• Intensive Crit Care Nurs · Apr 2013

    Nursing workload in neurological intensive care units: cross-sectional study.

    • Alda Ferreira Queijo, Renata Soares Martins, Rafaela Andolhe, Elaine Machado Oliveira, Ricardo Luis Barbosa, and Katia Grillo Padilha.
    • Hospital da Beneficência Portuguesa de São Paulo, Rua Maestro Cardin, 769 Bela Vista, CEP 01323-900, São Paulo, Brazil. aldafq@usp.br
    • Intensive Crit Care Nurs. 2013 Apr 1;29(2):112-6.

    BackgroundNursing workload has been associated with quality of patient care. Thus, it is important to measure nursing workload in neurological intensive care units (neuro-ICUs).ObjectiveThe aims of the study were to assess nursing workload in neuro-ICUs and identify independent factors associated with nursing workload.MethodThis descriptive, cross-sectional study was conducted in two neuro-ICUs with 11 beds each (for a total of 22 beds) of a private general hospital in the city of São Paulo, Brazil. Data from the first 24 hours of admission to the neuro-ICUs from 100 consecutive patients were collected from the hospital database. The Nursing Activities Score (NAS) was used to assess nursing workload in the neuro-ICUs. Data were analysed using descriptive and inferential statistics and multiple linear regression analysis. Statistical significance was set at α=0.05.ResultsPatients were mostly men (52.00%), had a mean age of 55.10 years, median length of ICU stay of 2 days, and survival rate of 94.00%. Fifty-nine percent of patients were transferred from the surgical ward. Mean NAS was 65.18% (standard deviation=6.63%) and the risk of mortality according to the Simplified Acute Physiology Score (SAPS II) and the Logistic Organ Dysfunction System (LODS) was 17.79% and 16.30%, respectively.ConclusionThe present results are important for the effective planning and use of nursing resources according to the care needs of patients in neuro-ICUs.Copyright © 2012 Elsevier Ltd. All rights reserved.

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