Relationship between clinical severity and hours of nursing care in an emergency room
DOI:
https://doi.org/10.15253/2175-6783.20202143218Keywords:
Emergency Service, Hospital; Critical Care; Nursing Care; Workload; Severity of Illness Index.Abstract
Objective: to evaluate the relationship between the clinical severity of the patients and the hours of care of nursing professionals in an emergency room. Methods: correlational study, which used the Nursing Activities Score and Acute Physiology and Chronic Health Evaluation I instruments. Results: we included 338 patients. The highest averages were identified in the group related to deaths, with (22.0%) for Acute Physiology and Chronic Health Evaluation II and (56.8%) for Nursing Activities Score, (p=0.000). We obtained a moderate relationship between these scores. Moreover, the two instruments used proved to be capable of predicting deaths. Conclusion: evaluations of the worsening of patients and the demand for care can contribute to the adequacy of the number of personnel, the reduction of the length of stay in the emergency rooms and the high-quality care planning.
References
Konder M, O’dwyer G. As unidades de pronto atendimento como unidades de internação: fenômenos do fluxo assistencial na rede de urgências. Phys Rev Saúde Coletiva. 2019; 29(2):e290203. doi: http://dx.doi.org/10.1590/s0103-73312019290203
Di Somma S, Paladino L, Vaughan L, Lalle I, Magrini L, Magnanti M. Overcrowding in emergency department: an international issue. Intern Emerg Med. 2015; 10(2):171-5. doi: http://www.doi:10.1007/s11739-014-1154-8
Nieri AS, Manousaki K, Kalafati M, Padilha KG, Stafseth SK, Katsoylas T, et al. Validation of the nursing workload scoring systems “Nursing Activities Score” (NAS), and “Therapeutic Intervention Scoring System for Critically ill Children” (TISS-C) in a Greek Paediatric Intensive Care Unit. Intensive Crit Care Nurs. 2018; 48:3-9. doi: https://doi.org/10.1016/j.iccn.2018.03.005
Ministério da Educação (BR). Hospitais Universitários Federais – EBSERH [Internet]. 2013 [cited Jan. 18, 2020]. Available from: http://www.ebserh.gov.br/web/hc-uftm/pronto-socorro
R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria [Internet]. 2018 [cited Jan. 20, 2020]. Available from: https://www.R-project.org/
Ferrari D. APACHE II Sistema de pontuação de mortalidade estimada (Acute Physiology and Choronic Health disease Classification System II) [Intenet]. 2020 [cited Mar 22, 2020]. Available from:http://www.medicinaintensiva.com.br/ApacheScore.htm
Queijo AF, Padilha KG. Nursing Activities Score: adaptação transcultural e validação para a língua portuguesa. Rev Esc Enferm USP. 2009; 43(esp):1018-25. doi: http://dx.doi.org/10.1590/S0080-62342009000500004
Ribeiro Junior PJ. Correlação: Interpretação do coeficiente de correlação. [Internet]. 2020 [cited Mar. 22, 2020]. Available from: http://leg.ufpr.br/~paulojus/CE003/ce003/node8.html
Miranda GMD, Mendes ACG, Silva ALA. O envelhecimento populacional brasileiro: desafios e consequências sociais atuais e futuras. Rev Bras Geriatr Gerontol. 2016; 19(3):507-19. doi: http://dx.doi.org/10.1590/1809-98232016019.150140
Sousa LS, Guedes DR. A desigual divisão sexual do trabalho: um olhar sobre a última década. Estud Avançados. 2016; 30(87):123-39. doi: http://dx.doi.org/10.1590/S0103-40142016.30870008
Dallazen F, Winkelmann ER, Berlezi EM. Risco cardiovascular avaliado pelo índice de coniccidade em mulheres no climatério: análise comparativa entre os períodos pré e pós-menopausa. Sci Med. 2017; 27(4):ID28268. doi: http://dx.doi.org/10.15448/1980-6108.2017.4.28268
Silva PL, Paiva L, Faria VB, Ohl RIB, Chavaglia SRR. Triage in an adult emergency service: patient satisfaction. Rev Esc Enferm USP. 2016; 50(3):427-33. doi: http://dx.doi.org/10.1590/S0080-623420160000400008
Moraes DS, Cordeiro NM, Fonseca ADG, Souza LPS, Silva CSO, Lopes JR. Fatores associados à internação prolongada nas admissões pela urgência e emergência. Rev Universidade Vale Rio Verde. 2017; 15(2):680-91. doi: http://dx.doi.org/10.5892/ruvrd.v15i2.3770
Menegueti MG, Araujo TR, Nogueira TA, Gulin FS, Laus AM. Fatores associados à carga de trabalho de enfermagem em unidade de Terapia Intensiva: revisão Integrativa. Ciênc Enferm. 2017; 23(2):69-79. doi: http://dx.doi.org/10.4067/S0717-95532017000200069
Medcalc Statistical Sofware version 16.4.4. Analysis of the Receiver Operating Characteristic curve. ROC curve analysis [Internet]. 2020 [cited 26 Mar. 2020]. Available from: https://www.medcalc.org/manual/roc-curves.php
Nassiff A, Araujo TR, Menegueti MG, Rodrigues FB, Filho AB, Laus AM. Nursing workload and patient mortality at an intensive care unit. Texto Contexto Enferm. 2018; 27(4):e0390017. doi: http://dx.doi.org/10.1590/0104-07072018000390017
Nascimento MSM, Nunes EM, Medeiros RC, Souza WIM, Filho LFS, Alves ESRC. Perfil epidemiológico de pacientes em unidade de terapia intensiva adulto de um hospital regional paraibano. Temas Saúde [Internet]. 2018 [cited Mar. 7, 2020]; 18(1). Available from: http://temasemsaude.com/wp-content/uploads/2018/04/18113.pdf
Oliveski CC, Santos LE, Marco VR, Lorenzoni AMC, Bonfada, MS, Silva LAA. Perfil clínico de usuários de um serviço de emergência. Rev Espaço Saúde [Internet]. 2017 [cited Mar. 7, 2020];5(2). Available from: http://revistaeletronica.unicruz.edu.br/index.php/enfermagem/article/view/5474/1323
Paixão TCR, Campanharo CRV, Lopes MCBT, Okuno MFP, Batista REA. Nursing staff sizing in the emergency room of a university hospital. Rev Esc Enferm USP. 2015; 49(3):486-93. doi: http://dx.doi.org/10.1590/S0080-623420150000300017
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