NAS from patients were collected. We also proposed some workload indicators based on NAS daily evaluation.Results: The study included 195 patients, 27.17% diagnosed with VAP. VAP was more prevalent in patients diagnosed with trauma on admission. The total costs of care were higher for VAP patients. In all multivariate models tested were predictive for VAP: the patient's intubation that occurs in days prior of the ICU admission day (higher risk if occurs in days prior the ICU admission day) and ventilation time prior ICU (higher risk if higher time). We found others predictors, but these were dependent on the model tested. Additional risk predictors were tracheostomy, propofol use, neuromuscular blocker use and the higher NAS from admission. The protective factors found were the percentage of adequacy of the assignment based in NAS that measure if the workload measured by the NAS was offered and the increment in NAS during the ventilation time.Conclusions: The offering of an adequate nursing work scale (adequate number of professionals for the care), as a function of the nursing workload measured by the NAS, could be effective in the reduction of VAP, hospital stay time and hospital costs.

Ethical challenges when intensive care unit patients refuse nursing care

2014 ◽  
Vol 23 (2) ◽  
pp. 214-222 ◽  
Author(s):  
Eva Martine Bull ◽  
Venke Sørlie
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Registered Nurses ◽  
Nursing Care ◽  
University Hospital ◽  
Personal Hygiene ◽  
Human Beings ◽  
Ethical Challenges ◽  
Science Data ◽  
Holistic Nursing

Background: Less sedated and more awake patients in the intensive care unit may cause ethical challenges. Research objectives: The purpose of this study is to describe ethical challenges registered nurses experience when patients refuse care and treatment. Research design: Narrative individual open interviews were conducted, and data were analysed using a phenomenological hermeneutic method developed for researching life experiences. Participants and research context: Three intensive care registered nurses from an intensive care unit at a university hospital in Norway were included. Ethical considerations: Norwegian Social Science Data Services approved the study. Permission was obtained from the intensive care unit leader. The participants’ informed and voluntary consent was obtained in writing. Findings: Registered nurses experienced ethical challenges in the balance between situations of deciding on behalf of the patient, persuading the patient and letting the patient decide. Ethical challenges were related to patients being harmful to themselves, not keeping up personal hygiene and care or hindering critical treatment. Discussion: It is made apparent how professional ethics may be threatened by more pragmatic arguments. In recent years, registered nurses are faced with increasing ethical challenges to do no harm and maintain dignity. Conclusion: Ethically challenging situations are emerging, due to new targets including conscious and aware critical care patients, leaving an altered responsibility on the registered nurses. Reflection is required to adjust the course when personal and professional ideals no longer are in harmony with the reality in the clinical practice. RNs must maintain a strong integrity as authentic human beings to provide holistic nursing care.

scholarly journals Nursing Interventions in the Clinical Practice of an Intensive Care Unit

2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Nursing Interventions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Respiratory Management

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.

scholarly journals Incidence of pressure injury and nursing care time in intensive care

2020 ◽  
Author(s):  
Yasmin Cardoso Metwaly Mohamed Ali ◽  
Taís Milena Milena Pantaleão Souza ◽  
Paulo Carlos Garcia ◽  
Paula Cristina Nogueira
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Data Analysis ◽  
Nursing Care ◽  
University Hospital ◽  
Central Tendency ◽  
Hospital Data ◽  
Nursing Team ◽  
Pressure Injury

Objectives: To correlate the incidence of pressure injury (PI) with the average time of nursing care in an intensive care unit (ICU). Method: Epidemiological, observational, retrospective study, carried out in the ICU of a university hospital. Data were collected by consulting the PI incidence and the average nursing care time from ICU databases between 2010 and 2014. Measures of central tendency and variability, and Pearson’s correlation coefficient were used for data analysis. Results: The average incidence of PI between 2010 and 2014 was 10.83% (SD = 2.87) and the average time spent in nursing care for patients admitted to the ICU was 15 hours (SD = 0.94). There was no statistically significant correlation between the incidence of PI and the nursing care time (r = -0.17; p = 0.199), however, the results suggested an overload on the nursing team. Conclusion: This study confirms the importance of implementing and reassessing the effectiveness of preventive care protocols for PI, in addition to warning about the work overload of nursing in assisting critically ill patients.

scholarly journals Fluxograma de atendimento pré-exame: ferramenta do trabalho de enfermagem na tomografi a computadorizad

2019 ◽  
Vol 78 (16) ◽  
Author(s):  
Sonia Regina Gonçalves dos Santos ◽  
Simone Cruz Machado Ferreira ◽  
Graciele Oroski Paes ◽  
Ana Karine Ramos Brum ◽  
Bruno Bompet dos Santos ◽  
...  
Keyword(s):  
Contrast Media ◽  
Patient Care ◽  
Nursing Care ◽  
Nursing Staff ◽  
Software Tool ◽  
Descriptive Study ◽  
Qualitative Approach ◽  
Ct Scans ◽  
Work Process ◽  
Graphic Display

Objetivo: Descrever os caminhos que os pacientes deverão percorrer para a marcação, orientação e realização dosexames no hospital, através do fl uxograma de atendimento pré-exame. Método: Estudo descritivo-exploratórioacerca do processo de trabalho de enfermagem, com abordagem qualitativa. Realizado num hospital de Niterói, dejaneiro a dezembro de 2013, com 10 membros da equipe de enfermagem. Foi elaborado fl uxograma, através daferramenta de software chamada BizAgi Process Modeler. Resultado: O fl uxograma de atendimento pré-exame dopaciente traz a visualização gráfi ca e descreve as etapas do atendimento dos pacientes submetidos aos examesde tomografi a, o que envolve o processo de orientação relacionado ao exame, sendo realizado preferencialmente,pela enfermeira. Conclusão: Com a realização do fl uxograma de atendimento dos exames, foi possível identifi car osmomentos deste processo de trabalho, possibilitando recomendar ações visando à sua melhoria.Palavras-chave: Avaliação de processos; Enfermagem; Cuidados de enfermagem; Meios de contraste. ABSTRACTObjective: Describe the ways that patients should go to the marking, orientation and carrying out of tests at thehospital through the pre-examination service fl owchart. Method: A descriptive study about the nursing workprocess with a qualitative approach. Performed in a hospital in Niteroi, from January to December 2013, with 08members of the nursing staff. It was prepared fl ow chart, by calling software tool BizAgi Process Modeler. Result:The pre-examination patient care fl ow chart provides a graphic display and describes the steps the care ofpatients undergoing CT scans, which involves the process of examination related to orientation, being carried outpreferably by the nurse. Conclusion: With the completion of the examinations service fl owchart, it was possibleto identify the moments of the work process, enabling recommend actions aimed at improvement.Keywords: Process evaluation; Nursing; Nursing care; Contrast media.

Sign in / Sign up

Export Citation Format

Share Document