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Updated: May 8, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
[Patient profile and nursing workload at the nephrology unit]
Priscilla Branco Trepichio1, Edinêis de Brito Guirardello, Erika Christiane Marocco Duran
1Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, São Paulo, Brasil.
Chronic kidney failure (CKF) care demands significant nursing time, averaging 12.5 hours daily per patient. This workload, measured by the Nursing Activities Score (NAS), is comparable to intensive care units, highlighting the need for adequate staffing.
Area of Science:
- Nephrology Nursing
- Healthcare Management
- Patient Care Assessment
Context:
- Chronic kidney failure (CKF) management requires substantial nursing resources.
- Nephrology units face unique challenges in patient care delivery.
- Accurate workload assessment is crucial for effective healthcare operations.
Purpose:
- To quantify nursing workload in a nephrology unit using the Nursing Activities Score (NAS).
- To determine the daily hours of care required for CKF patients.
- To provide data for optimizing nursing staff allocation in nephrology settings.
Summary:
- A 47-day study involving 62 patients in a nephrology unit measured nursing workload via daily NAS.
- Patients were predominantly young males with chronic kidney failure or awaiting kidney transplants.
- Admission workload averaged 52% NAS, equating to 12.5 nursing hours per patient per 24 hours.
Impact:
- Findings indicate nursing workload in nephrology is comparable to intensive care units.
- The NAS provides a quantifiable tool for nursing managers to determine staffing needs.
- Further clinical validation is recommended for broader application of these findings.
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