Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit

被引:41
作者
Padilha, Katia Grillo [1 ]
Stafseth, Siv [2 ]
Solms, Diana [2 ]
Hoogendoom, Marga [3 ]
Carmona Monge, Francisco Javier [4 ]
Gomaa, Om Hashem [5 ]
Giakoumidakis, Konstantinus [6 ]
Giannakopoulou, Margarita [6 ]
Gallani, Maria Cecilia [7 ]
Cudak, Edyta [8 ]
Nogueira, Lilia de Souza [1 ]
Santoro, Cristiane [1 ]
de Sousa, Regina Cardoso [1 ]
Barbosa, Ricardo Luis [9 ]
Miranda, Dinis dos Reis [10 ]
机构
[1] Univ Sao Paulo, Escola Enfermagem, Dept Enfermagem Med Cirurg, Sao Paulo, SP, Brazil
[2] Oslo Univ Hosp, Div Emergencies & Crit Care, Oslo, Norway
[3] Isala Klin, Res Dept Anesthesiol & Intens Care, Zwolle, Netherlands
[4] Hosp Univ Fdn Alcorcon, Madrid, Spain
[5] Sohag Univ, Fac Nursing, Sohag, Egypt
[6] Univ Athens, Fac Nursing, Athens, Greece
[7] Univ Laval, Fac Sci Infirmieres, Quebec City, PQ, Canada
[8] Poznan Univ Med Sci, Fac Hlth Sci, Poznan, Poland
[9] Univ Fed Uberlandia, Inst Geog, Uberlandia, MG, Brazil
[10] Univ Groningen, Groningen, Netherlands
关键词
Workload; Nursing; Team; Nursing care; Intensive Care Units; Handbooks; HOSPITAL MORTALITY; PATIENT OUTCOMES; STAFFING LEVELS; WORKLOAD; SYSTEM; ASSOCIATION; LOAD;
D O I
10.1590/S0080-623420150000700019
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
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. Results: The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers' consensus. Conclusion: NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results.
引用
收藏
页码:131 / +
页数:7
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