Nursing workload for cancer patients under palliative care

Fuly, Patrí­cia dos Santos Claro; Pires, Lívia Márcia Vidal; Souza, Cláudia Quinto Santos de; Oliveira, Beatriz Guitton Renaud Baptista de; Padilha, Kátia Grillo

doi:10.1590/s0080-623420160000600012

Cited by 6 publications

(16 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is the case for instance of patients diagnosed with agony, the struggle that precedes death in those states in which life is gradually extinguished. Intensive palliative care has been identified for ward patients at risk for dying soon who experience severe symptoms, reporting an average of 10.3 NHPPD (Fuly, Pires, Souza, Oliveira, & Padilha, ).…”

Section: Discussionmentioning

confidence: 99%

Predicting patient acuity according to their main problem

et al. 2019

View full text Add to dashboard Cite

Aim To assess the ability of the patient main problem to predict acuity in adults admitted to hospital wards and step‐down units. Background Acuity refers to the categorization of patients based on their required nursing intensity. The relationship between acuity and nurses' clinical judgment on the patient problems, including their prioritization, is an underexplored issue. Method Cross‐sectional, multi‐centre study in a sample of 200,000 adults. Multivariate analysis of main problems potentially associated with acuity levels higher than acute was performed. Distribution of patients and outcome differences among acuity clusters were evaluated. Results The main problems identified are strongly associated with patient acuity. The model exhibits remarkable ability to predict acuity (AUC, 0.814; 95% CI, 0.81–0.816). Most patients (64.8%) match higher than acute categories. Significant differences in terms of mortality, hospital readmission and other outcomes are observed (p < .005). Conclusion The patient main problem predicts acuity. Most inpatients require more intensive than acute nursing care and their outcomes are adversely affected. Implications for nursing management Prospective measurement of acuity, considering nurses' clinical judgments on the patient main problem, is feasible and may contribute to support nurse management workforce planning and staffing decision‐making, and to optimize patients, nurses and organizational outcomes.

show abstract

Section: Discussionmentioning

confidence: 99%

Predicting patient acuity according to their main problem

et al. 2019

View full text Add to dashboard Cite

show abstract

“…This category compiled articles dealing with aspects of the practice of practitioners and health teams in the area of palliative care in oncology, such as protocols used in the care practice, intervention methods, differentiated approaches, and care procedures focused on professional and team practice, among others. The team of professionals who attend oncological patients under palliative care suffers from work overload due to the care complexity; in fact this is one the reasons that motivates researchers to develop studies with the team and their professional practice as the main theme, with the purpose of justifying professional resizing with scientific data (25) . This seems to be the most frequent theme of the articles included in this study, precisely because qualified professional practice is developed based on scientific evidence, constituting a widely discussed concept of evidence-based health.…”

Section: Discussionmentioning

confidence: 99%

Cenário da publicação científica dos últimos 5 anos sobre cuidados paliativos em oncologia: revisão de escopo

Sanches

Rabin

Teixeira

2018

Rev. esc. enferm. USP

View full text Add to dashboard Cite

There are several articles on the subject, however they have low scientific evidence. Most of the production is uniprofessional, and nurses are the main authors of multiprofessional publications. A brief overview of the scientific publication on palliative care in oncology was performed, from which we can recommend integration among professionals for producing multiprofessional studies with better quality of scientific evidence to direct and improve healthcare.

show abstract

“…En cuanto a la variabilidad resultante de los ítems, previo al análisis factorial, también se observa en otros estudios que los ítems relacionados a los exámenes de laboratorio y medicamentos (ítems 2 y 3) han presentado frecuencias elevadas. Es el caso de un estudio realizado con pacientes trasplantados (21) ; otras investigaciones realizadas con pacientes oncológicos en cuidados paliativos (22) y pacientes víctimas de trauma hospitalizados en UCI (23) . La elevada frecuencia de estos ítems puede ser justificada por las actividades consideradas de rutina, como la toma de exámenes de laboratorio, que aun así demandan horas de asistencia de enfermería pues las actividades relacionadas a la preparación y administración de medicamentos son parte de los procesos claves al interior de las UCI.…”

Section: Discussionunclassified

“…En cuanto a la baja frecuencia de los ítems referentes a "resucitación cardiopulmonar después de un paro durante las últimas 24 horas", "técnicas de hemofiltración, técnicas de diálisis" y "medición de presión intracraneal", también coincide con otros estudios en donde se han encontrado frecuencias de 0% (22) para los tres ítems, de 2,1% (21) y 6,6% (25) para el ítem "técnicas de hemofiltración, técnicas de diálisis", de 0,05% (21) y 0,4 (25) para el ítem "resucitación cardiopulmonar después de un paro durante las últimas 24 horas", y de 0% (21,25) para el ítem "Medición de presión intracraneal". Esto puede tener su explicación a que son actividades relacionadas a intervenciones más específicas o con baja frecuencia, que no se aplican a todos los pacientes, como la "medición de presión intracraneal" o la "resucitación cardiopulmonar después de un paro durante las últimas 24 horas".…”

Section: Discussionunclassified

“…The least squares factor extraction method was used, executed in the Factor software, and it resulted in one factor explaining 12.8% of total instrument variance. The proposed factor structure grouped items in one factor; however, items 1, 5,6,7,8,13,14,19,20,22 and 23 did not present adequate communality. The calculated value for the Kuder-Richardson formula was 0.886.…”

mentioning

confidence: 86%

See 1 more Smart Citation

Validación Del Nursing Activities Score en Unidades De Cuidados Intensivos Chilenas

et al. 2018

View full text Add to dashboard Cite

Objetivo: Analizar el grado de preservación de las propiedades psicométricas del Nursing Activities Score (NAS), según análisis de confiabilidad y validez del instrumento. Material y método: Estudio instrumental para la adaptación y validación de un instrumento que mide la carga de trabajo de enfermería en Unidades de Cuidados Intensivos y que abarca más del 80% de las actividades de enfermería, estimando la asignación diaria de pacientes al personal de enfermería, según las necesidades de cuidados de los mismos. La validación se realizó en seis unidades de cuidados intensivos de dos hospitales de Santiago de Chile. Resultados: La media NAS fue de 70,86%. Para el análisis factorial exploratorio se excluyeron los ítems que no presentaron variabilidad (2, 3, 15, 16 y 18). Se utilizó el método de extracción de factores de mínimos cuadrados en el programa Factor y se decidió la solución de 1 factor que explicó el 12,8 % de la varianza total del instrumento. La estructura factorial propuesta agrupó a los ítems en 1 factor y los ítems 1, 5, 6, 7, 8, 13, 14, 19, 20, 22 y 23 no presentaron una comunalidad adecuada. El estadístico de Kuder-Richardson fue de 0,886. La validez de criterio externo presentó una correlación alta y positiva (r= 0,601). Conclusión: Debido a la relevancia teórica y práctica y atingencia conceptual de los ítems reportada en el proceso de validación de contenido, se ha decidido no recomendar la eliminación de estos ítems y seguir haciendo estudios de validación en otras poblaciones.

show abstract

Nursing workload for cancer patients under palliative care

Cited by 6 publications

References 20 publications

Predicting patient acuity according to their main problem

Predicting patient acuity according to their main problem

Cenário da publicação científica dos últimos 5 anos sobre cuidados paliativos em oncologia: revisão de escopo

Validación Del Nursing Activities Score en Unidades De Cuidados Intensivos Chilenas

Contact Info

Product

Resources

About