Abstract
To measure the nursing workload in the Burn Intensive Care Units and evaluate its association with clinical variables, length of stay, and outcome of hospitalization. Cross-sectional study carried out in a Brazilian public large hospital. The study included 33 patients. The nursing workload was assessed using the Nursing Activities Score (NAS) every 24 hours. We performed 447 Nursing Activities Score assessments. For the statistical analysis, Student's t-test, ANOVA, and Spearman's correlation test were used. The considered significant difference was 5% (p ≤ 0.05). The Nursing Activities Score mean was 84% (± 4.4), which corresponded to 20.2 hours. There was an association between the nursing workload and the patient's severity (p <0.010), burned body surface (p = 0.010), and hospitalization outcome (p = 0.020). Burn victims, assisted in the ICU, demanded a high nursing workload, which was influenced by clinical aspects and the hospitalization outcome. These findings point to the need to reconsider the nurse staffing related to this care profile.
Highlights
METHODSThe development of the process of nursing work is tied to many variables that include quantitative and qualitative aspects
In order to verify the association between the nursing workload and the variables “intubation” and “use of vasoactive drugs,” the Student’s t-test was used; for the hospitalization outcome and the body burned area (BBA), the Anova test
In order to assess the correlation between the nursing workload and the variables“patient severity”and“length of stay,”Spearman’s Correlation was used
Summary
METHODSThe development of the process of nursing work is tied to many variables that include quantitative and qualitative aspects. Studies highlight the adequacy of human resources, which incurs directly on the quality of assistance, patient’s security, and costs reduction[1,2]. It is evident that the care for the seriously ill patient denotes significant complexity. This context includes care units for patients who have suffered burns, the Intensive Care Unit (ICU). These patients, in addition to physical, psychological, and social consequences, often present systemic compromise associated with complications, various surgical procedures, and infections[3,4]
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