Luciana Bjorklund de Lima

Classification of Patients According to the Degree of Dependence on Nursing Care and Illness Severity in a Post-Anesthesia Care Unit

This study aimed to classify patients according to their degree of dependence on nursing care (Perroca Classification System) and correlate this with the anesthetic risk (American Society of Anesthesiologists--ASA classification) in a post-anesthesia care unit. A cross-sectional study was conducted, which included 402 patients, mean age 51.57 (±16.73) years, of which 216 (54%) were female. The results indicate that patients had a degree of dependence between intermediate and semi-intensive with an ASA classification of between two and three. There was a significant relationship between degree of dependence and ASA classification. The results indicate that the post-anesthesia care unit admits patients with semi-intensive care requirements and with moderate anesthetic risk.O estudo teve por objetivo classificar os pacientes, segundo o grau de dependencia dos cuidados de enfermagem (Sistema de Classificacao de Perroca), relacionando-o ao risco anestesico (Classificacao da American Society of Anesthesiologists - ASA) em uma unidade de recuperacao pos-anestesica. Realizou-se estudo transversal, com inclusao de 402 pacientes com idade media de 51,57 (±16,73), sendo 216 (54%) do sexo feminino. Os resultados apontam que os pacientes tem grau de dependencia entre intermediario e semi-intensivo com Classificacao ASA entre dois e tres. Houve relacao significativa entre grau de dependencia e Classificacao ASA. Os resultados indicam que a unidade de recuperacao pos-anestesica admite pacientes com cuidados semi-intensivos com moderado risco anestesico.

Classificação de pacientes segundo o grau de dependência dos cuidados de enfermagem e a gravidade em unidade de recuperação pós-anestésica

This study aimed to classify patients according to their degree of dependence on nursing care (Perroca Classification System) and correlate this with the anesthetic risk (American Society of Anesthesiologists--ASA classification) in a post-anesthesia care unit. A cross-sectional study was conducted, which included 402 patients, mean age 51.57 (±16.73) years, of which 216 (54%) were female. The results indicate that patients had a degree of dependence between intermediate and semi-intensive with an ASA classification of between two and three. There was a significant relationship between degree of dependence and ASA classification. The results indicate that the post-anesthesia care unit admits patients with semi-intensive care requirements and with moderate anesthetic risk.O estudo teve por objetivo classificar os pacientes, segundo o grau de dependencia dos cuidados de enfermagem (Sistema de Classificacao de Perroca), relacionando-o ao risco anestesico (Classificacao da American Society of Anesthesiologists - ASA) em uma unidade de recuperacao pos-anestesica. Realizou-se estudo transversal, com inclusao de 402 pacientes com idade media de 51,57 (±16,73), sendo 216 (54%) do sexo feminino. Os resultados apontam que os pacientes tem grau de dependencia entre intermediario e semi-intensivo com Classificacao ASA entre dois e tres. Houve relacao significativa entre grau de dependencia e Classificacao ASA. Os resultados indicam que a unidade de recuperacao pos-anestesica admite pacientes com cuidados semi-intensivos com moderado risco anestesico.

Carga de trabalho de enfermagem em unidade de recuperação pós-anestésica

OBJECTIVES: To assess nursing workload in the post-anesthesia care unit and its potential correlations with a surgical severity index, length of stay, magnitude of surgery, and patient age. METHODS: Cross-sectional study conducted at a university hospital. Workload was assessed by the Nursing Activities Score, and severity of illness, by the Simplified Acute Physiology Score II. Both were assessed at the time of discharge from the unit. RESULTS: The study sample comprised 160 patients (mean age, 57 ± 15 years). The median nursing workload was 45.6 minutes per hour, i.e. 50% of patients required 45.6 minutes of nursing care per hour spent in the post-anesthesia care unit. There was no association between workload and severity index. However, there were positive correlations among workload, length of stay, and magnitude of surgery. The severity of illness was correlated with age. CONCLUSION: Nursing workload in the post-anesthesia care unit is influenced by length of stay and magnitude of surgery.

Nursing workload in a coronary unit according to the Nursing Activities Score

OBJECTIVE this study aimed to using the Nursing Activities Score to assess nursing workload in a coronary care unit, to assess the distribution of workload between shifts, and to compare the current staff of the care unit with that recommended by the instrument. METHOD this was a longitudinal study, conducted in a teaching hospital in Southern Brazil, between April to June 2012. RESULTS A total of 604 NAS measures were obtained from the 61 patients included. The mean workload per shift was 47% (±12), with the greatest workload being reported in the afternoon shifts. CONCLUSION according to the NAS, a mean of two and a maximum of 2.4 nursing professionals would be required per shift to meet all patient demands, suggesting that the current staff size in the CCU is adequate. The NAS was successful in assessing nursing workload and changes in patient demands over time.

Carga de trabalho em unidade coronariana segundo o Nursing Activities Score

OBJECTIVE this study aimed to using the Nursing Activities Score to assess nursing workload in a coronary care unit, to assess the distribution of workload between shifts, and to compare the current staff of the care unit with that recommended by the instrument. METHOD this was a longitudinal study, conducted in a teaching hospital in Southern Brazil, between April to June 2012. RESULTS A total of 604 NAS measures were obtained from the 61 patients included. The mean workload per shift was 47% (±12), with the greatest workload being reported in the afternoon shifts. CONCLUSION according to the NAS, a mean of two and a maximum of 2.4 nursing professionals would be required per shift to meet all patient demands, suggesting that the current staff size in the CCU is adequate. The NAS was successful in assessing nursing workload and changes in patient demands over time.

Nursing Outcomes for Patients with Risk of Perioperative Positioning Injury: Nursing Outcomes for Patients

PURPOSE To select and refine the outcomes and indicators of Nursing Outcomes Classification for the diagnosis of risk for perioperative positioning injury. METHOD Validation study on expert consensus and refinement through pilot study. FINDINGS Eight outcomes and 35 indicators were selected in consensus. After clinical testing was performed, in which 10 patients were assessed at five different times. Eight outcomes and 33 indicators remained in the protocol. CONCLUSION This study made it possible to select the most relevant outcomes and indicators to be measured for this diagnosis in clinical practice. IMPLICATIONS FOR NURSING PRACTICE Validation studies by consensus and clinical testing are important to promote the accuracy, creating opportunities to legitimize, and improve the concepts of taxonomies.

Carga de trabajo en unidad coronaria según la Nursing Activities Score

OBJECTIVE this study aimed to using the Nursing Activities Score to assess nursing workload in a coronary care unit, to assess the distribution of workload between shifts, and to compare the current staff of the care unit with that recommended by the instrument. METHOD this was a longitudinal study, conducted in a teaching hospital in Southern Brazil, between April to June 2012. RESULTS A total of 604 NAS measures were obtained from the 61 patients included. The mean workload per shift was 47% (±12), with the greatest workload being reported in the afternoon shifts. CONCLUSION according to the NAS, a mean of two and a maximum of 2.4 nursing professionals would be required per shift to meet all patient demands, suggesting that the current staff size in the CCU is adequate. The NAS was successful in assessing nursing workload and changes in patient demands over time.

Clasificación de pacientes según el grado de dependencia de los cuidados de enfermería y de la gravedad en una unidad de recuperación postanestésica

This study aimed to classify patients according to their degree of dependence on nursing care (Perroca Classification System) and correlate this with the anesthetic risk (American Society of Anesthesiologists--ASA classification) in a post-anesthesia care unit. A cross-sectional study was conducted, which included 402 patients, mean age 51.57 (±16.73) years, of which 216 (54%) were female. The results indicate that patients had a degree of dependence between intermediate and semi-intensive with an ASA classification of between two and three. There was a significant relationship between degree of dependence and ASA classification. The results indicate that the post-anesthesia care unit admits patients with semi-intensive care requirements and with moderate anesthetic risk.O estudo teve por objetivo classificar os pacientes, segundo o grau de dependencia dos cuidados de enfermagem (Sistema de Classificacao de Perroca), relacionando-o ao risco anestesico (Classificacao da American Society of Anesthesiologists - ASA) em uma unidade de recuperacao pos-anestesica. Realizou-se estudo transversal, com inclusao de 402 pacientes com idade media de 51,57 (±16,73), sendo 216 (54%) do sexo feminino. Os resultados apontam que os pacientes tem grau de dependencia entre intermediario e semi-intensivo com Classificacao ASA entre dois e tres. Houve relacao significativa entre grau de dependencia e Classificacao ASA. Os resultados indicam que a unidade de recuperacao pos-anestesica admite pacientes com cuidados semi-intensivos com moderado risco anestesico.