Factors associated with nursing workload in three intensive care units

ABSTRACT Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing workload was estimated based on the NAS. A descriptive and bivariate analysis stratified by ICU was performed using a robust multiple linear regression model, and the factors associated with the nursing workload (p < 0.05) were estimated. Results: In this study, 362 records were included. The median NAS was 68.1 points (Q1:47.2–Q3:116.7). APACHE II (β = 3.13, CI: 95% 2.28; 3.98), days of stay in ICU ≥3 (β = 16.78, CI: 95% 6.15; 27.41), surgery provenance service (β = 22.31, CI: 95% 9.76; 34.86), and traumatology and emergencies diagnostic category (β = 33.72, CI 95%: 9.90; 57.53) were associated with high NAS scores. Conclusion: The nursing staff spend approximately 70% of their time on a single patient, and administrative work takes up most of their time. Hospital stays of longer than 3 days, high APACHE II score, coming from the surgery department, and having a diagnosis of trauma and emergency were associated with a high workload.

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Main Authors: Rivera,Diana Isabel Cáceres, Torres,Claudia Consuelo, Romero,Luis Alberto López
Format: Digital revista
Language:English
Published: Universidade de São Paulo, Escola de Enfermagem 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100532
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spelling oai:scielo:S0080-623420210001005322021-09-02Factors associated with nursing workload in three intensive care unitsRivera,Diana Isabel CáceresTorres,Claudia ConsueloRomero,Luis Alberto López Workload Critical Care Nursing Intensive Care Units ABSTRACT Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing workload was estimated based on the NAS. A descriptive and bivariate analysis stratified by ICU was performed using a robust multiple linear regression model, and the factors associated with the nursing workload (p < 0.05) were estimated. Results: In this study, 362 records were included. The median NAS was 68.1 points (Q1:47.2–Q3:116.7). APACHE II (β = 3.13, CI: 95% 2.28; 3.98), days of stay in ICU ≥3 (β = 16.78, CI: 95% 6.15; 27.41), surgery provenance service (β = 22.31, CI: 95% 9.76; 34.86), and traumatology and emergencies diagnostic category (β = 33.72, CI 95%: 9.90; 57.53) were associated with high NAS scores. Conclusion: The nursing staff spend approximately 70% of their time on a single patient, and administrative work takes up most of their time. Hospital stays of longer than 3 days, high APACHE II score, coming from the surgery department, and having a diagnosis of trauma and emergency were associated with a high workload.info:eu-repo/semantics/openAccessUniversidade de São Paulo, Escola de EnfermagemRevista da Escola de Enfermagem da USP v.55 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100532en10.1590/1980-220x-reeusp-2020-0272
institution SCIELO
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country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Rivera,Diana Isabel Cáceres
Torres,Claudia Consuelo
Romero,Luis Alberto López
spellingShingle Rivera,Diana Isabel Cáceres
Torres,Claudia Consuelo
Romero,Luis Alberto López
Factors associated with nursing workload in three intensive care units
author_facet Rivera,Diana Isabel Cáceres
Torres,Claudia Consuelo
Romero,Luis Alberto López
author_sort Rivera,Diana Isabel Cáceres
title Factors associated with nursing workload in three intensive care units
title_short Factors associated with nursing workload in three intensive care units
title_full Factors associated with nursing workload in three intensive care units
title_fullStr Factors associated with nursing workload in three intensive care units
title_full_unstemmed Factors associated with nursing workload in three intensive care units
title_sort factors associated with nursing workload in three intensive care units
description ABSTRACT Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing workload was estimated based on the NAS. A descriptive and bivariate analysis stratified by ICU was performed using a robust multiple linear regression model, and the factors associated with the nursing workload (p < 0.05) were estimated. Results: In this study, 362 records were included. The median NAS was 68.1 points (Q1:47.2–Q3:116.7). APACHE II (β = 3.13, CI: 95% 2.28; 3.98), days of stay in ICU ≥3 (β = 16.78, CI: 95% 6.15; 27.41), surgery provenance service (β = 22.31, CI: 95% 9.76; 34.86), and traumatology and emergencies diagnostic category (β = 33.72, CI 95%: 9.90; 57.53) were associated with high NAS scores. Conclusion: The nursing staff spend approximately 70% of their time on a single patient, and administrative work takes up most of their time. Hospital stays of longer than 3 days, high APACHE II score, coming from the surgery department, and having a diagnosis of trauma and emergency were associated with a high workload.
publisher Universidade de São Paulo, Escola de Enfermagem
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100532
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