Comparación entre la gravedad del paciente y la carga de trabajo de la enfermería antes y después de la ocurrencia de eventos adversos en ancianos con cuidados críticos

Maria Cecilia Toffoletto, Elaine Machado de Oliveira, Rafaela Andolhe, Ricardo Luis Barbosa, Katia Grillo Padilha

Resultado de la investigación: Article

Resumen

Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units. Method: comparative study developed at nine intensive therapy units of a University Hospital in São Paulo. The events were collected from the patient histories and classified as moderate and severe according to the World Health Organization. For the severity analysis, the Simplified Acute Physiologic Score II was used and, for the workload analysis, the Nursing Activities Score was applied 24 hours before and after the moderate and severe event. The t-test with 5% significance was used to compare the mean clinical severity and workload scores before and after the event. Results: the sample consisted of 315 elderly, 94 (29.8%) of whom were victims of moderate and severe events at the units. Among the 94 events, the clinical process and procedure type was predominant (40.0%). The installation and maintenance of therapeutic artifacts and catheters were the prevalent interventions that resulted in moderate (76.5%) physiopathological damage (66.0%). The mean workload score (75.19%) dropped 24 hours after the occurrence of the event (71.97%, p=0.008), and the severity, represented by the probability of death, increased from 22.0% to 29.0% after the event (p=0.045). Conclusion: in the patient safety context, the identification of the changes in clinical conditions and the nursing workload in elderly victims of events supports the prevention of these occurrences.

Idioma originalSpanish
Número de artículoe3780016
PublicaciónTexto e Contexto Enfermagem
Volumen27
N.º1
DOI
EstadoPublished - 1 ene 2018

Huella dactilar

Critical Care
Workload
Nursing
Patient Safety
Artifacts
Intensive Care Units
Catheters
Maintenance
Therapeutics

ASJC Scopus subject areas

  • Nursing(all)

Citar esto

Toffoletto, Maria Cecilia ; de Oliveira, Elaine Machado ; Andolhe, Rafaela ; Barbosa, Ricardo Luis ; Padilha, Katia Grillo. / Comparación entre la gravedad del paciente y la carga de trabajo de la enfermería antes y después de la ocurrencia de eventos adversos en ancianos con cuidados críticos. En: Texto e Contexto Enfermagem. 2018 ; Vol. 27, N.º 1.
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title = "Comparaci{\'o}n entre la gravedad del paciente y la carga de trabajo de la enfermer{\'i}a antes y despu{\'e}s de la ocurrencia de eventos adversos en ancianos con cuidados cr{\'i}ticos",
abstract = "Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units. Method: comparative study developed at nine intensive therapy units of a University Hospital in S{\~a}o Paulo. The events were collected from the patient histories and classified as moderate and severe according to the World Health Organization. For the severity analysis, the Simplified Acute Physiologic Score II was used and, for the workload analysis, the Nursing Activities Score was applied 24 hours before and after the moderate and severe event. The t-test with 5{\%} significance was used to compare the mean clinical severity and workload scores before and after the event. Results: the sample consisted of 315 elderly, 94 (29.8{\%}) of whom were victims of moderate and severe events at the units. Among the 94 events, the clinical process and procedure type was predominant (40.0{\%}). The installation and maintenance of therapeutic artifacts and catheters were the prevalent interventions that resulted in moderate (76.5{\%}) physiopathological damage (66.0{\%}). The mean workload score (75.19{\%}) dropped 24 hours after the occurrence of the event (71.97{\%}, p=0.008), and the severity, represented by the probability of death, increased from 22.0{\%} to 29.0{\%} after the event (p=0.045). Conclusion: in the patient safety context, the identification of the changes in clinical conditions and the nursing workload in elderly victims of events supports the prevention of these occurrences.",
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year = "2018",
month = "1",
day = "1",
doi = "10.1590/0104-070720180003780016",
language = "Spanish",
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journal = "Texto e Contexto Enfermagem",
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Comparación entre la gravedad del paciente y la carga de trabajo de la enfermería antes y después de la ocurrencia de eventos adversos en ancianos con cuidados críticos. / Toffoletto, Maria Cecilia; de Oliveira, Elaine Machado; Andolhe, Rafaela; Barbosa, Ricardo Luis; Padilha, Katia Grillo.

En: Texto e Contexto Enfermagem, Vol. 27, N.º 1, e3780016, 01.01.2018.

Resultado de la investigación: Article

TY - JOUR

T1 - Comparación entre la gravedad del paciente y la carga de trabajo de la enfermería antes y después de la ocurrencia de eventos adversos en ancianos con cuidados críticos

AU - Toffoletto, Maria Cecilia

AU - de Oliveira, Elaine Machado

AU - Andolhe, Rafaela

AU - Barbosa, Ricardo Luis

AU - Padilha, Katia Grillo

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units. Method: comparative study developed at nine intensive therapy units of a University Hospital in São Paulo. The events were collected from the patient histories and classified as moderate and severe according to the World Health Organization. For the severity analysis, the Simplified Acute Physiologic Score II was used and, for the workload analysis, the Nursing Activities Score was applied 24 hours before and after the moderate and severe event. The t-test with 5% significance was used to compare the mean clinical severity and workload scores before and after the event. Results: the sample consisted of 315 elderly, 94 (29.8%) of whom were victims of moderate and severe events at the units. Among the 94 events, the clinical process and procedure type was predominant (40.0%). The installation and maintenance of therapeutic artifacts and catheters were the prevalent interventions that resulted in moderate (76.5%) physiopathological damage (66.0%). The mean workload score (75.19%) dropped 24 hours after the occurrence of the event (71.97%, p=0.008), and the severity, represented by the probability of death, increased from 22.0% to 29.0% after the event (p=0.045). Conclusion: in the patient safety context, the identification of the changes in clinical conditions and the nursing workload in elderly victims of events supports the prevention of these occurrences.

AB - Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units. Method: comparative study developed at nine intensive therapy units of a University Hospital in São Paulo. The events were collected from the patient histories and classified as moderate and severe according to the World Health Organization. For the severity analysis, the Simplified Acute Physiologic Score II was used and, for the workload analysis, the Nursing Activities Score was applied 24 hours before and after the moderate and severe event. The t-test with 5% significance was used to compare the mean clinical severity and workload scores before and after the event. Results: the sample consisted of 315 elderly, 94 (29.8%) of whom were victims of moderate and severe events at the units. Among the 94 events, the clinical process and procedure type was predominant (40.0%). The installation and maintenance of therapeutic artifacts and catheters were the prevalent interventions that resulted in moderate (76.5%) physiopathological damage (66.0%). The mean workload score (75.19%) dropped 24 hours after the occurrence of the event (71.97%, p=0.008), and the severity, represented by the probability of death, increased from 22.0% to 29.0% after the event (p=0.045). Conclusion: in the patient safety context, the identification of the changes in clinical conditions and the nursing workload in elderly victims of events supports the prevention of these occurrences.

KW - Aged

KW - Intensive care units

KW - Mortality

KW - Nursing care

KW - Patient safety

KW - Workload

UR - http://www.scopus.com/inward/record.url?scp=85044376673&partnerID=8YFLogxK

U2 - 10.1590/0104-070720180003780016

DO - 10.1590/0104-070720180003780016

M3 - Article

AN - SCOPUS:85044376673

VL - 27

JO - Texto e Contexto Enfermagem

JF - Texto e Contexto Enfermagem

SN - 1980-265X

IS - 1

M1 - e3780016

ER -