Abstract
Objective: To identify the nursing work demand and the staff in two intensive care units that provide care for patients with New Coronavirus Disease. Method: Retrospective cohort study with 107 adults/elderly from two intensive care units exclusive to patients with New Coronavirus Disease. Data were collected in electronic records, considering a period of 63 days. The nursing workload was measured using the Nursing Activities Score. Results: Men (67.3%) predominated with a mean of 59.3±16.8 years old. The average score of the Nursing Activities Score was 91.4 (ranging from 32.9 to 155.7 points), indicating that 21.8 hours of assistance is required on the day. It was identified that 40,2% presented of the patients had a final mean of the Nursing Activities Score greater than 100 points, requiring more than 24 hours of direct care in one day. The daily mean of the Nursing Activities Score in the units ranged from 82.79 to 128.64 points, without statistical difference between them. The ideal ration of patient: nursing professional was 1:1. Conclusion: the study identified a high demand for nursing work, both per patient and per unit.
References
Cassiani SHB, Lira Neto JCG. Nursing perspectives and the “Nursing Now” campaign. Rev Bras Enf. 2018;71(5):2351–2. https://doi.org/10.1590/0034-7167.2018710501
Freitas ARR, Beckedorff OA, Cavalcanti LPG, Siqueira AM, Castro DB, Costa CF, et al. The emergence of novel SARS-CoV-2 variant P.1 in Amazonas (Brazil) was temporally associated with a change in the age and sex profile of COVID-19 mortality: A population based ecological study. The Lancet Regional Health – Americas. 2021 Sept 1;2:100021. https://doi.org/10.1016/j.lana.2021.100021
Tao K, Tzou PL, Nouhin J, Gupta RK, Oliveira T, Pond SLK, et al. The biological and clinical significance of emerging SARS-CoV-2 variants. Nat Rev Genet. 2021 Sept 17;22(12):757-73. https://doi.org/10.1038/s41576-021-00408-x
Coronavírus Brasil. Painel Coronavírus [Internet]. [citado em 2023 Mar 23]. Disponível em: https://covid.saude.gov.br./
Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;20(5):533-4. https://doi.org/10.1016/s1473-3099(20)30120-1
Bambi S, Iozzo P, Lucchini A. New Issues in Nursing Management During the COVID-19 Pandemic in Italy. Am J Crit Care. 2020 July 1;29(4):e92-3. https://doi.org/10.4037/ajcc2020937
Nishiyama JAP, Moraes RMR, Magalhães AMM, Nicola AL, Trevilato DD, Oliveira JLC. Dimensões laborais, éticas e políticas do dimensionamento de pessoal de enfermagem diante da COVID-19. Esc Anna Nery Rev Enferm. 2020. 24(spe):e20200382 https://doi.org/10.1590/2177-9465-EAN-2020-0382
Borges F, Bohrer CD, Bugs TV, Nicola AL, Tonini NS, Oliveira JLC. Dimensionamento de pessoal de enfermagem na UTI-Adulto de hospital universitário público. Cogitare Enferm. 2017;22(2):01-08. http://dx.doi.org/10.5380/ce.v22i2.50306
Resolução No 543 do Conselho Federal de Enfermagem, de 16 de maio de 2017 (BR) [Internet]. Atualiza e estabelece parâmetros para dimensionamento do quadro de profissionais de enfermagem nos serviços/locais em que são realizadas atividades enfermagem. Brasília (DF): COFEN. 2017 May 16 [citado 2021 Nov 23]. Disponível em: http://www.cofen.gov.br/resolucao-cofen-5432017_51440.html
Parecer normativo No 002 do Conselho Federal de Enfermagem, de 28 de maio de 2020 (BR) [Internet]. Exclusivo para vigência da pandemia- COVID-19. Brasília (DF): COFEN. 2020 May 28 [citado 2021 Nov 23]. Disponível em: http://www.cofen.gov.br/parecer-normativo-no-002 2020_79941.html#:~:text=Estabelece%2C%20na%20forma%20deste%20Parecer,Unidades%20de%20Terapia%20In
tensiva%2DUTI
Lucchini A, Giani M, Elli S, Villa S, Rona R, Foti G. Nursing Activities Score is increased in COVID-19 patients. Intensive Crit Care Nurs. 2020:102876. https://doi.org/10.1016/j.iccn.2020.102876
Bruyneel A, Gallani MC, Tack J, d'Hondt A, Canipel S, Franck S, et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit Care Nurs. 2021:102967. https://doi.org/10.1016/j.iccn.2020.102967
Miranda DR, Nap R, de Rijk A, Schaufeli W, Iapichino G. Nursing activities score (NAS). Crit Care Med. 2003;31(2):374–82. http://doi.org/10.1097/01.CCM.0000045567.78801.CC
Hoogendoorn ME, Margadant CC, Brinkman S, Haringman JJ, Spijkstra JJ, Keizer NF. Workload scoring systems in the Intensive Care and their ability to quantify the need for nursing time: A systematic literature review. Int J Nurs Stud. 2020;101:103408. https://doi.org/10.1016/j.ijnurstu.2019.103408
Queijo AF, Padilha KG. Nursing Activities Score (NAS): adaptação transcultural e validação para a língua portuguesa. Rev Esc Enferm USP. 2009;43(spe):1018–25. https://doi.org/10.1590/S0080-62342009000500004
Inoue KC, Matsuda LM. Dimensionamento de pessoal de enfermagem em Unidade de Terapia Intensiva para adultos. Acta Paul Enferm. 2010;23(3):379–84. https://doi.org/10.1590/S0103-21002010000300011
Niquini RP, Lana RM, Pacheco AG, Cruz OG, Coelho FC, Carvalho LM, et al. SRAG por COVID-19 no Brasil: descrição e comparação de características demográficas e comorbidades com SRAG por influenza e com a população geral. Cad Saúde Pública. 2020;36(7):e00149420. https://doi.org/10.1590/0102-311X00149420
Grasseli G, Zangrillo A, Zanella A, Antonelli M, Cabrini L, Castelli A, et al. Baseline characteristics and outcomes of 1591 patients infected with SARS-CoV-2 admitted to ICUs of the Lombardy Region, Italy. JAMA. 2020;323(16):1574-81. http://doi:10.1001/jama.2020.53944
Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW, et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. 2020;323(20):2052-9. http://doi:10.1001/jama.2020.6775
Prasad R, Floyd JL, Dupont M, Harbour A, Adu-Agyyeiwaah Y, Asare-BediaKo B, et al. Maintenance of Enteral ACE2 Prevents Diabetic Retinopathy in Type 1 Diabetes. Circ Res. 2022 Nov 30;132(1):e1-21. https://doi.org/10.1161/CIRCRESAHA.122.322003
Liu M, Wang T, Zhou Y, Zhao Y, Zhang Y, Li J. Potential role of ACE2 in coronavirus disease 2019 (COVID-19) prevention and management. J Transl Int Med. 2020 May 9;8(1):9-19. https://doi.org/10.2478/jtim-2020-0003
Bhalla V, Blish CA, South AM. A historical perspective on ACE2 in the COVID-19 era. J Hum Hypertens. 2020 Dec 14;35:935-9. https://doi.org/10.1038/s41371-020-00459-3
Reper P, Bombart MA, Leonard I, Payen B, Darquennes O, Labrique S. Nursing Activities Score is increased in COVID-19 patients: comments. Intensive Crit Care Nurs. 2020;60:102891. https://doi.org/10.1016/j.iccn.2020.102891
Jansson MM, Syrjälä HP, Ala-Kokko TI. Association of nurse staffing and nursing workload with ventilator-associated pneumonia and mortality: a prospective, single-center cohort study. J Hosp Infect. 2019;101(3):257-63. https://doi.org/10.1016/j.jhin.2018.12.001
Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Consortium. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. Int J Nurs Stud. 2018;78:10-5. https://doi.org/10.1016/j.ijnurstu.2017.08.004
Trettene AS, Razera APR, Beluci ML, Prado PC, Mondini CCSD, Spiri WC. Absenteeism and the Technical Safety Index of a tertiary hospital nursing team. Rev Esc Enferm USP. 2020;54:e03585. https://doi.org/10.1590/S1980-220X2018036003585
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