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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale
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Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale

机译：使用护理活动得分（NAS）规模评估护理工作量作为重症监护单位（ICU）的死亡率预测因素评估

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Introduction: Nursing activities score scales are valuable instruments for assessing the quality of nursing care provided in critically ill patients and easy to use in validating nurse staffing. The aim of this study was the assessment of nursing workload (NW) as a predictive factor of mortality by using the nursing activities score (NAS) scale. Materials and Methods: In this cross-sectional study of 91 days during 2019, convenience sampling was employed to recruit 82 registered nurses (RN) from three intensive care units (ICUs) of two public hospitals with 41 beds in total. Data were collected using the NAS scale, the researcher’s observation, the information given by the staff, and the nursing care reports. Descriptive and inductive statistics were used with significance level α = 0.05. The Statistical Package for Social Sciences (SPSS 25.0) was used for analyzing the data. Results: Females were the majority of the sample (84.1%), with a mean age of 38.9 (7.7) years, 87.8% had a nursing degree from a technological educational institute (T.E.I), the average working experience was 14 (8.1) years and the ICU experience was 12.9 (8.5) years. There were 3764 daily records of NAS with an average of 54.81 (2.34) and total NAS of 756.51 (150.27). The NW of the first day’s admission in the ICU was 65.15 (13.05), NW was 13.15 h/day and the NW of patients who died was 57.37 (4.06). The optimal nurse/patient ratio (NPR) was 1:1.82, while the existing NPR was 1:2.86. The mortality rate was 28.7%. Conclusion: Although the study results did not demonstrate a significant correlation between NW and mortality, the NW in ICU appeared to be relatively higher for patients who died than for those who survived. This result may serve as an indication for a positive correlation between these two variables. In addition, NW was found to be moderate, while one ICU nurse can take care of more than one patient.
机译：简介：护理活动得分尺度是评估患者护理患者的护理质量和易于使用的护士人员配置的宝贵仪器。本研究的目的是通过使用护理活动得分（NAS）规模来评估护理工作量（NW）作为死亡率的预测因素。材料与方法：在2019年91天的横断面研究中，采用便捷取样，聘请来自两个公共医院的三个重症监护单位（ICU）的82名注册护士（ICU），总共有41张床。使用NAS规模，研究人员的观察，工作人员提供的信息以及护理报告收集数据。描述性和归纳统计与显着性级别α= 0.05使用。社会科学统计包（SPSS 25.0）用于分析数据。结果：女性是大多数样本（84.1％），平均年龄为38.9（7.7）年，87.8％来自技术教育学院（TEI）的护理学位，平均工作经验为14（8.1）岁和ICU经验为12.9（8.5）年。每日3764次NAS记录，平均为54.81（2.34）和756.51的总NAS（150.27）。第一天在ICU入学的NW是65.15（13.05），NW为13.15小时，死亡的患者的NW是57.37（4.06）。最佳护士/患者比率（NPR）为1：1.82，而现有的NPR为1：2.86。死亡率为28.7％。结论：虽然研究结果没有表现出NW和死亡率之间的显着相关性，但对于死亡的患者而言，ICU中的NW似乎相对较高。该结果可以用作这两个变量之间的正相关的指示。此外，NW被发现是适中的，而一个ICU护士可以照顾不止一个患者。

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