Citation

de Souza Nogueira L, de Sousa RMC, Nacer DT, Bonfim AKS, Fernandes LC, Sloboda DA. J. Nurs. Manag. 2019; ePub(ePub): ePub.

Affiliation

Escola de Enfermagem da Universidade de São Paulo. Universidade de São Paulo. Av. Dr. Enéas Carvalho de Aguiar, São Paulo - SP, Brasil.

Copyright

(Copyright © 2019, John Wiley and Sons)

DOI

10.1111/jonm.12912

PMID

31769554

Abstract

AIM: To validate a model to estimate the nursing workload required by trauma victims on Intensive Care Unit (ICU) discharge.

BACKGROUND: Identifying a reliable model of nursing workload measurement which can assist professionals.

METHODS: A prospective cohort study conducted in 2010 (first phase) and 2015 (second phase) with 342 trauma victims admitted into the ICU of four hospitals located in São Paulo, Brazil. The original model was created during the first phase and included the Simplified Acute Physiology Score and New Injury Severity Score variables. Coefficients of determination (R² ) were calculated to identify the reliability.

RESULTS: The original model presented high reliability (R²  = 44%) in the hospital of origin, and unsatisfactory performance (R² less than 4%) in the other institutions. An improvement in R² was observed after adjusting the coefficients for each hospital.

CONCLUSION: For the Nursing Activities Score prediction of survivors for ICU discharge, trauma centers must validate the original model with coefficient adjustments for their population, or preferably derive their own models. IMPLICATIONS FOR NURSING MANAGEMENT: Although models are useful in predicting discharge of these ICU patients, for treatment continuity after critical care, and for organizing services, the study showed that they should be evaluated prior to use for nursing management.

© 2019 John Wiley & Sons Ltd.

Language: en

Keywords

Clinical Evaluation; Intensive Care Units; Nursing; Survivors; Workload; Wounds and Injuries