Impact of promoting self-care in nursing workload

To assess the impact of promoting self-care in nursing workload and associate it to the variables: age, gender, socioeconomic status, education, marital status and number of children of caregivers.

METHODS

Prospective study with 31 children and their caregivers. Participants were assessed at two moments, 1^st and 2^nd hospitalization, the nursing workload was measured by the Nursing Activities Score (NAS).

RESULTS

The mean NAS in the 1^st hospitalization was 60.9% and in the 2^nd hospitalization was 41.6%, that is, 14.6 and 9.9 hours of nursing, respectively. The nursing workload on the first day of hospitalization was higher compared to the last day, both for the 1^st (p<0.001) and for the 2^nd hospitalization (p<0.001), and higher in the first (p<0.001) and in the last day (p=0.025) in the 1^st hospitalization. Comparing the 1^st hospitalization to the 2^nd hospitalization, the first was higher (p<0.001), and NAS items related to the training of self-care was influenced (p<0.001).

CONCLUSION

The nursing workload associated to self-care promotion corresponded to 14.6 hours and was higher than determined by the existing legislation.

Descriptors
Nursing; Self-care; Workload; Personnel Downsizing; Subacute Care; Pierre Robin Syndrome

Variables	Characteristics	Mean	Standard deviation	P
1^st hospitalization	NAS 1^st day	111.4	12.6	<0.001^* Student t test. *Statistical significance (p≤0.05).
	NAS last day	37.2	11.1
	Difference	74.2	16.2
2^nd hospitalization	NAS 1^st day	73.0	20.9
	NAS last day	32.9	7.8	<0.001^* Student t test. *Statistical significance (p≤0.05).
	Difference	40.1	20.5

Variables	Characteristics	Mean	Standard deviation	P
1^st hospitalization	NAS 1^st day of 1^st hospitalization	111.4	12.6	<0.001^* Student t test. *Statistical significance (p?0.05).
	NAS 1^st day of 2^nd hospitalization	73.0	20.9
	Difference	38.3	21.7
2^nd hospitalization	NAS last day of 1^st hospitalization	37.2	11.1
	NAS last day of 2^nd hospitalization	32.9	7.8	0.027^* Student t test. *Statistical significance (p?0.05).
	Difference	4.2	10.2

Characteristics	Mean	Standard deviation	P
NAS in the 1^st hospitalization	60.9	12.8	<0.001^* Student t test. *Statistical significance (p≤0.05).
NAS in the 2^nd hospitalization	41.6	7.3
Difference	19.3	13.2

Variables	Characteristics	Mean (%)	Standard deviation (%)	P
1^st hospitalization	Item 7a in the 1^st hospitalization	53.9	13.8	<0.001^* Student t test. *Statistical significance (p≤0.05).
	Item 7a in the 2^nd hospitalization	79.5	18.2
	Difference	-25.6	22.5
2^st hospitalization	Item 7b in the 1^st hospitalization	46.1	13.8	<0.001^* Student t test. *Statistical significance (p≤0.05).
	Item 7b in the 2^nd hospitalization	20.5	18.2
	Difference	25.6	22.5

Variables	Characteristics	n	%	P 1^st hospitalization	P 2^nd hospitalization
Socioeconomic status	Medium	12	39	0.470^* * Student t test.	0.502^* * Student t test.
Socioeconomic status	Low	19	61	0.470^* * Student t test.	0.502^* * Student t test.
Education	Higher education	10	32	0.588^ Analysis of Variance. Statistical significance (p≤0.05).	0.419^ Analysis of Variance. Statistical significance (p≤0.05).
	Incomplete higher education	2	6
	High school	12	40
	Incomplete high school	5	16
	Elementary school	2	6
	Married	23	74	0.177^ Analysis of Variance. Statistical significance (p≤0.05).	0.449^ Analysis of Variance. Statistical significance (p≤0.05).
Marital status	Separated	1	3
	Single	7	23
Number of children	3 or 4	2	6	0.614^ Analysis of Variance. Statistical significance (p≤0.05).	0.353^ Analysis of Variance. Statistical significance (p≤0.05).
	1	22	71
	2	7	23

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Armando dos Santos Trettene. Rua Silvio Marchione, 3-20. CEP 17012-900 - Bauru, SP, Brazil. armandotrettene@hotmail.com

Brasil

Brasil

Impact of promoting self-care in nursing workload* * Extracted from the thesis "Impacto da promoção do autocuidado na carga de trabalho de enfermagem", Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, 2015.

Impacto de la promoción del autocuidado en la carga laboral de enfermería

Abstract

OBJECTIVES

METHODS

RESULTS

CONCLUSION

Impact of promoting self-care in nursing workload^* * Extracted from the thesis "Impacto da promoção do autocuidado na carga de trabalho de enfermagem", Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo, 2015.