Factors related to nursing workload in Adult Intensive Care Units on the first day of admission. / Fatores associados à carga de trabalho de enfermagem em unidade de terapia intensiva de adultos no primeiro dia de internação.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

This is a qualitative and retrospective study with transversal cut that aimed both to analyse the nursing workload on the first day of admission in the Intensive Care Unite (ICU) and the factors related to it. The data were taken from a database that gathered information from 5 ICUs from two private hospitals, of a terciary level, large and medium-sized in the city of São Paulo, Brazil. The sample was constituted of 214 adult patients, admitted from April 2002 to October 2004, in the large and medium-sized hospitals respectively. They remained in the ICU for at least 24 hours. The data were collected from their recordings through three instruments: A data form which brings information such as demographic, clinical and instruments, NAS (Nursing Activities Score) and SAPS II (Simplified Acute Physiology Score II) respectively applied in order to measure the nursing workload and patients severity. The data were stored and analysed through the SPSS (Statistical Package for the Social Sciences) program, version 12.0 (SPSS, 2002). It was established descriptive and inferential analysis of the study. NAS total score average was 69.9% and the median was 68.0%. According to the median, it was verified that 109 (50.9%) individuals had high nusing workload and 105 (49.1%) low load.. When the nursing workload averages were compared according to clinical and demographic variables, it was observed that the only statistically significative ones were discharge conditions and time spent in the ICU. When compared to the groups with high and low nursing workload, the relation was only observed between the variable time spent in the ICU. Therefore, it was concluded that severity of illness, patient age and kind of treatment were not factores related to nursing workload in the first 24 hours in the ICU. Based on these results, further investigations on other variables considering dependency level of the critical patient are necessary.

ASSUNTO(S)

workload enfermagem intensive care nursing carga de trabalho cuidados intensivos

ACESSO AO ARTIGO

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