Sítios assistenciais em Unidade de Terapia Intensiva e relação do nursing activities score com a infecção hospitalar

Cyrino, Cláudia Maria Silva; Dell’Acqua, Magda Cristina Queiroz

doi:10.1590/s1414-81452012000400010

Cited by 12 publications

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“…8,17 It may be considered that the non-survival rate, at close to 27.0%, found in the present study, may result from the association of different variables -such as preexistent chronic illnesses or the extensive length of stay in ICU, and the consequent Healthcare Associated Infections (HCAI). This result may be found in previous research carried out by Cyrino, 18 which assessed the implantation of the Assistential Sites, the nursing workload, and the relationship of these with hospital infections. This fact may be explained by the chronic characteristics of the patients receiving inpatient treatment in ICU, particularly on the Long Stay Assistential Site, evidenced by a mean stay of 19 days.…”

Section: Discussionsupporting

confidence: 63%

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: 63%

Nursing Activities Score by assistance sites in Intensive Care Units

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“…Thus, identifying the workload required by patients with a severe clinical or surgical condition can be an important tool to support work process management. [1][2][3] The Nursing Activities Score (NAS) has been the main instrument used to measure the workload of the nursing team in ICUs located in Brazil and other countries. It is a safe tool for evaluation and management, which can help nurses to adequately define the nursing team and safe health care practices.…”

Section: 10mentioning

confidence: 99%

“…It is a safe tool for evaluation and management, which can help nurses to adequately define the nursing team and safe health care practices. 1,[11][12][13] It is relevant to assess the workload required by patients who need intensive care and seek admission to an ICU, in other units not designated for critical patients. Based on their technical and structural dimensions, these locations may not be prepared to provide effective care, thus posing a risk to patients and the health team.…”

Section: 10mentioning

confidence: 99%

“…Thus, it is recommended that the health care team should discuss aspects associated with the clinical condition and prognosis of patients to meet the demands, while respecting the adequate levels and complexities, because limited resources can truly compromise the results in the admission process. [1][2][3] In Brazil, the vulnerability of the universalization of services in the Sistema Único de Saúde (SUS -Unified Health System), especially high-complexity and high-cost services, such as hospitalizations in ICU beds. There are 17,940 registered ICU beds, of which 11,615 are designated for adult patients, thus not meeting the current demands.…”

Section: Introductionmentioning

confidence: 99%

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

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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.

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“…A inadequação da qualidade e da quantidade dos profissionais de enfermagem pode prejudicar de forma relevante o cuidado prestado. Desse modo, a adoção de métodos que propiciem uma melhor mensuração da carga de trabalho do enfermeiro, possibilita segurança no cuidado ao paciente grave e evita o adoecimento físico e emocional ocasionado pela sobrecarga de trabalho (2)(3)(4) . O Nursing Activities Score (NAS), traduzido e adaptado para a língua portuguesa em 2009, é considerado um importante método de análise para avaliação da carga de trabalho de enfermagem destinada ao paciente crítico, pois, além de contabilizar o tempo de procedimentos e intervenções terapêuticas realizadas pelo enfermeiro nos turnos de trabalho, contempla atividades administrativas e de suporte aos familiares (1) .…”

Section: Introductionunclassified

Nursing Activities Score E O Cuidado Em Uma Unidade De Terapia Intensiva

Ferreira¹,

Santos²,

Estrela³

2016

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ResumoIntrodução: Na Unidade de Terapia Intensiva deve-se garantir um provimento de enfermeiros adequadamente dimensionado a partir da utilização de instrumentos de avaliação como o Nursing Activities Score, para que estes profissionais possam desenvolver um cuidado livre de danos. Objetivo: Investigar a relação que os enfermeiros estabelecem entre a carga de trabalho vivenciada em uma unidade de terapia intensiva e o cuidado prestado. Casuística e Métodos:Trata-se de um estudo descritivo-exploratório, com abordagem qualitativa, realizado em uma unidade de terapia intensiva geral de um hospital público, na cidade de Salvador-Bahia. A amostra foi composta por seis enfermeiros. Foi utilizado como instrumento de pesquisa um questionário com perguntas abertas. A análise ocorreu a partir da Análise de Conteúdo com formação de categorias temáticas. Resultados: Na análise dos dados verificou-se que muitos enfermeiros possuem um cuidado limitado à realização de boas práticas assistenciais, conhecem o Nursing Activities Score bem como a sua importância para dimensionar o quantitativo de profissionais na unidade, contudo apontam a falta de recursos humanos e materiais como limitador para redução da sobrecarga na unidade. Conclusão: A aplicação do Nursing Activities Score subsidia positivamente a mensuração e avaliação da criticidade dos pacientes internados e a posterior distribuição homogênea entre os enfermeiros assistenciais em cada turno de trabalho, mas destaca-se sua subutilização como ferramenta gerencial para garantir adequação do quantitativo necessário de enfermeiros, redução da carga de trabalho e melhor cuidado prestado.Descritores: Cuidados de Enfermagem; Carga de Trabalho; Downsizing Organizacional; Unidades de Terapia Intensiva. Abstract Introduction:In the Intensive Care Unit, the provision of nurses adequately dimensioned should be granted in order to allow the use of evaluation instruments, such as the Nursing Activities Score. This way, these professionals can develop a care free of harm. Objective: Investigate the relationship that nurses have established between the workload experienced in an intensive care unit and the care provided to the patients. Patients and Methods: This is a descriptive, exploratory study with a qualitative approach, performed in a general intensive care unit of a public hospital in the city of Salvador, Bahia State. The study sample consisted of six nurses. It was used as a research instrument a questionnaire with open questions. The analysis occurred due to the content analysis from the establishment of thematic categories. Results: Performing data analysis, we found that nurses have a very limited attention to the achievement of good healthcare practices. They know the Nursing Activity Score, as well as its importance to the personnel downsizing at the unit. However, they pinpoint the lack of nursing staff and material resources within the intensive care unit as a limiting factor to reduce the workload on the unit. Conclusion: The application of the Nursing Activities Score ...

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Sítios assistenciais em Unidade de Terapia Intensiva e relação do nursing activities score com a infecção hospitalar

Cited by 12 publications

References 11 publications

Nursing Activities Score by assistance sites in Intensive Care Units

Nursing Activities Score by assistance sites in Intensive Care Units

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

Nursing Activities Score E O Cuidado Em Uma Unidade De Terapia Intensiva

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