Carga de trabalho de enfermagem: preditor de infecção relacionada à assistência à saúde na terapia intensiva?

Nogueira, Lilia de Souza; Ferretti-Rebustini, Renata Eloah de Lucena; Poveda, Vanessa de Brito; Silva, Rita de Cassia Gengo e; Barbosa, Ricardo Luís; Oliveira, Eleonora Menicucci de; Andolhe, Rafaela; Padilha, Kátia Grillo

doi:10.1590/s0080-623420150000700006

Cited by 19 publications

(20 citation statements)

References 21 publications

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“…Assistance Sites and Nursing Activities Score Cyrino CMS, Dell'Acqua MCQ, Castro MCN, Oliveira EM, Deodato S, Almeida PMV As to the mean NAS value of 71.7%, one can observe a similarity with other Brazilian findings with means of 74.4% 2 and 71.0%, 16 both found in ICUs in high complexity public hospitals. In the ICU in the present study, in 2009, the mean NAS was lower, at 60.3% -varying from 27.8% to 123.1%, 13 indicating an increase in the complexity of the care and in the workload in the nursing care in this unit in recent years.…”

Section: Discussionsupporting

confidence: 60%

“…4,7,8,13,15 The mean age was 56.8 years old, and this is also consistent with other studies undertaken in Brazil. 4,7,16 and abroad 10,11,17 In relation to the outcome of survival or nonsurvival of the patients, it may be observed that 27.1% of the patients did not, ultimately, survive. In other studies undertaken in Brazilian ICUs, the mortality rate was 41.0% 2 and 21.6%, 4 while in studies undertaken in ICUs abroad, this value is close to 10.0%.…”

Section: Discussionmentioning

confidence: 99%

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Nursing Activities Score by assistance sites in Intensive Care Units

et al. 2017

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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

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Nursing Activities Score by assistance sites in Intensive Care Units

et al. 2017

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“…5 The intensive care unit (ICU) as the destination unit for critically ill patients is considered by many authors as the unit where most incidents occur, considering that many of the patients who need intensive care require a greater number of complex therapeutic interventions, and are more vulnerable to care errors or infections. [6][7] In addition, the unit is known for demanding a high workload from its professionals, particularly the nursing team, 6 requiring adequate staffing so that the quality of care and patient safety are not compromised. 7 A study analyzing variables that favored the presence of adverse events in the ICU for adults identified high or excessive nursing workload, and hospital infection as risk factors.…”

Section: -2mentioning

confidence: 99%

“…[6][7] In addition, the unit is known for demanding a high workload from its professionals, particularly the nursing team, 6 requiring adequate staffing so that the quality of care and patient safety are not compromised. 7 A study analyzing variables that favored the presence of adverse events in the ICU for adults identified high or excessive nursing workload, and hospital infection as risk factors. 1 The authors observed that severe complications caused increased mortality, morbidity and length of hospital stay.…”

Section: -2mentioning

confidence: 99%

Carga De Trabalho De Enfermagem, Estresse/Burnout, Satisfação E Incidentes Em Unidade De Terapia Intensiva De Trauma

Padilha

Barbosa

Andolhe

et al. 2017

Texto contexto - enferm.

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Objective: to analyze the influence of workload, stress, Burnout, work satisfaction, the nursing team's perception of the care environment, and the presence of adverse events in a Trauma Intensive Care Units.Method: an observational study conducted at the Intensive Trauma Therapy Unit 195 patients were prospectively followed for the collection of incidents, and instruments were used to measure Nursing workload, stress, Burnout, job satisfaction and work environment assessment by the nursing team. Data were analyzed using appropriate statistics for the study.Results: we observed 1,586 incidents, predominantly no harm incidents (78.44%). Among the nursing staff, 77.40% had average levels of stress; 17.00% presented Burnout; 56.6% were dissatisfied and considered the environmental characteristics to be inadequate. Nursing workload was high (73.24%). An association between incident and length of stay was found. No harm incidents were associated with nursing workload. Método: estudio observacional en la Unidad de Cuidados Intensivos de Trauma. Para la recolección de los incidentes fueron seguidos prospectivamente 195 pacientes siendo utilizados instrumentos para medir la carga de trabajo de enfermería, el estrés, el Burnout, la satisfacción laboral y el trabajo de evaluación del entorno de trabajo por parte del personal de enfermería. Los datos se analizaron usando el estudio estadístico apropiado. ConclusionResultados: ocurrieron 1.586 incidentes predominantemente incidentes sin daño (78,44%). Entre el personal de enfermería, 77.40% tenían niveles medios de estrés; 17,00% mostró Burnout; y el 56,6% estaban insatisfechos y consideraron inadecuadas las características ambientales. La carga de trabajo de enfermería fue alta (73,24%). Se observó una asociación entre la incidencia y la duración de la estancia. Incidentes sin lesiones se asociaron con la carga de trabajo de enfermería.Conclusión: La identificación de factores asociados puede prevenir la aparición de incidentes. DESCRIPTORES:Seguridad del paciente. Unidades de cuidados intensivos. Carga de trabajo. Agotamiento profesional. Enfermería.

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“…Esse perfil biossocial em UTI é referendado na literatura (Conishi, 2005;Dias, 2006;Queijo, 2008;Inoue, Matsuda, 2010;Gonçalves et al, 2012;Garcia, Fugulin, 2012;Puchades et al, 2015;Nogueira et al, 2015a).…”

Section: Caracterização Dos Pacientes Inernados Nas Uti Campos De Estudounclassified

Correlação entre o tempo de assistência de enfermagem e indicadores de qualidade assistencial em Unidades de Terapia Intensiva

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Carga de trabalho de enfermagem: preditor de infecção relacionada à assistência à saúde na terapia intensiva?

Cited by 19 publications

References 21 publications

Nursing Activities Score by assistance sites in Intensive Care Units

Nursing Activities Score by assistance sites in Intensive Care Units

Carga De Trabalho De Enfermagem, Estresse/Burnout, Satisfação E Incidentes Em Unidade De Terapia Intensiva De Trauma

Correlação entre o tempo de assistência de enfermagem e indicadores de qualidade assistencial em Unidades de Terapia Intensiva

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