Factors associated with nursing workload in three intensive care units

Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing wor...

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Autores:
Diana Isabel Cáceres Rivera
Claudia Consuelo Torres
Luis Alberto López Romero
Tipo de recurso:
Article of investigation
Fecha de publicación:
2021
Institución:
Universidad Cooperativa de Colombia
Repositorio:
Repositorio UCC
Idioma:
OAI Identifier:
oai:repository.ucc.edu.co:20.500.12494/46397
Acceso en línea:
https://hdl.handle.net/20.500.12494/46397
Palabra clave:
Workload; Critical Care Nursing; Intensive Care Units.
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openAccess
License
Atribución
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dc.title.spa.fl_str_mv Factors associated with nursing workload in three intensive care units
title Factors associated with nursing workload in three intensive care units
spellingShingle Factors associated with nursing workload in three intensive care units
Workload; Critical Care Nursing; Intensive Care Units.
title_short Factors associated with nursing workload in three intensive care units
title_full Factors associated with nursing workload in three intensive care units
title_fullStr Factors associated with nursing workload in three intensive care units
title_full_unstemmed Factors associated with nursing workload in three intensive care units
title_sort Factors associated with nursing workload in three intensive care units
dc.creator.fl_str_mv Diana Isabel Cáceres Rivera
Claudia Consuelo Torres
Luis Alberto López Romero
dc.contributor.author.none.fl_str_mv Diana Isabel Cáceres Rivera
Claudia Consuelo Torres
Luis Alberto López Romero
dc.subject.spa.fl_str_mv Workload; Critical Care Nursing; Intensive Care Units.
topic Workload; Critical Care Nursing; Intensive Care Units.
description Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing workload was estimated based on the NAS. A descriptive and bivariate analysis stratified by ICU was performed using a robust multiple linear regression model, and the factors associated with the nursing workload (p < 0.05) were estimated. Results: In this study, 362 records were included. The median NAS was 68.1 points (Q1:47.2–Q3:116.7). APACHE II (β = 3.13, CI: 95% 2.28; 3.98), days of stay in ICU ≥3 (β = 16.78, CI: 95% 6.15; 27.41), surgery provenance service (β = 22.31, CI: 95% 9.76; 34.86), and traumatology and emergencies diagnostic category (β = 33.72, CI 95%: 9.90; 57.53) were associated with high NAS scores. Conclusion: The nursing staff spend approximately 70% of their time on a single patient, and administrative work takes up most of their time. Hospital stays of longer than 3 days, high APACHE II score, coming from the surgery department, and having a diagnosis of trauma and emergency were associated with a high workload.
publishDate 2021
dc.date.issued.none.fl_str_mv 2021-03-23
dc.date.accessioned.none.fl_str_mv 2022-09-14T19:37:22Z
dc.date.available.none.fl_str_mv 2022-09-14T19:37:22Z
dc.type.none.fl_str_mv Artículos Científicos
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dc.identifier.issn.spa.fl_str_mv 806234
dc.identifier.uri.spa.fl_str_mv 10.1590/1980-220X-REEUSP-2020-0272
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12494/46397
dc.identifier.bibliographicCitation.spa.fl_str_mv Rivera, D. I. C., Torres, C. C., & Romero, L. A. L. (2021). Factors associated with nursing workload in three intensive care units. Revista da Escola de Enfermagem da USP, 55.
identifier_str_mv 806234
10.1590/1980-220X-REEUSP-2020-0272
Rivera, D. I. C., Torres, C. C., & Romero, L. A. L. (2021). Factors associated with nursing workload in three intensive care units. Revista da Escola de Enfermagem da USP, 55.
url https://hdl.handle.net/20.500.12494/46397
dc.relation.ispartofjournal.spa.fl_str_mv Revista Escola de Emfermagem USP
dc.rights.license.none.fl_str_mv Atribución
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dc.coverage.temporal.spa.fl_str_mv 55
dc.publisher.spa.fl_str_mv Universidad Cooperativa de Colombia Facultad de Enfermería, Campus Bucaramanga
dc.publisher.program.spa.fl_str_mv Enfermería
dc.publisher.place.spa.fl_str_mv Bucaramanga
institution Universidad Cooperativa de Colombia
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spelling Diana Isabel Cáceres RiveraClaudia Consuelo TorresLuis Alberto López Romero552022-09-14T19:37:22Z2022-09-14T19:37:22Z2021-03-2380623410.1590/1980-220X-REEUSP-2020-0272https://hdl.handle.net/20.500.12494/46397Rivera, D. I. C., Torres, C. C., & Romero, L. A. L. (2021). Factors associated with nursing workload in three intensive care units. Revista da Escola de Enfermagem da USP, 55.Objective: To determine the nursing workload in intensive care units (ICUs) and the factors associated with the Nursing Activities Score (NAS). Method: An analytical cross-sectional study was carried out in three ICUs in Bucaramanga, Colombia, between February 2018 and February 2020. The nursing workload was estimated based on the NAS. A descriptive and bivariate analysis stratified by ICU was performed using a robust multiple linear regression model, and the factors associated with the nursing workload (p < 0.05) were estimated. Results: In this study, 362 records were included. The median NAS was 68.1 points (Q1:47.2–Q3:116.7). APACHE II (β = 3.13, CI: 95% 2.28; 3.98), days of stay in ICU ≥3 (β = 16.78, CI: 95% 6.15; 27.41), surgery provenance service (β = 22.31, CI: 95% 9.76; 34.86), and traumatology and emergencies diagnostic category (β = 33.72, CI 95%: 9.90; 57.53) were associated with high NAS scores. Conclusion: The nursing staff spend approximately 70% of their time on a single patient, and administrative work takes up most of their time. Hospital stays of longer than 3 days, high APACHE II score, coming from the surgery department, and having a diagnosis of trauma and emergency were associated with a high workload.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=00014566760000-0002-4751-6173dianai.caceres@ucc.edu.coe20200272Universidad Cooperativa de Colombia Facultad de Enfermería, Campus BucaramangaEnfermeríaBucaramangaWorkload; Critical Care Nursing; Intensive Care Units.Factors associated with nursing workload in three intensive care unitsArtículos Científicoshttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionAtribucióninfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Revista Escola de Emfermagem USPPublicationORIGINALFactors associated with nursing workload in three intensive.pdfFactors associated with nursing workload in three intensive.pdfapplication/pdf806932https://repository.ucc.edu.co/bitstreams/732a5304-8f54-4fe9-b006-4777d2302c6c/download06686ae17fe6ad84e5bfd841e25de10eMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://repository.ucc.edu.co/bitstreams/bfca3a87-d0ba-4ce0-8b42-acb402c240bf/download8a4605be74aa9ea9d79846c1fba20a33MD52THUMBNAILFactors associated with nursing workload in three intensive.pdf.jpgFactors associated with nursing workload in three intensive.pdf.jpgGenerated Thumbnailimage/jpeg4517https://repository.ucc.edu.co/bitstreams/eeb0c482-3a6c-4279-aba8-5c205ff48d37/download51774b795249b98ec9f06d976f5a804cMD53TEXTFactors associated with nursing workload in three intensive.pdf.txtFactors associated with nursing workload in three intensive.pdf.txtExtracted texttext/plain42412https://repository.ucc.edu.co/bitstreams/717e358f-8b60-43ae-9ff5-49e8a980f945/downloade1158d572abf0bf390404eaa98bf20b0MD5420.500.12494/46397oai:repository.ucc.edu.co:20.500.12494/463972024-08-20 16:23:46.746open.accesshttps://repository.ucc.edu.coRepositorio Institucional Universidad Cooperativa de Colombiabdigital@metabiblioteca.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