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根据护理活动评分评估重症监护病房护士的工作量:依据护理活动评分评估重症监护病房护理人员的工作量

[Nurses' Workload in Intensive Care Unit according to the Nursing Activities ScoreCarga de trabalho dos profissionais de enfermagem na Unidade de Cuidados Intensivos de acordo com a pontuaao das Atividades de Enfermagem].

作者信息

Henao-Castaño Ángela María, Melo-Roa Juan David, Quintero-Osorio Jenny Fernanda, Cruz-López Laura Nathalie

机构信息

. Universidad Nacional de Colombia. Bogotá, Colombia. Email:

出版信息

Rev Cuid. 2023 May 28;14(1):e15. doi: 10.15649/cuidarte.2680. eCollection 2023 Jan-Apr.

Abstract

INTRODUCTION

The Nursing Activities Score has been used mainly in Intensive Care Units as an instrument to measure nursing activities since this is the unit that receives the most complex patients. For this reason, this scoping review aims to establish the workload using the Nursing Activities Score and the factors related to it in Intensive Care Units.

METHODS

Qualitative scoping review using the PRISMA statement. Searches were conducted in CINAHL, LILACS, Scopus, Science Direct, SciELO, and PubMed databases.

RESULTS

The final sample consists of 87 texts published between 2007 and 2021. They were classified into five categories: ICU workload, inter-unit comparison, workload related to nursing staff, workload related to patient characteristics, and workload consequences.

DISCUSSION

The review reveals a workload greater than 50% in most of the studies due to different factors, but mainly to patients' particular characteristics. No significant difference was observed between general and specialized units; high workloads are a risk factor for adverse events.

CONCLUSIONS

This review shows that nurses are constantly exposed to high workloads. It is possible for workloads to affect or be influenced by various factors, such as the characteristics of patients being cared for, or to impact the quality of nursing care positively or negatively.

摘要

引言

护理活动评分主要用于重症监护病房,作为衡量护理活动的一种工具,因为该科室接收的患者最为复杂。因此,本范围综述旨在确定重症监护病房使用护理活动评分的工作量及其相关因素。

方法

采用PRISMA声明进行定性范围综述。在CINAHL、LILACS、Scopus、Science Direct、SciELO和PubMed数据库中进行检索。

结果

最终样本包括2007年至2021年发表的87篇文献。它们被分为五类:重症监护病房工作量、科室间比较、与护理人员相关的工作量、与患者特征相关的工作量以及工作量后果。

讨论

综述显示,由于不同因素,大多数研究中的工作量超过50%,但主要是由于患者的特殊特征。普通科室和专科科室之间未观察到显著差异;高工作量是不良事件的一个风险因素。

结论

本综述表明,护士经常面临高工作量。工作量可能会受到各种因素的影响,如所护理患者的特征,也可能对护理质量产生积极或消极的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cafd/11559331/2154b4289283/2346-3414-cuid-14-01-e15-gf1.jpg

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