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Nursing workload assessment in an intensive care unit: a 5-year retrospective analysis

2021Journal article Restricted access
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dc.contributor.authorSimões, João Lindo
dc.contributor.authorSa-Couto, Pedro
dc.contributor.authorSimões, Carlos Jorge
dc.contributor.authorOliveira, Cátia
dc.contributor.authorSantos, Neuza Maia dos
dc.contributor.authorMateus, José
dc.contributor.authorMagalhães, Carlos Pires
dc.contributor.authorMartins, Matilde
dc.date.accessioned2021-01-05T17:00:59Z
dc.date.available2021-01-05T17:00:59Z
dc.date.issued2021
dc.description.abstractAims: To study the correlation between the workload of intensive care nursing teams and the sociodemographic, anthropometric and clinical characteristics of patients in critical condition in a Portuguese Intensive Care Unit (ICU) during a 5-year period. Background: Currently, indices of nursing workload quantification are one of the resources used for planning and evaluating ICUs. Evidence shows that there are several factors related to critical patients and their hospitalisation which potentially influence the nursing workload. Design: Retrospective cohort analysis of a health record database from adult patients admitted to a Portuguese ICU between 1 January 2015–31 December 2019. Methods: Simplified Therapeutic Intervention Scoring System (TISS-28) scores of 730 adult patients. Three TISS-28 assessments were considered: first assessment, last assessment and average. The STROBE guidelines were used in reporting this study. Results: The TISS-28 has an average of 34.2 ± 6.9 points at admission, which is considered a high nursing workload. A somewhat lower result was found for the discharge and average assessments. It shows that basic activities accounted for the highest percentage of time spent (38.0%), followed by the cardiovascular support category (26.5%). The TISS-28 shows consistent results throughout the study period, despite a small trend reduction in the last 2 years. Conclusions: Lower workloads were found for age ≤44 years and with a shorter length of stay. Higher workload was more probable in patients classified in Cullen Class IV (OR = 2.5) and with a normal to higher weight percentile (OR = 1.9 and 1.5, respectively). Relevance to clinical practice: Knowledge of the factors influencing the nursing workload facilitates the implementation of rules to improve performance in nursing interventions, based on the redefinition of care priorities, increased productivity, human resources management and reduction of additional costs to the organisation, related to possible adverse events, among others.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSimões, João Lindo; Sa-Couto, Pedro; Simões, Carlos Jorge; Oliveira, Cátia; Dos Santos, Neuza Maia; Mateus, José; Magalhães, Carlos Pires; Martins, Matilde (2020). Nursing workload assessment in an intensive care unit: a 5-year retrospective analysis. Journal of Clinical Nursing . ISSN 1365-2702pt_PT
dc.identifier.doi10.1111/jocn.15570
dc.identifier.issn1365-2702
dc.identifier.urihttp://hdl.handle.net/10198/23035
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherWileypt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectIntensive carept_PT
dc.subjectNurse managerpt_PT
dc.subjectNursingpt_PT
dc.subjectPatient-centred carept_PT
dc.subjectWork organisationpt_PT
dc.titleNursing workload assessment in an intensive care unit: a 5-year retrospective analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceEnglandpt_PT
oaire.citation.titleJournal of clinical nursingpt_PT
person.familyNameMagalhães
person.familyNameMartins
person.givenNameCarlos Pires
person.givenNameMatilde
person.identifier.ciencia-idF515-7F7C-C3DB
person.identifier.ciencia-id8512-BB32-73C5
person.identifier.orcid0000-0003-0170-8062
person.identifier.orcid0000-0003-2656-5897
person.identifier.scopus-author-id55293441900
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication032ca57f-1375-46c3-9675-ddb464d9798c
relation.isAuthorOfPublication8a357d2f-d378-430e-a3cd-007922f1a068
relation.isAuthorOfPublication.latestForDiscovery032ca57f-1375-46c3-9675-ddb464d9798c

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