Nursing care time and quality indicators for adult intensive care: correlation analysis

Garcia, Paulo Carlos; Fugulin, Fernanda María Togeiro

doi:10.1590/s0104-11692012000400004

Cited by 28 publications

(38 citation statements)

References 14 publications

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“…(9) Other Brazilian studies conducted in ICUs confirm this finding, indicating that the nurse staffing is not enough to meet the care demands. (4,13) A lower mean in the NAS was found, compared to other Brazilian studies, which found results ranging from 73.4 to 87.5%. (15) However, other studies showed similar NAS means, ranging from 52.7% to 66.1%.…”

Section: Discussioncontrasting

confidence: 67%

“…(16) Also, a study that analyzed the time of the nursing care and the incidence of accidental extubation found a lower incidence of this AE linked to a longer time of nursing care. (4) The most prevalent AE in relation to the population exposed to the risk was loss of NT followed by loss of PPIC. A retrospective study also found a 56% prevalence of AEs related to therapeutic devices, followed by medication errors (43%) and fall (1%).…”

Section: Discussionmentioning

confidence: 99%

“…(3) Strategies to evaluate and monitor patients have been adopted in order to assure the quality of care and even reduce the incidence of undesirable events. (4) In ICUs different scales are used to measure clinical and prognostic parameters and the demand for care. One of them is the prognostic index Acute Physiology and Chronic Health Evaluation II (APACHE II), developed to estimate severity of disease and predict hospital mortality.…”

Section: Introductionmentioning

confidence: 99%

“…(6) NAS monitoring allows determining the nursing team staffing in order to provide the necessary care. (4) An inadequate allocation of nursing staff is associated with an increase in the occurrence of AEs in ICUs. (7,8) Studies show an association between nurse staffing and adverse outcomes, such as infections, increased mortality, postoperative complications, unplanned extubation and medication errors.…”

Section: Introductionmentioning

confidence: 99%

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Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

et al. 2017

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Objective: To assess the incidence of adverse events and associate them with nursing workload, nursing team staffing and the severity of the patients. Method: A quantitave, cross-sectional, prospective study was conducted with 304 consecutive patients admitted to the General Intensive Care Unit of a private hospital between September and December 2013 (four months). Results: There were 39 adverse events, and the most prevalent was pressure sore. Patients who presented an event had a higher mean age, higher prevalence of clinical admissions, longer hospital stay, higher scores in the Acute Physiology and Chronic Health Evaluation (APACHE) II and in the Nursing Activities Score (NAS) and lower score in the Braden scale and in the Glasgow scale. There was no significant difference regarding nursing team staffing. Conclusion: There was a higher incidence of adverse events in patients who presented a profile of greater risk and severity identified by predictive scales. ResumoObjetivo: Avaliar a incidência de eventos adversos e associá-los com a carga de trabalho de enfermagem, o dimensionamento da equipe de enfermagem e o perfil de gravidade do paciente. Métodos: Foi realizado um estudo transversal, prospectivo, com abordagem quantitativa, em 304 pacientes consecutivos internados em Unidade de Terapia Intensiva geral de um hospital privado, admitidos entre setembro e dezembro de 2013 (quatro meses). Resultados: Ocorreram 39 eventos adversos sendo a lesão por pressão a mais prevalente. Os pacientes que apresentaram algum evento tiveram maior média de idade, maior prevalência de internações clínicas, internações mais prolongadas, maior escala Acute Physiology and Chronic Health Evaluation (APACHE) II, maior pontuação do Nursing Activities Score (NAS), menor escore na escala de Braden e menor escala de Glasgow e não tiveram diferenças significantes em relação ao dimensionamento da equipe de enfermagem. Conclusão: Houve maior incidência de eventos adversos em pacientes que exibiram um perfil de maior risco e gravidade identificados por meio de escalas preditoras.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

et al. 2017

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“…In this scenario, the Intensive Care Unit (ICU) merits special attention, since it involves the care of critical patients that require specialized and complex human resources, equipment and work processes in addition to a high number of procedures; consequently this environment is subject to the occurrence of AEs (3) . In view of nurses' work processes, nursing staff play a key role in the field of patient safety, since, besides having the largest number of health professionals working under their clinical coordination, they maintain a direct and uninterrupted contact with the patients.…”

Section: Introductionmentioning

confidence: 99%

Severity and workload related to adverse events in the ICU

et al. 2017

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Objective: To analyze whether an increase in patient severity and nursing workload are correlated to a greater incidence of adverse events (AEs) in critical patients. Method: A prospective single cohort study was performed on a sample of 138 patients hospitalized in an intensive care unit (ICU). Results: A total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient severity presented a direct relationship to the probability of AEs occurring. However, nursing workload did not present a statistically signifi cant relationship with the occurrence of AEs. Conclusion: The results cast light on the importance of using evaluation tools by the nursing personnel in order to optimize their daily activities and focus on patient safety. Descriptors: Nursing Care; Patient Severity; Workload; Safety Management; Patient Safety. RESUMO Objetivo: Analisar se o aumento da gravidade do paciente e a carga de trabalho de enfermagem está relacionado à maior incidência de Eventos Adversos (EAs) em pacientes críticos. Método: Estudo de coorte única, prospectivo, com amostra de 138 pacientes internados em uma Unidade de Terapia Intensiva (UTI). Resultados: Ao todo, foram evidenciados 166 EAs, que acometeram 50,7% dos pacientes. O aumento da gravidade do paciente apresentou relação direta com a chance de ocorrência de EAs. Entretanto, a carga de trabalho de enfermagem não apresentou relação estatisticamente signifi cativa, na ocorrência de EAs. Conclusão: Os resultados permitem refl etir acerca da importância da equipe de enfermagem, em utilizar instrumentos de avaliação, com o objetivo de melhorar e planejar suas ações diárias, com foco na segurança do paciente. Descritores: Cuidados de Enfermagem; Gravidade do Paciente; Carga de Trabalho; Gestão da Segurança; Segurança do Paciente. RESUMENObjetivo: Analizar si el aumento de la gravedad del paciente y la carga de trabajo de enfermería está relacionada con mayor incidencia de Eventos Adversos (EAs) en pacientes críticos. Método: Estudio de cohorte única, prospectivo, con muestra de 138 pacientes internados en una Unidad de Terapia Intensiva (UTI). Resultados: En total, fueron evidenciados 166 EAs, incidiendo sobre 50,7% de los pacientes. El aumento de la gravedad del paciente mostró relación directa con la posibilidad de ocurrencia de EAs. Sin embargo, la carga de trabajo de enfermería no demostró relación estadísticamente signifi cativa en la ocurrencia de EAs. Conclusión: Los resultados permiten refl exionar sobre la importancia del equipo de enfermería, en utilizar instrumentos de evaluación, con el objeto de mejorar y planifi car sus acciones diarias, enfocándose en la seguridad del paciente. Descriptores: Atención de Enfermería; Gravedad del Paciente; Carga de Trabajo; Gestión de la Seguridad; Seguridad del Paciente. Severity and workload related to adverse events in the ICU Serafim CTR, et al. Severity and workload related to adverse events in the ICU

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Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017)

et al. 2020

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Aim To provide a systematic review of the literature from 1997 to 2017 on nursing‐sensitive indicators. Design A qualitative design with a deductive approach was used. Data sources Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature. Review methods Quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross‐Sectional Studies. Results A total of 3,633 articles were identified, and thirty‐nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing‐sensitive indicators. Conclusion This review provides a comprehensive list of nursing‐sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing‐sensitive indicators. Impact This review provides evidence‐based results that health organizations can benefit from nursing care quality.

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Nursing care time and quality indicators for adult intensive care: correlation analysis

Cited by 28 publications

References 14 publications

Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

Severity and workload related to adverse events in the ICU

Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017)

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