Severity and workload of nursing with patients seeking admission to an intensive care unit

Abstract

Objective: To identify the severity and workload of nursing with adult patients seeking admission to an Intensive Care Unit (ICU). Methods:A cross-sectional study with a quantitative, exploratory and prospective approach was performed, developed in a hospital in the state of São Paulo. Demographic data on patients were collected, the Simplified Acute Physiology Score III (SAPS III) was applied to assess the severity of patients and the Nursing Activities Score (NAS) was used to evaluate nursing workload, between July and August 2014. Results: The overall mean score of the SAPS III was 30.52 ± 18.39 and that of the NAS was 58.18 ± 22.29. The group of patients admitted to the ICU showed higher severity and higher workload of nursing compared to non-admitted patients. Non-admitted patients had an NAS of 53.85. Conclusion: The nursing workload in patients who were not admitted to the ICU was also high. The evaluation of workload in other contexts where patients are seriously ill is important.The workload assessment in other contexts where severely ill patients are found is evident. resumen Objetivo: Identificar la gravedad y la carga de trabajo de enfermería requerida por pacientes adultos candidatos a una vacante en Unidad de Terapia Intensiva (UTI). Método: Estudio transversal, cuantitativo, exploratorio y prospectivo, realizado en un hospital del interior de São Paulo. La recolección de datos demográficos utilizó el Simplified Acute Physiology Score III (SAPS III), para evaluar la gravedad, y el Nursing Activities Score (NAS), para evaluar la carga de trabajo de enfermería, entre julio y agosto de 2014. Resultados: El promedio general de la puntuación SAPS III fue 30,52; el NAS, 58,18. Los pacientes admitidos en la UTI presentaron mayor gravedad y carga de trabajo en comparación con pacientes no admitidos (NAS promedio de 53,85). KeywordsConclusión: La carga de trabajo de enfermería en los pacientes que no son admitidos en la UTI también es alta. Se debe evaluar la carga de trabajo en otros contextos donde estén pacientes graves.

Newly undergraduate nurses and intensive care in units of non-critical patients

“…This is the case of research whose focus was to identify the severity and the Nursing workload in patients, candidates to vacancies in the ICU. We verified that the applicant patients who were not admitted to the ICU required a high Nursing workload, with a score very close to the national average of patients who are admitted to the ICU (8) .…”

“…Considering that, the authors affirm that the units that receive these critical patients outside the ICU may not be prepared in terms of human resources, and qualitative and quantitative aspects, to meet this clientele profile, requiring planning measures to guarantee quality and the safety of Nursing care (8) .…”

Carga de trabalho da enfermagem em unidade de terapia intensiva: um estudo de método misto

“…O comprometimento da dimensão biológica é evidente pela instabilidade apresentada nos parâmetros fisiopatológicos, porém não menos importantes que demais dimensões: psicossociais e espirituais. A família como unidade, requer cuidados nesse complexo processo, devendo contar para isso, com o tempo e suporte da equipe de saúde e, em especial, da enfermagem (Castro, et al, 2018).…”

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

“…Entretanto, outros pesquisadores identificaram uma elevada relação de carga de trabalho de enfermagem dispensadas aos pacientes candidatos à vaga de internação em UTI, tanto nos que foram admitidos como nos que não foram. Os autores observaram ainda que a gravidade e a carga de trabalho dos pacientes admitidos foram maiores (Castro et al, 2017).…”