Abstract
To verify the correlation between nursing care time and care quality indicators. Observational, correlational study, developed in 11 Intensive Care Units. The population comprised records of the number of nursing professionals, the number of patients with at least one of the Oro/Nasogastroenteral Probe (GEPRO), Endotracheal Tube (COT) and Central Venous Catheter (CVC) therapeutic devices and the occurrences related to the losses of these artifacts. The time corresponded to 18.86 hours (Hospital A), 21 hours (Hospital B) and 19.50 hours (Hospital C); the Unplanned Outflow Incidence of GEPRO indicator presented a mean of 2.19/100 patients/day; Unplanned Extubation of COT Incidence, 0.42/100 patients/day; and CVC Loss Incidence, 0.22/100 patients/day. There was no statistically significant correlation between time and indicators analyzed. This research may support methodological decisions for future investigations that seek the impact of human resources on the care quality and patient safety.
Highlights
The decision-making process on the issues related to the quantitative and qualitative adequacy of nursing professionals, in face of the health care quality and safety standards sought by the health services can be demonstrated by the association between nursing care time spent on patients and quality indicators
In Brazil, a study carried out with the objective of analyzing the time used by the nursing team to assist patients hospitalized in an Adult Intensive Care Unit (ICU), as well as to verify its correlation with care quality indicators, found a negative correlation between the time of nursing care provided by nurses and the Unplanned Extubation indicator (UPE) of Endotracheal Tube, demonstrating that the longer the care provided by nurses, the lower the UPE indicator[1]
Research developed in the Pediatric and Neonatal Intensive Care Unit (PNICU) evidenced a positive correlation between the nursing care time and the Unplanned Overflow Incidence of Oro/Nasogastroenteral Probe (GEPRO) for nutritional intake
Summary
The decision-making process on the issues related to the quantitative and qualitative adequacy of nursing professionals, in face of the health care quality and safety standards sought by the health services can be demonstrated by the association between nursing care time spent on patients and quality indicators. This association can be an important management tool[1]. In this direction, studies[2,3] seek to demonstrate the correlation between different variables involved in the care process, in order to qualify the offer of better services to meet the patient care needs. The authors concluded that the availability of time influences the notifications or underreporting of these events, but does not support the hypothesis that care quality indicators are altered as a function of the mean time of care given to patients admitted to the PNICU[4]
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