Direct and indirect nursing care time in an Intensive Care Unit

Kakushi, Luciana Emi; Évora, Yolanda Dóra Martinez

doi:10.1590/0104-1169.3032.2381

Cited by 29 publications

(18 citation statements)

References 17 publications

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“…The presence of individuals at this stage of stress is consistent with other studies that use other methods of stress diagnosis (2)(3)(7)(8)(9) . A significant correlation between stress and depression (ρ = 0.564 with p <0.05) and between stress and anxiety (ρ = 0.564 with p <0.05) was observed in the study sample when a correlation between stress and anxiety was established (non-parametric Spearman -ρ).…”

Section: About Stress Anxiety and Depressionsupporting

confidence: 90%

“…Cognitive changes result in poor social interactions, and difficulty in working and carrying out selfcare activities. They interfere directly with the quality of life of individuals, and possibly also interfere with the quality of care provided by the nurse to the client (1)(2) . The term "stress" has been introduced from the areas of engineering and physics and has become popular in other areas because it is easily defined, manipulated, and measured.…”

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confidence: 99%

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Cognitive changes in nurses working in intensive care units

et al. 2018

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Objective: To measure the levels of stress, anxiety, and depression of nurses working in ICUs, relating them to levels of attention before and after 24 hours. Method: An observational, quantitative, analytical study with 18 nurses undergoing an inventory of stress, anxiety, and depression, as well as assessment of attention levels and psychomotor functioning. Results: Sixty-one percent showed positive for stress. Depression was observed in 33%; and anxiety in 99.9%. A strong correlation between stress and depression (ρ = 0.564 with p <0.05) and anxiety (ρ = 1 with p <0.05) was observed. There was a weak correlation between stress and task execution time in M2 (ρ = 0.055) for TMT A, a fact that did not occur in M0 (ρ = -0.249). Conclusion: The study shows that the workload of the nurses working in 24-hour shifts in the ICU is correlated with high levels of stress, decreases in the attention process, and psychomotor decline. Descriptors: Nurses; Psychomotor Performance; Intensive Care Unit; Cognition; Nursing Care. RESUMO Objetivo: Medir os níveis de estresse, ansiedade, depressão dos enfermeiros que atuam em UTI, relacionando-os com os níveis de atenção do antes e após jornada de 24 horas. Método: Estudo observacional analítico, de abordagem quantitativa, realizado com 18 enfermeiros submetidos a um inventário de estresse, ansiedade e depressão, avaliação dos níveis de atenção e funcionamento psicomotor. Resultados: 61% possuem estresse positivo. Depressão foi verifi cada em 33%; de ansiedade, em 99,9%. Forte correlação entre estresse e depressão (ρ=0,564 com p<0,05) e ansiedade (ρ=1 com p<0,05). Correlação fraca entre estresse e o tempo de execução da tarefa em M2 (ρ = 0,055) para o TMT A, fato que não ocorreu em M0 (ρ=-0,249). Conclusão: O estudo mostra que a carga trabalho dos enfermeiros que atuam em UTI, em turnos de 24 horas, está correlacionada com a elevação dos níveis de estresse, diminuição do processo de atenção e declínio psicomotor. Descritores: Enfermeiros; Desempenho Psicomotor; Unidade de Terapia Intensiva. Cognição; Assistência de Enfermagem. RESUMENObjetivo: Medir los niveles de estrés, ansiedad y depresión en enfermeros actuantes en UTI, relacionándolos con los niveles de atención anteriores y posteriores a jornada de 24 horas. Método: Estudio observacional, analítico, de abordaje cuantitativo, realizado con 18 enfermeros que completaron inventario de estrés, ansiedad y depresión; evaluación de niveles de atención y 74Cognitive changes in nurses working in intensive care units Machado DA, et al.

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Section: About Stress Anxiety and Depressionsupporting

confidence: 90%

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confidence: 99%

Cognitive changes in nurses working in intensive care units

et al. 2018

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“…Nursing workload is difficult to assess, and several patient classification systems have been used (3,(19)(20) . To explore different perspectives, e.g.…”

Section: Discussionmentioning

confidence: 99%

“…ICU managers and ICU bedside nurses, this study used the NAS for assessment of workload. NAS is recommended for assessment of workload from other studies in Norway (14) and internationally (6,19,21) . In this study, the ICU-PHYs mean NAS total scores was significantly lower than for ICU-CCNs.…”

Section: Discussionmentioning

confidence: 99%

Interrater reliability of Nursing Activities Score among Intensive Care Unit health professionals

Stuedahl

Vold

Klepstad

et al. 2015

Rev. esc. enferm. USP

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Objective: To analyze the interrater reliability of NAS among critical care nurses and managers in an ICU. Method: This was a methodological study performed in an adult, general ICU in Norway. In a random selection of patients, the NAS was scored on 101 patients by three raters: a critical care nurse, an ICU physician and a nurse manager. Interrater reliability was analyzed by agreement between groups and kappa statistics. Results: The mean NAS were 88.4 (SD=16.2) and 88.7 (SD=24.5) respectively for the critical care nurses and nurse managers. A lower mean of 83.7 (SD=21.1) was found for physicians. The 18 medical interventions showed higher agreement between critical care nurses and physicians (85.6%), than between critical care nurses and nurse managers (78.7). In the five nursing activities the Kappa-coefficients were low for all activities in all compared groups. Conclusion: The study indicated a satisfactory agreement of nursing workload between critical care nurses and managers.

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“…Direct care, as defined by the Nursing Interventions Classification is "a treatment performed through interaction with the patient", and indirect care is "a treatment performed away from the patient" (213). Speech-language pathologists in both survey years were most willing to use telepractice to provide indirect services, such as parent education and consultative services (see Table 10).…”

Section: Suitable Servicesmentioning

confidence: 99%

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

Taylor¹

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Effective communication is vital for healthy development and successful educational and vocational outcomes. For children with medical complexity (CMC), the interaction between medical complexity and a speech and language impairment may put them at particular risk for adverse effects. It is important that these children are promptly assessed and diagnosed so that intervention can be started early. Medical complexity is rare in childhood, thus CMC usually access speech pathology services through tertiary facilities where staff have specialist experience and resources, and work as part of a coordinated tertiary team. Unfortunately these facilities are typically located in metropolitan centres, which may compromise service accessibility for CMC living in rural and remote locations.A potential solution to improve service accessibility is remote speech and language screening using telepractice. Telepractice screening allows the speech-language pathologist (SLP) to distinguish those children who need further assessment at the tertiary hospital from those with normal speech and language. This model is increasingly used for the delivery of tertiary medical services, however, there is little research to support the use of telepractice for paediatric speech and language screening, and very few studies have included CMC. Thus, the overall purpose of this research project was to investigate the role of telepractice for remote speech and language screening of CMC. To achieve this aim, two studies were carried out.The first study was an international survey of tertiary SLPs that aimed to describe access difficulties experienced by CMC, and to investigate the rate of telepractice adoption among SLPs who work with CMC. The survey was administered in 2011 (n = 46) and repeated in 2015 (n = 47). This survey identified widespread access difficulties experienced by CMC, highlighting a need for alternative service delivery models such as telepractice. Telepractice adoption among tertiary SLPs more than doubled between 2011 and 2015 (p < 0.05), and in 2015 the rates of telepractice adoption were higher (40%) than previously reported for the general speech pathology profession. Tertiary SLPs were willing to use telepractice with their CMC patients, and considered a wide range of patient groups and service types to be appropriate for telepractice delivery. However, some SLPs were reluctant to use telepractice for direct services such as screening, and a number of barriers to telepractice adoption were identified, including inability poor audio and image quality, lack of experience with telepractice, concerns about behaviour management and use of hands-on techniques, and concerns about the caregiver's inability to assist during telepractice sessions.ii The second study was an exploratory method comparison study that aimed to investigate the feasibility, validity, and acceptability of speech and language screening via telepractice for CMC.This study compared in-person speech and language screening with two telepractice screening ...

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Direct and indirect nursing care time in an Intensive Care Unit

Cited by 29 publications

References 17 publications

Cognitive changes in nurses working in intensive care units

Cognitive changes in nurses working in intensive care units

Interrater reliability of Nursing Activities Score among Intensive Care Unit health professionals

Speech and language screening for children with medical complexity: A comparison of telepractice and in-person methods

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