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[Nursing activities score: differences in nursing workload in three intensive care units].
Assistenza Infermieristica E Ricerca : AIR
|April 4, 2015
Summary
Nursing workload in intensive care units (ICUs) was analyzed using the Nursing Activities Score (NAS). Monitoring, hygiene, and positioning significantly impacted workload, varying by ICU type and patient complexity.
Area of Science:
- Nursing Research
- Intensive Care Medicine
- Healthcare Management
Background:
- Nursing workload in intensive care units (ICUs) remains underexplored.
- Understanding factors influencing nursing workload is crucial for effective resource allocation and patient care.
Purpose of the Study:
- To retrospectively analyze nursing workload across general, neurosurgery, and cardiac surgery ICUs.
- To identify specific nursing interventions that most significantly impact workload using the Nursing Activities Score (NAS).
Main Methods:
- Retrospective observational study design.
- Inclusion of 7588 patients admitted between January 2006 and December 2012.
- Daily completion of the Nursing Activities Score (NAS) around 6 am.
Main Results:
- Mean NAS score was 61.7 ± 19.02%, with variations across ICUs (General: 75.9 ± 1.44%, Neuro: 61.6 ± 2.46%, Cardiac: 62.5 ± 3.06%).
- Key interventions impacting workload included monitoring and titration, hygiene procedures, and mobilization/positioning.
- These interventions were performed with differing frequencies in the three ICUs.
Conclusions:
- Minimum required care in ICUs approximates 950 minutes/day.
- Observed differences in workload are attributed to patient clinical severity and care complexity across different ICU types.
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