Carga de trabalho de enfermagem em unidade de recuperação pós-anestésica

Abstract

Objectives: To assess nursing workload in the post-anesthesia care unit and its potential correlations with a surgical severity index, length of stay, magnitude of surgery, and patient age. Methods: Cross-sectional study conducted at a university hospital. Workload was assessed by the Nursing Activities Score, and severity of illness, by the Simplified Acute Physiology Score II. Both were assessed at the time of discharge from the unit. Results: The study sample comprised 160 patients (mean age, 57 ± 15 years). The median nursing workload was 45.6 minutes per hour, i.e. 50% of patients required 45.6 minutes of nursing care per hour spent in the post-anesthesia care unit. There was no association between workload and severity index. However, there were positive correlations among workload, length of stay, and magnitude of surgery. The severity of illness was correlated with age. Conclusion: Nursing workload in the post-anesthesia care unit is influenced by length of stay and magnitude of surgery. ResumoObjetivos: Avaliar a carga de trabalho de enfermagem em unidade de recuperação pós-anestésica e relacionar com o índice de gravidade cirúrgico, tempo de permanência, porte cirúrgico e idade. Métodos: Estudo transversal conduzido em hospital universitário. A carga de trabalho foi avaliada pelo Nursing Activities Score e o índice de gravidade pelo Simplified Acute Physiology Score II aplicados na alta da unidade de recuperação. Resultados: Foram incluídos 160 pacientes, idade média 57±15 anos. A carga de trabalho para 50% dos pacientes foi de 45,6 minutos a cada hora de permanência na unidade. Não houve relação entre carga de trabalho e índice de gravidade. Contudo, houve correlações positivas entre carga de trabalho, tempo de permanência e porte cirúrgico. O índice de gravidade apresentou correlação com a idade. Conclusão: A carga de trabalho de enfermagem em unidade de recuperação pós-anestésica sofre influência do tempo de permanência e do porte cirúrgico.

Nursing workload in a coronary unit according to the Nursing Activities Score

“…This instrument has detected high nursing workloads in general and specialized intensive care units (ICU), with median scores ranging from 66.6% to 74,4% (5,(9)(10) . The NAS is also applicable to units with highly care-dependent patients (11) , individuals with longer postanesthetic recovery periods (12) and to specialized inpatient units (13)(14) . Although the assessment of nursing workload using the NAS could make signifi cant contributions to both the literature and clinical practice, a brief review of the literature revealed that most studies using this instrument focused on general ICUs and, in cardiology studies, only in postoperative heart surgery patients (8,10,15) .…”

Fidedignidade e validade do Instrumento de Avaliação da Dor em Idosos Confusos - IADIC

“…(1) The IADIC was able to show pain in the association between the presence of pain and levels of complexity of the surgical procedures (p = 0.020), showing that the patients in this study that underwent high-complexity procedures had more pain than those who underwent low / medium complexity procedures, this result has also been found in other studies. (1,18,19) A survey conducted in inpatient units of a general hospital, where pain and satisfaction with analgesia was evaluated in 110 adult patients, found that 97.6% of patients who underwent major surgery reported pain, where 38.7% described the pain as severe, between 8 and 10 when evaluated by the numerical pain scale. (19)…”

“…(1,18,19) A survey conducted in inpatient units of a general hospital, where pain and satisfaction with analgesia was evaluated in 110 adult patients, found that 97.6% of patients who underwent major surgery reported pain, where 38.7% described the pain as severe, between 8 and 10 when evaluated by the numerical pain scale. (19)…”

Clinical indicators of nursing outcomes classification for patient with risk for perioperative positioning injury: A cohort study

“…Patients were selected based on the operating room surgical schedule. The sample included adult patients who underwent elective surgical procedures requiring anaesthesia, classified as surgical class 2, 3 or 4 (Lima & Rabelo, 2013). Briefly, surgical class is dependent on operative time, with class one (1) corresponding to surgical procedures lasting up to 2 hr, class two (2) to procedures lasting 2 hr 1 min to 4 hr, class three (3) to procedures lasting 4 hr 1 min to 6 hr, and class four (4) to procedures lasting 6 hr and 1 min or longer (Lima & Rabelo, 2013).…”

“…The sample included adult patients who underwent elective surgical procedures requiring anaesthesia, classified as surgical class 2, 3 or 4 (Lima & Rabelo, 2013). Briefly, surgical class is dependent on operative time, with class one (1) corresponding to surgical procedures lasting up to 2 hr, class two (2) to procedures lasting 2 hr 1 min to 4 hr, class three (3) to procedures lasting 4 hr 1 min to 6 hr, and class four (4) to procedures lasting 6 hr and 1 min or longer (Lima & Rabelo, 2013). Surgical class was used as a criterion for patient inclusion based on a previous study that found operative time >2 hr to be a risk factor for perioperative positioning injury (Lopes & Galvão, 2010;Scarlatti et al, 2011).…”