Nursing Workload in Intensive Care Unit Trauma Patients: Analysis of Associated Factors

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorNOGUEIRA, Lilia de Souza
dc.contributor.authorDOMINGUES, Cristiane de Alencar
dc.contributor.authorPOGGETTI, Renato Sergio
dc.contributor.authorSOUSA, Regina Marcia Cardoso de
dc.date.accessioned2015-04-22T22:03:24Z
dc.date.available2015-04-22T22:03:24Z
dc.date.issued2014
dc.description.abstractBackground: From the perspective of nurses, trauma patients in the Intensive Care Unit (ICU) demand a high degree of nursing workload due to hemodynamic instability and the severity of trauma injuries. This study aims to identify the factors related to the high nursing workload required for trauma victims admitted to the ICU. Methods: This is a prospective, cross-sectional study using descriptive and correlation analyses, conducted with 200 trauma patients admitted to an ICU in the city of Sao Paulo, Brazil. The nursing workload was measured using the Nursing Activities Score (NAS). The distribution of the NAS values into tertiles led to the identification of two research groups: medium/low workload and high workload. The Chi-square, Fisher's exact, Mann-Whitney and multiple logistic regression tests were utilized for the analyses. Findings: The majority of patients were male (82.0%) and suffered blunt trauma (94.5%), with traffic accidents (57.5%) and falls (31.0%) being prevalent. The mean age was 40.7 years (+/- 18.6) and the mean NAS was 71.3% (+/- 16.9). Patient gender, the presence of pulmonary failure, the number of injured body regions and the risk of death according to the Simplified Acute Physiology Score II were factors associated with a high degree of nursing workload in the first 24 hours following admission to the ICU. Conclusion: Workload demand was higher in male patients with physiological instability and multiple severe trauma injuries who developed pulmonary failure.
dc.description.indexMEDLINE
dc.description.sponsorshipSao Paulo Research Foundation (FAPESP) [2009/50355-4]
dc.identifier.citationPLOS ONE, v.9, n.11, article ID e112125, 7p, 2014
dc.identifier.doi10.1371/journal.pone.0112125
dc.identifier.issn1932-6203
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/8857
dc.language.isoeng
dc.publisherPUBLIC LIBRARY SCIENCE
dc.relation.ispartofPlos One
dc.rightsopenAccess
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCE
dc.subject.otherinjury severity score
dc.subject.othermultiple injuries
dc.subject.othersystem
dc.subject.othermulticenter
dc.subject.othermorbidity
dc.subject.othermortality
dc.subject.wosMultidisciplinary Sciences
dc.titleNursing Workload in Intensive Care Unit Trauma Patients: Analysis of Associated Factors
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalNOGUEIRA, Lilia de Souza:Univ Sao Paulo, Sch Nursing, Med Surg Nursing Dept, BR-05508 Sao Paulo, Brazil
hcfmusp.author.externalDOMINGUES, Cristiane de Alencar:Univ Sao Paulo, Sch Nursing, Med Surg Nursing Dept, BR-05508 Sao Paulo, Brazil
hcfmusp.author.externalSOUSA, Regina Marcia Cardoso de:Univ Sao Paulo, Sch Nursing, Med Surg Nursing Dept, BR-05508 Sao Paulo, Brazil
hcfmusp.citation.scopus37
hcfmusp.contributor.author-fmusphcRENATO SERGIO POGGETTI
hcfmusp.description.articlenumbere112125
hcfmusp.description.issue11
hcfmusp.description.volume9
hcfmusp.origemWOS
hcfmusp.origem.pubmed25375369
hcfmusp.origem.scopus2-s2.0-84983021756
hcfmusp.origem.wosWOS:000344402600110
hcfmusp.publisher.citySAN FRANCISCO
hcfmusp.publisher.countryUSA
hcfmusp.relation.referenceAAAM - Association for the Advancement of Automotive Medicine, 2008, ABBR INJ SCAL AIS 20
hcfmusp.relation.referenceAdell AB, 2005, ENFERM INTENSIVA, V16, P164
hcfmusp.relation.referenceAngele Martin K, 2006, Clinics (Sao Paulo), V61, P479, DOI 10.1590/S1807-59322006000500017
hcfmusp.relation.referenceBAKER SP, 1974, J TRAUMA, V14, P187, DOI 10.1097/00005373-197403000-00001
hcfmusp.relation.referenceBrattstrom O, 2010, ACTA ANAESTH SCAND, V54, P1007, DOI 10.1111/j.1399-6576.2010.02266.x
hcfmusp.relation.referenceChalya PL, 2011, SCAND J TRAUMA RESUS, V19, DOI 10.1186/1757-7241-19-61
hcfmusp.relation.referenceCHARLSON ME, 1987, J CHRON DIS, V40, P373, DOI 10.1016/0021-9681(87)90171-8
hcfmusp.relation.referenceCoelho FUD, 2011, TEXTO CONTEXTO ENFER, V20, P735, DOI 10.1590/S0104-07072011000400012
hcfmusp.relation.referenceDaud-Gallotti RM, 2012, PLOS ONE, V7, DOI 10.1371/journal.pone.0052342
hcfmusp.relation.referenceDucci Adriana Janzantte, 2008, Rev Esc Enferm USP, V42, P673, DOI 10.1590/S0080-62342008000400009
hcfmusp.relation.referenceDurham RM, 2003, J TRAUMA, V55, P608, DOI 10.1097/01.TA.0000092378.10660.D1
hcfmusp.relation.referenceFrink M, 2007, SHOCK, V27, P151, DOI 10.1097/01.shk.0000239767.64786.de
hcfmusp.relation.referenceFueglistaler P, 2010, AM J SURG, V200, P204, DOI 10.1016/j.amjsurg.2009.08.035
hcfmusp.relation.referenceGoncalves LA, 2007, REV ESC ENFERM USP, V41, P645, DOI 10.1590/S0080-62342007000400015
hcfmusp.relation.referenceGross T, 2012, ACTA ANAESTH SCAND, V56, P1163, DOI 10.1111/j.1399-6576.2012.02724.x
hcfmusp.relation.referenceHonarmand A, 2008, ULUS TRAVMA ACIL CER, V14, P110
hcfmusp.relation.referenceKNAUS WA, 1985, CRIT CARE MED, V13, P818, DOI 10.1097/00003246-198510000-00009
hcfmusp.relation.referenceKwok WWY, 2005, J CRIT CARE, V20, P257, DOI 10.1016/j.jcrc.2005.06.004
hcfmusp.relation.referenceLavoie A, 2005, INJURY, V36, P477, DOI 10.1016/j.injury.2004.09.039
hcfmusp.relation.referenceLeGall JR, 1996, JAMA-J AM MED ASSOC, V276, P802, DOI 10.1001/jama.276.10.802
hcfmusp.relation.referenceLEGALL JR, 1993, JAMA-J AM MED ASSOC, V270, P2957, DOI 10.1001/jama.270.24.2957
hcfmusp.relation.referenceMiranda DR, 2003, CRIT CARE MED, V31, P374, DOI 10.1097/01.CCM.0000045567.78801.CC
hcfmusp.relation.referenceMiranda DR, 1996, CRIT CARE MED, V24, P64
hcfmusp.relation.referenceMitchell Rebecca, 2012, J Trauma Nurs, V19, P80, DOI 10.1097/JTN.0b013e3182562955
hcfmusp.relation.referenceMostafa G, 2002, J TRAUMA, V53, P430, DOI 10.1097/01.TA.0000022347.85881.A8
hcfmusp.relation.referenceMuehler N, 2010, J CRIT CARE, V25, P620, DOI 10.1016/j.jcrc.2010.03.008
hcfmusp.relation.referenceNogueira LD, 2009, REV LAT-AM ENFERM, V17, P1037, DOI 10.1590/S0104-11692009000600017
hcfmusp.relation.referenceOsler T, 1997, J TRAUMA, V43, P922, DOI 10.1097/00005373-199712000-00009
hcfmusp.relation.referencePadilha Katia Grillo, 2010, Intensive Crit Care Nurs, V26, P108, DOI 10.1016/j.iccn.2009.12.002
hcfmusp.relation.referencePadilha Katia Grillo, 2008, Intensive Crit Care Nurs, V24, P197, DOI 10.1016/j.iccn.2007.09.004
hcfmusp.relation.referenceQueijo AF, 2008, THESIS U SAO PAULO S
hcfmusp.relation.referenceSeguin P, 2006, INTENS CARE MED, V32, P398, DOI 10.1007/s00134-005-0032-2
hcfmusp.relation.referenceServia L, 2012, J CRIT CARE, V27, P58, DOI 10.1016/j.jcrc.2011.07.001
hcfmusp.relation.referenceSilva MCM, 2010, REV LAT-AM ENFERM, V18, P224, DOI 10.1590/S0104-11692010000200013
hcfmusp.relation.referenceSousa Cleber Ricardo de, 2008, Rev Lat Am Enfermagem, V16, P218
hcfmusp.relation.referenceStafseth Siv K, 2011, Intensive Crit Care Nurs, V27, P290, DOI 10.1016/j.iccn.2011.07.003
hcfmusp.relation.referenceVincent JL, 2010, CRIT CARE, V14, DOI 10.1186/cc8204
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