The impact of COVID-19 on nursing workload and planning of nursing staff on the Intensive Care: A prospective descriptive multicenter study.
The impact of COVID-19 on nursing workload and planning of nursing staff on the Intensive Care: A prospective descriptive multicenter study.
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DOI：
10.1016/j.ijnurstu.2021.104005
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发表时间：
2021-09
影响因子：
8.1
通讯作者：
Spijkstra JJ
中科院分区：
文献类型：
--
作者：
Hoogendoorn ME;Brinkman S;Bosman RJ;Haringman J;de Keizer NF;Spijkstra JJ
COVID-19患者护理对重症监护室护理工作量和规划护理人员的影响是巨大的。护士面临着高工作量和每个护士必须照顾的病人数量的增加。本研究的主要目的是描述COVID期间重症监护护理人员计划与近期非COVID期间的差异。次要目的是描述COVID-19患者、肺炎患者和其他重症监护患者护理工作量的差异。我们最后想要评估不同组之间护理活动评分可能差异的原因。我们分析了护理人员和护理工作量的数据，这些数据是由荷兰6家不同医院的3994名患者和36827个不同班次的护理活动评分测量的。我们将2020年3月1日至2020年7月1日COVID-19期间的数据与2019年3月1日至2019年7月1日非COVID-19期间的数据进行了比较。在不同的队列和时间段，我们分析了每位患者的护理活动得分、每位护士的患者数量和每位护士的护理活动得分。根据数据的分布，采用卡方检验、非参数Wilcoxon检验或Student's t检验来检验差异。我们的研究结果显示，与非covid期间相比，COVID-19期间每位护士的患者数量显著增加（1.1比1.0,p<0.001），每位重症监护护士的护理活动得分显著提高（76.5比50.0,p<0.001）。COVID-19患者的护理活动得分明显高于肺炎患者（55.2比50.0,p<0.001）和非COVID-19患者（55.2比42.6,p<0.001），这主要是由于更严格的卫生程序、动员和定位、对亲属的支持和护理以及呼吸护理。通过本研究，我们展示了COVID-19患者对重症监护护理计划的影响。COVID-19患者造成了高护理工作量，无论是每个护士的患者数量还是每个护士的护理活动得分。
The impact of the care for COVID-19 patients on nursing workload and planning nursing staff on the Intensive Care Unit has been huge. Nurses were confronted with a high workload and an increase in the number of patients per nurse they had to take care of. The primary aim of this study is to describe differences in the planning of nursing staff on the Intensive Care in the COVID period versus a recent non-COVID period. The secondary aim was to describe differences in nursing workload in COVID-19 patients, pneumonia patients and other patients on the Intensive Care. We finally wanted to assess the cause of possible differences in Nursing Activities Scores between the different groups. We analyzed data on nursing staff and nursing workload as measured by the Nursing Activities Score of 3,994 patients and 36,827 different shifts in 6 different hospitals in the Netherlands. We compared data from the COVID-19 period, March 1st 2020 till July 1st 2020, with data in a non-COVID period, March 1st 2019 till July 1st 2019. We analyzed the Nursing Activities Score per patient, the number of patients per nurse and the Nursing Activities Score per nurse in the different cohorts and time periods. Differences were tested by a Chi-square, non-parametric Wilcoxon or Student's t-test dependent on the distribution of the data. Our results showed both a significant higher number of patients per nurse (1.1 versus 1.0, p<0.001) and a significant higher Nursing Activities Score per Intensive Care nurse (76.5 versus 50.0, p<0.001) in the COVID-19 period compared to the non-COVID period. The Nursing Activities Score was significantly higher in COVID-19 patients compared to both the pneumonia patients (55.2 versus 50.0, p<0.001) and the non-COVID patients (55.2 versus 42.6, p<0.001), mainly due to more intense hygienic procedures, mobilization and positioning, support and care for relatives and respiratory care. With this study we showed the impact of COVID-19 patients on the planning of nursing care on the Intensive Care. The COVID-19 patients caused a high nursing workload, both in number of patients per nurse and in Nursing Activities Score per nurse.
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影响因子：
38.9
作者：
Arabi YM;Azoulay E;Al-Dorzi HM;Phua J;Salluh J;Binnie A;Hodgson C;Angus DC;Cecconi M;Du B;Fowler R;Gomersall CD;Horby P;Juffermans NP;Kesecioglu J;Kleinpell RM;Machado FR;Martin GS;Meyfroidt G;Rhodes A;Rowan K;Timsit JF;Vincent JL;Citerio G
通讯作者：
Citerio G
影响因子：
0.7
作者：
Ducci, Adriana Janzantte;Padilha, Kátia Grillo
通讯作者：
Padilha, Kátia Grillo
影响因子：
5.3
作者：
Lucchini, Alberto;De Felippis, Christian;Fumagalli, Roberto
通讯作者：
Fumagalli, Roberto
影响因子：
8.8
作者：
Miranda, DR;Nap, R;Lapichino, G
通讯作者：
Lapichino, G
影响因子：
8.8
作者：
Margadant, Charlotte;Wortel, Safira;de Keizer, Nicolette
通讯作者：
de Keizer, Nicolette