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Nursing Workload in the ICU

Thamiris Ricci de Araújo, Mayra Gonçalves Menegueti, Maria Auxiliadora-Martins, Valéria Castilho, Lucieli Dias Pedreschi Chaves, Ana Maria Laus
Objective: to calculate the cost of the average time of nursing care spent and required by patients in the Intensive Care Unit (ICU) and the financial expense for the right dimension of staff of nursing professionals. Method: a descriptive, quantitative research, using the case study method, developed in adult ICU patients. We used the workload index - Nursing Activities Score; the average care time spent and required and the amount of professionals required were calculated using equations and from these data, and from the salary composition of professionals and contractual monthly time values, calculated the cost of direct labor of nursing...
November 21, 2016: Revista Latino-americana de Enfermagem
Daniel Schwarzkopf, Hendrik Rüddel, Daniel O Thomas-Rüddel, Jörg Felfe, Bernhard Poidinger, Claudia T Matthäus-Krämer, Christiane S Hartog, Frank Bloos
OBJECTIVES: Perceiving nonbeneficial treatment is stressful for ICU staff and may be associated with burnout. We aimed to investigate predictors and consequences of perceived nonbeneficial treatment and to compare nurses and junior and senior physicians. DESIGN: Cross-sectional, multicenter paper-pencil survey on personal and work-related characteristics, perceived nonbeneficial treatment, burnout, and intention to leave the job. SETTING: Convenience sample of 23 German ICUs...
October 21, 2016: Critical Care Medicine
Andrea Carvalho de Oliveira, Paulo Carlos Garcia, Lilia de Souza Nogueira
OBJECTIVE: To identifyevidences of the influence of nursing workload on the occurrence of adverse events (AE) in adult patients admitted to the intensive care unit (ICU). METHOD: A systematic literature review was conducted in the databases MEDLINE, CINAHL, LILACS, SciELO, BDENF, and Cochrane from studies in English, Portuguese, or Spanish, published by 2015. The analyzed AE were infection, pressure ulcer (PU), patient falls, and medication errors. RESULTS: Of 594 potential studies, eight comprised the final sample of the review...
July 2016: Revista da Escola de Enfermagem da U S P
Sean M Bagshaw, Dawn Opgenorth, Melissa Potestio, Stephanie E Hastings, Shelanne L Hepp, Elaine Gilfoyle, David McKinlay, Paul Boucher, Michael Meier, Jeanna Parsons-Leigh, R T Noel Gibney, David A Zygun, Henry T Stelfox
OBJECTIVES: Discrepancy in the supply-demand relationship for critical care services precipitates a strain on ICU capacity. Strain can lead to suboptimal quality of care and burnout among providers and contribute to inefficient health resource utilization. We engaged interprofessional healthcare providers to explore their perceptions of the sources, impact, and strategies to manage capacity strain. DESIGN: Qualitative study using a conventional thematic analysis...
September 15, 2016: Critical Care Medicine
Nin-Chieh Hsu, Chun-Che Huang, Jih-Shuin Jerng, Chia-Hao Hsu, Ming-Chin Yang, Ray-E Chang, Wen-Je Ko, Chong-Jen Yu
Factors associated with the physician workload are scarcely reported. The study aims to investigate the associated factors of on-call physician workload based on a published conceptual framework.The study was conducted in a general internal medicine unit of National Taiwan University Hospital. On-call physician workloads were recorded on a shift basis from 1198 hospitalized patients between May 2010 and April 2011. The proxy of on-call workloads included night calls, bedside evaluation/management (E/M), and performing clinical procedures in a shift...
August 2016: Medicine (Baltimore)
Peng Guo, Yeong Shiong Chiew, Geoffrey M Shaw, Lei Shao, Richard Green, Adrian Clark, J Geoffrey Chase
Monitoring clinical activity at the bedside in the intensive care unit (ICU) can provide useful information to evaluate nursing care and patient recovery. However, it is labour intensive to quantify these activities and there is a need for an automated method to record and quantify these activities. This paper presents an automated system, Clinical Activity Tracking System (CATS), to monitor and evaluate clinical activity at the patient's bedside. The CATS uses four Microsoft Kinect infrared sensors to track bedside nursing interventions...
July 8, 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Nahla Tayyib, Fiona Coyer, Peter Lewis
PURPOSE: The purpose of this study was to examine RNs' attitudes toward pressure injury (PI) prevention strategies. Barriers and facilitators perceived by RNs to potentially impact on the adoption and implementation of PI prevention interventions in the intensive care unit (ICU) were examined. DESIGN: Descriptive cross-sectional survey. SUBJECTS AND SETTING: The target population was RNs practicing in an intensive care unit (ICU) of a major tertiary hospital, King Abdul-Aziz, Mecca, in Saudi Arabia...
July 2016: Journal of Wound, Ostomy, and Continence Nursing
Kátia Bottega Moraes, Fabiana Zerbieri Martins, Maximiliano Dutra de Camargo, Débora Feijó Vieira, Ana Maria Muller Magalhães, Denise Tolfo Silveira
This study objective to describe the cloud Nursing Activities Score implementation process in the Intensive Care Unit of the Post-Anesthesia Recovery Room. It is a case study. The tools used were the Google applications with high productivity interconnecting the topic knowledge on behalf of the nursing professionals and information technology professionals. As partial results, it was determined that the average nursing staff workload in the ICU/PARR during the first 24 hours, according to the score on the scale, was 91...
2016: Studies in Health Technology and Informatics
O Didenko, V Isajevas, D Gineityte, V Vicka
No abstract text is available yet for this article.
December 2015: Intensive Care Medicine Experimental
Claudia-Paula Heidegger, Séverine Graf, Thomas Perneger, Laurence Genton, Taku Oshima, Claude Pichard
BACKGROUND: Diarrhea as a common complication affects 14% patients in our intensive care unit. Risk factors for diarrhea and its clinical consequences for patients are well known, but the impact of diarrhea on caregivers' workload remains undocumented. OBJECTIVES: This study aims at establishing the impact of diarrhea on costs and human burden in intensive care unit caregivers. DESIGN: A survey and observational study. SETTINGS: A mixed 36-bed medical and surgical intensive care unit...
July 2016: International Journal of Nursing Studies
Nikhil Tirlapur, Zudin A Puthucheary, Jackie A Cooper, Julie Sanders, Pietro G Coen, S Ramani Moonesinghe, A Peter Wilson, Michael G Mythen, Hugh E Montgomery
Diarrhoea is common in Intensive Care Unit (ICU) patients, with a reported prevalence of 15-38%. Many factors may cause diarrhoea, including Clostridium difficile, drugs (e.g. laxatives, antibiotics) and enteral feeds. Diarrhoea impacts on patient dignity, increases nursing workload and healthcare costs, and exacerbates morbidity through dermal injury, impaired enteral uptake and subsequent fluid imbalance. We analysed a cohort of 9331 consecutive patients admitted to a mixed general intensive care unit to establish the prevalence of diarrhoea in intensive care unit patients, and its relationship with infective aetiology and clinical outcomes...
2016: Scientific Reports
Matthieu Schmidt, Emmanuelle Boutmy-Deslandes, Sébastien Perbet, Nicolas Mongardon, Martin Dres, Keyvan Razazi, Emmanuel Guerot, Nicolas Terzi, Pierre Andrivet, Mikael Alves, Romain Sonneville, Christophe Cracco, Vincent Peigne, Francois Collet, Benjamin Sztrymf, Cedric Rafat, Danielle Reuter, Xavier Fabre, Vincent Labbe, Guillaume Tachon, Clémence Minet, Matthieu Conseil, Elie Azoulay, Thomas Similowski, Alexandre Demoule
BACKGROUND: Noninvasive ventilation (NIV) requires a close "partnership" between a conscious patient and the patient's caregivers. Specific perceptions of NIV stakeholders and their impact have been poorly described to date. The objectives of this study were to compare the perceptions of NIV by intensive care unit (ICU) physicians, nurses, patients, and their relatives and to explore factors associated with caregivers' willingness to administer NIV and patients' and relatives' anxiety in relation to NIV...
June 2016: Anesthesiology
Fernanda Souza Angotti Carrara, Suely Sueko Viski Zanei, Mariana Fernandes Cremasco, Iveth Yamaguchi Whitaker
OBJECTIVES: To compare the morbidity and mortality of patients with a body mass index (BMI) < and ≥30kg/m(2) and to identify risk factors related to death and length of stay of obese patients in the intensive care unit (ICU). METHODS: Prospective and cross-sectional study. SETTING: A 35-bed mixed ICU in São Paulo, Brazil. RESULTS: The sample consisted of 530 patients, of which 105 (19.8%) had a BMI ≥30kg/m(2)...
August 2016: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
Katia Grillo Padilha, Siv Stafseth, Diana Solms, Marga Hoogendoom, Francisco Javier Carmona Monge, Om Hashem Gomaa, Konstantinus Giakoumidakis, Margarita Giannakopoulou, Maria Cecília Gallani, Edyta Cudak, Lilia de Souza Nogueira, Cristiane Santoro, Regina Cardoso de Sousa, Ricardo Luis Barbosa, Dinis Dos Reis Miranda
Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus...
February 2015: Revista da Escola de Enfermagem da U S P
Marit Stuedahl, Sidsel Vold, Pål Klepstad, Siv Karlsson Stafseth
Objective To analyze the interrater reliability of NAS among critical care nurses and managers in an ICU. Method This was a methodological study performed in an adult, general ICU in Norway. In a random selection of patients, the NAS was scored on 101 patients by three raters: a critical care nurse, an ICU physician and a nurse manager. Interrater reliability was analyzed by agreement between groups and kappa statistics. Results The mean NAS were 88.4 (SD=16.2) and 88.7 (SD=24.5) respectively for the critical care nurses and nurse managers...
February 2015: Revista da Escola de Enfermagem da U S P
Larissa Bertacchini de Oliveira, Adriano Rogério Baldacin Rodrigues, Vilanice Alves de Araújo Püschel, Fernanda Aparecida da Silva, Suellen Lopes da Conceição, Laísla Baccarin Béda, Bruna Fidelis, Eduesley Santana-Santos, Silvia Regina Secoli
Objective Identify factors associated with the workload of nursing care for patients in the postoperative period of cardiac surgery. Method Prospective cohort study conducted with 187 patients in the surgical intensive care unit (ICU) of the Instituto do Coração(Heart Institute) in São Paulo-Brazil. Data were collected at 24 and 72 hours of the patients' admittance in the ICU. The dependent variable was workload as calculated by the Nursing Activities Score (NAS). The independent variables were demographic and clinical, as well as mortality scores...
February 2015: Revista da Escola de Enfermagem da U S P
Lilia de Souza Nogueira, Renata Eloah de Lucena Ferretti-Rebustini, Vanessa de Brito Poveda, Rita de Cassia Gengo E Silva, Ricardo Luis Barbosa, Elaine Machado de Oliveira, Rafaela Andolhe, Kátia Grillo Padilha
Objective To analyze the influence of nursing workload on the occurrence of healthcare associated infection (HAI) in patients in the intensive care unit (ICU), according to type of treatment. Method Retrospective cohort study developed in nine ICUs in São Paulo, Brazil, from September to December 2012. Nursing workload was measured by the Nursing Activities Score (NAS). The Student's t and Fisher's exact tests and logistic regressions were used in the analyses. Results The sample was composed of 835 patients (54...
February 2015: Revista da Escola de Enfermagem da U S P
Peng Guo, Yeong Shiong Chiew, Geoff Shaw, Geoff Chase
Therapeutic Intervention Score System (TISS-28) and the Nursing Activities Score (NAS) are common used to evaluate nursing workload in the Intensive Care Unit (ICU). However, they require experienced researchers to perform, are subject to user bias and experience, and are labor intensive, which all exclude regular use. A Clinical Activities Tracking System (CATS) was developed to evaluate bedside nursing activities automatically. This paper presents the validation of this system in quantifying bedside nursing activities...
August 2015: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Orla M Smith, Craig Dale, Sangeeta Mehta, Ruxandra Pinto, Louise Rose
OBJECTIVE: To characterize ICU nurses' research experience, work environments, and attitudes toward clinical research in critically ill adults and children. DESIGN: Cross-sectional survey. SETTING: Eight (seven adult and one pediatric) academic ICUs affiliated with the Canadian Critical Care Trials Group. PARTICIPANTS: Four hundred eighty-two ICU nurses. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Response rate was 56%...
January 2016: Critical Care Medicine
Elizabeth Armstrong, Monique C de Waard, Harm-Jan S de Grooth, Martijn W Heymans, Dinis Reis Miranda, Armand R J Girbes, Jan Jaap Spijkstra
BACKGROUND: The medium care unit (MCU) or "stepdown" unit is an increasingly important, but understudied care environment. With an aging population and more patients with complex multiple diseases, many patients often require a higher level of inpatient care even when full intensive care is not indicated. However, the nurse-to-patient ratio required on a MCU is neither well defined nor clear whether this ratio should be adjusted per shift. The Nursing Activities Score (NAS) is an effective instrument for measuring nursing workload in the intensive care unit (ICU) but has not been used in an MCU...
November 2015: Anesthesia and Analgesia
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