Nursing workload and occurrence of adverse events in intensive care: a systematic review

被引：32

作者：

de Oliveira, Andrea Carvalho ^{[1
]}

Garcia, Paulo Carlos ^{[2
]}

Nogueira, Lilia de Souza ^{[3
]}

机构：

[1] Univ Sao Paulo, Escola Enfermagem, Programa Residencia Enfermagem Saude Adulto & Ido, Sao Paulo, SP, Brazil

[2] Univ Sao Paulo, Hosp Univ, Unidade Terapia Intens Adulto, Sao Paulo, SP, Brazil

[3] Univ Sao Paulo, Escola Enfermagem, Dept Enfermagem Med Ciruirg, Sao Paulo, SP, Brazil

来源：

REVISTA DA ESCOLA DE ENFERMAGEM DA USP | 2016年 / 50卷 / 04期

关键词：

Workload; Nursing; Team; Patient Safety; Intensive Care Unit; Review; BACTERIAL-COLONIZATION; UNIT; NURSES; LOAD;

D O I：

10.1590/S0080-623420160000500020

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Objective: To identify evidences 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. The Nursing Activities Score (NAS; 37.5%) and the Therapeutic Intervention Scoring System (TISS; 37.5%) were the instruments most frequently used for assessing nursing workload. Six studies (75.0%) identified the influence of work overload in events of infection, PU, and medication errors. An investigation found that the NAS was a protective factor for PU. Conclusion: The nursing workload required by patients in the ICU influenced the occurrence of AE, and nurses must monitor this variable daily to ensure proper sizing of staff and safety of care.

引用

页码：679 / 689

页数：11

共 51 条

[1] Educational levels of hospital nurses and surgical patient mortality [J].

Aiken, LH ;

Clarke, SP ;

Cheung, RB ;

Sloane, DM ;

Silber, JH .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (12) :1617-1623

[2]

Aspden P., 2007, Preventing medication errors

[3]

Aycan IO, 2015, REV BRAS ANESTESIOL, V65, P180, DOI [10.1016/j.bjane.2014.05.005, 10.1016/j.bjan.2014.05.004]

[4]

Balsanelli AP, 2009, REV LATINOAM ENFERMA, V17

[5]

Beccaria Lucia Marinilza, 2009, Rev. bras. ter. intensiva, V21, P276

[6]

Adell AB, 2005, ENFERM INTENSIV, V16, P164

[7]

Adell AB, 2006, ENFERM INTENSIV, V17, P67

[8] Propagation of methicillin-resistant Staphylococcus aureus due to the overloading of medical nurses in intensive care units [J].

Blatnik, J. ;

Lesnicar, G. .

JOURNAL OF HOSPITAL INFECTION, 2006, 63 (02) :162-166

[9] Disclosing errors and adverse events in the intensive care unit [J].

Boyle, D ;

O'Connell, D ;

Platt, FW ;

Albert, RK .

CRITICAL CARE MEDICINE, 2006, 34 (05) :1532-1537

[10]

Brasil. Ministerio da Saude, 2013, PROT PRAT HIG MAOS S

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