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Abstract

Background: An understanding of the time nurses spend assessing and meeting patients' needs is key to improve nursing outcomes and support organizational well-being. Aims and objectives: The study was designed to determine whether the use of an assessment scale with some clinical parameters indicative of hemodynamic, neurological, respiratory and mobility functions could be able to estimate nursing care workload in non-intensive cardiac surgery patients. Methods: A correlational descriptive study was designed. Two types of inpatients were included in the study: those waiting for cardiac surgery and those who had already undergone cardiac surgery. Using specific indicators, patient's clinical status was classified in 10 levels of complexity and nursing care interventions were divided into three categories: clinical activities, educational activities and organizational activities. For each of this categories the correlation coefficient between the nursing time and the level of patient's complexity was measured. Results: Per hour of hospitalization, nurses spent an average of 11 minutes and 49 seconds providing care to each patient. A good correlation coefficient between the amount of the nursing time spent for clinical activities and the level of patient's complexity was found. Educational activities were minimal compared with the clinical and organizational activities, but they were mostly conducted during the preoperative phase. Conclusions: The assessment scale tested in this study, including some information about the patient's clinical status, allowed to estimate clinical nursing workload in non-intensive cardiac surgery patients.

Keywords:"ˆNursing in cardiology setting; health status indicators; severity of illness index; nursing care complexity; non-intensive cardiac surgery unit.

RIASSUNTO

Background: la quantificazione del tempo impiegato dagli infermieri per valutare e trattare i bisogni dei pazienti rappresenta un fattore chiave per migliorare gli esiti assistenziali e favorire il benessere organizzativo delle strutture sanitarie. Obiettivi: lo studio è stato eseguito per verificare se l'uso di una scala di indicatori della funzione emodinamica, neurologica, respiratoria e motoria, possa consentire di stimare il carico di lavoro infermieristico richiesto dai pazienti cardiochirurgici ricoverati nelle unití  di degenza non intensive. Metodi: per lo scopo del lavoro è stato disegnato uno studio descrittivo-correlazionale. Sono stati osservati pazienti in fase preoperatoria e postoperatoria. Utilizzando una scala di indicatori specifici, lo stato clinico del paziente è stato suddiviso in 10 livelli di complessití  assistenziale; mentre le attivití  infermieristiche sono state classificate in 3 categorie: cliniche, educative e gestionali. Per ognuna di queste categorie è stato misurato il coefficiente di correlazione tra il tempo assistenziale erogato ed il livello di complessití  rilevato. Risultati: per ogni ora di ricovero gli infermieri hanno erogato mediamente a ciascun paziente 11 minuti e 49 secondi di assistenza. Il tempo impiegato in attivití  assistenziali cliniche è risultato correlato al livello di complessití  rilevato. Le attivití  educative sono risultate prevalenti nella fase preoperatoria, ma il tempo ad esse dedicato è risultato minimo rispetto a quello impiegato in attivití  cliniche e gestionali. Conclusioni: la scala di indicatori clinici testata ha consentito di stimare il carico di lavoro infermieristico di tipo clinico richiesto dai pazienti cardiochirurgici ricoverati nelle unití  di degenza non intensive.

Parole chiave: infermieristica in cardiologia, indicatori clinici, indice di gravití  della malattia, complessití  infermieristica, unití  di cardiochirurgia non intensive

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Carpico, A., Petrucci, C., Rubbi, I., & Lancia, L. (2014). Measuring nursing care workload in non-intensive cardiac surgery: an observational study. PROFESSIONI INFERMIERISTICHE, 65(2). Recuperato da https://www.profinf.net/pro3/index.php/IN/article/view/93
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