Nursing Activities Score by assistance sites in Intensive Care Units

Abstract

Objective: To compare the Nursing Activities Score (NAS) between the Assistance Sites in an Intensive Care Unit. Method:Descriptive, retrospective study, carried out in the Intensive Care Unit of a teaching hospital. The patients were organized in Assistance Sites according to their clinical characteristics and the nursing team's composition was organized in accordance with the Nursing Activities Score (NAS). The confidence interval was set at p < 0.05. Results: the majority were male surgical patients with a mean age of 56.8 years. The postoperative care Site presented the greatest patient turnover. The overall average NAS was 71.7%. There was a difference in the nursing workload between the different Assistance Sites. The shorter length of stay and the nonsurvivors contributed to increasing the workload in the ICU. Conclusion: Comparing the NAS in the differentSites made it possible to organize the work process of the nursing team according to each group, contributing to patient safety. Estudio descriptivo, retrospectivo, realizado en la Unidad de Cuidados Intensivos de un hospital escuela. Los pacientes fueron organizados en Sitios Asistenciales según sus características clínicas y el dimensionamiento de los profesionales de enfermería fue realizado según el NAS. Se consideró p < 0,05. Resultados: Predominaron pacientes del sexo masculino, quirúrgicos y con edad media de 56,8 años. El Sitio post-operatorio presentó mayor rotación de pacientes. El NAS medio global fue el 71,7%. Se verificó diferencia de la carga de trabajo de enfermería entre los diferentes Sitios Asistenciales. El menor tiempo de internación y los pacientes no sobrevivientes contribuyeron con el aumento de la carga de trabajo en la UCI. Conclusión: Fue posible organizar el proceso de trabajo del equipo de enfermería de acuerdo con cada grupo, contribuyendo con la seguridad del paciente. Keywords

Pacientes com HIV/Aids e risco de ulcera: demandas de enfermagem

“…It is therefore observed that older patients with higher dependence on nursing care (which may be related to loss of functional capacity) greatly contributed to increase the nursing workload. In contrast, Cyrino and Dell'Acqua (1) and Leite, Silva and Padilla (16) found no statistical correlation between mean NAS and age of investigated patients. Therefore, age is not always an indicator of high care demand.…”

“…There is need for better description and quantification of nursing care provided to these patients during hospitalization periods, so that this knowledge may be used to plan care services with professionals and resources that are appropriate in both quantity and quality. In its scope, this premise also allows institutions to meet patients' rights to risk-free health care, and can also avoid the exposure of failures related to work overload and deficient care quality (1) , especially the occurrence of pressure ulcer (PU), which subjects patients to longer hospitalization periods and is a major problem in the search for quality in health services.…”

Sobrecarga de trabalho em enfermagem através do Nursing Activities Score como ferramenta avaliadora

“…O último estudo que foi incluído nessa pesquisa, também em 2017, buscou analisar a utilização do NAS em diferentes sítios assistenciais, afirmando que a carga de trabalho muda não só a depender do grau de dependência e complexidade da patologia do mesmo, mas também se modifica através das características da instituição e processos de trabalho e organização da equipe (Cyrino et al, 2017).…”

Gestão em enfermagem: reflexões acerca dos desafios e estratégias frente à COVID-19

“…Assim, o NAS é uma ferramenta útil nesse contexto de pandemia, pois possibilita o dimensionamento adequado de enfermagem na terapia intensiva, o que contribui para a organização do processo de trabalho e para a segurança do paciente (23) . (14) .…”