Abstract
Objective: To correlate severity of the patient and the nursing staff workload, using Simplified Acute Physiology Score (SAPS3) and Nursing Activities Score (NAS) indexes and comparing them between three subgroups: cardiac, neurological and general. Methods: Prospective cohort study, in an Intensive Care Unit of a private hospital in Sao Paulo, from August to October 2011. Results: There were 195 patients, 57.9% male, median age 69 years old. Moderate correlation between NAS and SAPS3 neurological subgroup (p = 0.02, r = 0.430). SAPS3 the general subgroup was higher compared to neurological subgroup (p = 0.002). The NAS is generally greater when compared to cardiac subgroup (p = 0.001). Conclusion: There was a moderate correlation between the severity of neurological patients and the nursing workload. The severity and nursing workload in the subgroup of general patients were higher in relation to neurological and cardiac patients, respectively.
Highlights
The nursing workload has been discussed worldwide in hospitals due to its implications for quality of care for patients
Our results showed that there was a moderate correlation between severity and nursing workload in the subgroup of neurological patients
There was a moderate correlation between the severity of the neurological patient with the nursing workload, using Nursing Activities Score (NAS) and Simplified Acute Physiology 3 (SAPS3) indexes, respectively
Summary
The nursing workload has been discussed worldwide in hospitals due to its implications for quality of care for patients. In intensive care units (ICU), there is a growing concern due to the impact of new technologies in care, the profile changing of critically ill patients and the need for skilled labor[1]. The use of prognostic indexes and indicators can help in the allocation of equipment and personnel and describe the severity of the population assisted in ICU2. The prognosis system SAPS3 (Simplified Acute Physiology Score 3) was recently developed in cohort worldwide[3]. For each one of the analyzed variables there is a different weight, depending on the severity of the physiological disorder. It is useful to quantify the acute and chronic physiological disorders during hospitalization, estimating mortality to correct errors and improve the performance of ICU2
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