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Updated: Aug 25, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Nursing workload associated with neonatal mortality risk: a cross-sectional study.
Raquel Rondina Pupo da Silveira1, Clarita Terra Rodrigues Serafim1, Meire Cristina Novelli E Castro1
1Universidade Estadual Paulista Júlio de Mesquita Filho. Botucatu, São Paulo, Brazil.
This study found no association between nursing workload and neonatal mortality in the Neonatal Intensive Care Unit. Factors like gestational age and Apgar scores were protective, not workload.
Area of Science:
- Neonatal Intensive Care Unit (NICU) research
- Nursing workload assessment
- Neonatal mortality risk factors
Background:
- High nursing workload is a concern in Neonatal Intensive Care Units.
- Understanding factors influencing neonatal mortality is critical for improving outcomes.
Purpose of the Study:
- To analyze the association between nursing workload and neonatal mortality risk in newborns admitted to the NICU.
Main Methods:
- Observational, cross-sectional study.
- Data collected from January 2019 to January 2020.
- Utilized the Nursing Activities Score and Score for Neonatal Acute Physiology Perinatal Extension.
Main Results:
- A low correlation (r=0.23, p=0.0009) was found between nursing workload and neonatal mortality.
- Gestational age, length of hospitalization, and first-minute Apgar score were protective factors.
- The Nursing Activities Score did not predict the risk of death.
Conclusions:
- Nursing workload, as measured by the Nursing Activities Score, is not associated with mortality risk in the NICU.
- Other factors play a more significant role in neonatal mortality.
- This finding suggests that interventions focused solely on reducing nursing workload may not impact mortality rates.
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