Adell et al.(14), 2005/Spain Enferm Intensiva. |
To evaluate NAS results throughout the hospitalization. |
Npatient=250 NNAS=1,880 |
General adult ICU |
3 times/day (per shift) and then average NAS/day |
-Age -Gender -Special clinical conditions -Origin* |
-NAS |
-Mortality* -LOS |
Altafin et al.(15), 2014/Brazil Rev Bras Ter Intensiva. |
To evaluate nursing workload. |
NPatient=437 NNAS=NS |
Adult ICU |
Every 24h at 7a.m. |
-Age* -Gender* -Reason for admission* -Origin* -Severity index (APACHE II) * -Organ Failure (SOFA)* |
-NAS -TISS-28* |
-LOS* -Mortality* |
Argibay-Lago et al.(16), 2014/Spain Enferm Clin. |
To assess nursing workload among nurses providing special treatment to patients. |
Npatient=46 NNAS=NS |
>1 ICU patients after suffering sudden cardiac arrest, with or without therapeutic hypothermia |
Every 24 h |
-Age -Gender -Clinical data |
-NAS -TISS 28 -NEMS |
-Mortality* -Neurological evolution* |
Camuci et al.(17), 2014/Brazil Rev Latino Am Enfermagem. |
To evaluate nursing workload in a burns intensive care unit. |
Npatient=50 NNAS=1,221 |
Burns ICU |
Every 24h |
-Age -Gender -Burn data |
-NAS |
|
Carmona-Monge et al.(18), 2013/Spain Rev Esc Enferm USP. |
To compare the NAS in two ICUs. |
Npatient=103 NNAS=941 |
Two Clinical adult ICUs |
Every 24h |
-Age -Gender -Reason for admission -2 types of ICU |
-NAS |
-LOS -Mortality |
Carmona-Monge et al.(19), 2013/Spain Rev Esc Enferm USP. |
To assess nursing workload from admission to discharge among 3 groups of ICU patients. |
Npatient=563 NNAS=5,704 |
Medical ICU |
Every 24h |
-Age -Gender -Reason for admission* -Ratio 1: 2, 1: 3, |
-NAS -Invasive procedure |
-LOS -Mortality |
Ciampone et al.(20), 2006/Brazil Acta Paul Enferm. |
To compare nursing care needs of elderly and non-elderly patients. |
Npatient=50 NNAS=NS |
Adult ICU |
Every 24h |
-Age* -Gender -Comorbidities |
-NAS -Type of treatment |
-LOS -Destination -Mortality |
Coelho et al.(21), 2011/Brazil Texto Contexto Enferm. |
To identify nursing workload and its association with demographic and clinical patient’s data. |
Npatient=100 NNAS=100 |
Cardiac Intensive Care Unit |
Once, 24 h after admission |
- Age* -Gender* Origin* -Reason for admission* -Organic dysfunction (LODS)* -Severity index (SAPS II)* -Mortality risk* |
-NAS |
-LOS* -Mortality* |
Cremasco et al.(22), 2013/Brazil J Clin Nurs. |
To verify the association between nursing workload and pressure ulcer risk and illness severity. |
Npatient=160 NNAS=NS |
University ICU |
Every 24h |
-Age -Gender -Severity index (SAPS II)* -Pressure ulcer risk (Braden Scale)* -Reason for readmission |
-NAS |
-PU Development* -LOS* |
Cyrino et al.(23), 2012/Brazil Esc Anna Nery. |
To analyze the impact of the Patient Classification System on the care process and nosocomial infection. |
Npatient=214 NNAS=NS |
Adult Medical-Surgical ICU |
Every 24 h |
-Age* -Gender -Reason for readmission -Patient classification System* -Bed occupancy rate |
-NAS |
-Nosocomial infection* -Mortality* -LOS* |
Silva et al.(24), 2010/Brazil Rev Latino Am Enfermagem. |
To identify factors related to discharge of ICU patients in hospitals with intermediate care units. |
Npatient=600 NNAS=NS |
4 General ICUs |
Twice Every 24h After admission to discharge |
-Age -Gender -Comorbidities -Severity index (SAPS II) -Beds ratio ICU : IU -Risk of death (SAPS II) -Organ dysfunction |
-NAS |
-Mortality * -LOS |
Silva et al.(25), 2011/Brazil Rev Latino Am Enfermagem. |
To identify factors associated with death and readmission. |
Npatient=600 NNAS=1,200 |
2 General public and 2 private ICUs |
Twice 24h Admission/discharge |
-Age -Gender -Origin -Mortality risk (SPAS II) -Organ dysfunction (LODS) |
-NAS |
-Mortality * Readmission* -LOS |
Daud-Gallotti et al. (26), 2012/Brazil PLOS ONE. |
To evaluate the association between nursing workload and HAI. |
Npatient=195 NNAS=NS |
3 Medical ICUs and 1 step-down beds unit |
Every 24h Every shift (3 times) |
-Age -Gender -Origin -Severity index (APACHE II) and SAPS II) -Organ dysfunction (SOFA) -Comorbidities -Nurse-patient ratio -Absenteeism |
-NAS -compliance with the nurses’ care plan -Procedures -Communication failure |
-HAI* -LOS -Adverse events |
Sousa et al.(27), 2008/Brazil Rev Latino Am Enfermagem. |
To compare illness severity and nursing workload and to identify predictors of nursing workload for the treatment of elderly patients. |
Npatient=71 NNAS=71 |
General |
Every 24h at 8 a.m. |
-Age* -Gender -Severity index (SAPS II) |
-NAS |
-Mortality |
Feitosa et al.(28), 2012/Brazil Esc Anna Nery. |
To evaluate the demand for nursing care. |
Npatient=45 NNAS=328 |
Two General Adult Clinical-Surgical ICUs |
Every 24 h |
-Age -Gender |
-NAS -Type of treatment (related to diagnosis) |
-LOS -Mortality |
Giakoumidakis et al.(29), 2011/Greece Nurs Crit Care. |
To identify the factors affecting the length of stay in hospital. |
Npatient=313 NNAS=313 |
Cardiac surgery ICU |
Every 24h Once |
-Age -Gender -Comorbidities -Perioperative and mortality risk (EuroSCORE) |
-NAS -Type of surgery -Procedure |
-LOS* |
Gerasimou-Angelidi et al.(30), 2014/Greece J Nurs Manag. |
To study the association between family satisfaction and nursing workload. |
Npatient=106 NNAS=NS |
Adult ICU |
Three times/day (per shift) |
-Age, -Severity index (SAPS II) (covariables) |
-NAS |
-Family Satisfaction ICU 24 (FS ICU-24)* -LOS* |
Giakoumidakis et al.(31), 2012/Greece Eur J Cardiovasc Nurs. |
To identify the risk factors for increased in-hospital mortality. |
NPatient=313 NNAS=313 |
Cardiac surgery |
Every 24h Once at admission |
-Age -Gender -Comorbidities -BMI -Surgery and Mortality risk (EuroScore) |
-NAS -Type of surgery |
-Mortality* -LOS |
Gonçalves et al.(32), 2006/Brazil Rev Bras Enferm. |
To determine the daily nursing care needs. |
Npatient=50 NNAS=NS |
Adult ICU |
Every 24h |
-Age* -Gender -Reason for admission -Origin* |
-NAS -Type of treatment |
-Mortality* -LOS* |
Gonçalves et al.(33), 2007/Brazil Rev Esc Enferm USP. |
To analyze nursing workload on the first day of admission and associated factors. |
Npatient=214 NNAS= 214 |
5 Adult private ICUs -3 general and 2 neurological |
Once, 24 h after admission |
-Age -Gender -Diagnosis |
-NAS -Type of treatment |
-Mortality* -LOS* |
Inoue et al.(34), 2010/Brazil Acta Paul Enferm. |
To analyze nurse-patient ratios based on NAS. |
Npatient=107 NNAS=NS |
|
Every 24 h |
-Age -Gender -Reason for admission -Nurse-patient ratio* |
-NAS -Type of treatment |
-Destination -LOS |
Kakushi et al.(35), 2014/Brazil Rev Latino Am Enfermagem. |
To identify direct and indirect nursing-care time. |
Npatient=NS NNAS=24,886 |
Children and adult private ICU |
Every 24 h, |
-Age -Reason for admission -Categories of nursing team -Bed occupancy rate |
-NAS (direct care) -Indirect care* |
-LOS |
Lago et al.(36), 2011/Brazil Int J Palliat Nurs. |
To evaluate the provision of medical and nursing care to children in the last 24 hours of life |
Npatient=34 NNAS=34 |
Pediatric ICU |
Every 24 h Once in the last 24h of life before death |
-Age, -Gender -Ratio 1: 1-2 |
-NAS -Decision making -Procedure -Type of treatment* (RCR or not RCR) |
-LOS |
Lucchini et al.(37), 2011 /Italy Assist Inferm Ric. |
To assess the association between adverse events, nurse staffing levels and workload. |
Npatient=240 NNAS=NS |
Adult Clinical and Surgical ICU |
Every 24 h |
-Age -Ratio nurse-patient* -Bed occupancy rate* |
NAS |
-Adverse events* |
Lucchini et al.38), 2012 /Italy Assist Inferm Ric. |
To detect the impact of ventilation mode on nursing workload. |
Npatient=200 NNAS=NS |
General adult ICU |
Every 24 h |
|
-Ventilation mode* -NAS |
|
Lucchini et al.(39) 2014/Italy Intensive Crit Care Nurs. |
To analyze the application of the Nursing Activities Score in an intensive care department. |
Npatient=5,856 NNAS =28,390 |
General, Neurologic and Cardiothoracic Surgery ICU (adult and pediatric) |
Every 24 h in the morning (retrospectively) |
-Age* -Severity index (SAPS II and SAPS III)* -Pressure ulcer risk* (Braden scale) |
-NAS -Level of sedation (RASS)* |
-LOS* |
Nogueira et al.(40), 2007/Brazil Rev Bras Ter Intensiva. |
To explore the correlations between NAS, severity index and mortality. |
Npatient=148 NNAS=NS |
Adult ICU |
Every 24h |
-Age -Gender -Reason for admission -Severity index (APACHE II)* |
-NAS |
-Mortality* -LOS |
Nogueira et al.(41), 2013 \ Brazil Rev Bras Ter intensiva. |
To compare nursing workloads in public and private ICUs |
NPatient=600 NNAS=1,200 |
2 Public and 2 Private ICUs |
Every 24 h Twice Admission and discharge |
-Age -Gender -Organ dysfunction (LODS) -Severity index (SAPS II) -Type of ICU* |
-NAS |
-LOS -Mortality* |
Nogueira et al.(42), 2014/Brazil PLOS ONE. |
To identify the factors related to the high nursing workload demanded in the treatment of trauma victims. |
Npatient=200 NNAS=200 |
Trauma ICU |
After the first 24h |
-Age* -Gender* -AIS* -Organ dysfunction(LODS)* -ISS* -Origin* -Reason for admission* -Comorbidities* -Mortality risk * (SAPS II, APACHE II) |
-NAS -Interval between ER and ICU* |
|
Novaretti et al.(43), 2014/Brazil Rev Bras Enferm. |
To identify the influence of nursing workload on the occurrence of noninjurious incidents and adverse events. |
Npatient=399 NNAS=NS |
2 Clinical-Surgical ICU. Patients 315 years old |
Three times/day (per shift) and then, average NAS/day |
-Severity index (APACHE II) |
-NAS |
-Mortality -LOS -Incidents without injury* -Adverse events* |
Nunes et al.(44), 2013/Brazil Rev Latino Am Enfermagem. |
To analyze nursing workload related to the ideal and current nurse-patient ratio. |
Npatient=144 NNAS=406 |
Neonatal ICU |
Every 24 h |
-Age -Weight -Type of unit* |
-NAS |
|
Padilha et al.(45), 2008/Brazil Intensive Crit Care Nurs. |
To describe nursing workload and its association with patient variables. |
Npatient=200 NNAS=200 |
2 General and 2 Neurological ICUs |
Every 24h First 24h after admission |
-Age -Gender -Severity index (SAPS II)* |
-NAS -Therapeutic interventions (TISS-28)* |
-LOS* -Mortality* |
Padilha et al.(46), 2010/Brazil Int Crit Care Nurs. |
To identify and analyze daily nursing workload and the adequacy of nursing staff. |
Npatient=68 NNAS=690 |
Adult ICU Private hospital |
Every 6h shift, Daily |
-Age -Gender -Origin -Occupancy Rate -Nurse-patient ratio* |
-NAS |
-LOS |
Panunto et al.(47) 2012/Brazil Acta Paul Enferm. |
To evaluate nursing workload |
Npatient=107 NNAS=574 |
Adult ICU |
Every 24h |
-Age -Gender -Reason for admission -Origin |
-NAS -Type of treatment |
-LOS |
Peng et al.(48), 2014/China Nurs Health Sci. |
To explore the correlation between patient illness severity and nursing workload. |
Npatient=229 NNAS=NS |
Rescue room of the Emergency Department (trauma) |
Every 24 h |
-Gender -Severity index (APACHE- II)* -Nurse-patient ratio -Reason for admission |
-NAS |
|
Queijo et al.(49), 2013/Brazil Int Crit Care Nurs. |
To assess nursing workload in neuro ICUs and identify independent factors associated with nursing workload |
Npatient=100 NNAS=NS |
General, Cardiovascular and neurological ICU |
The first 24 h after admission |
-Age* -Gender* -Clinical history -Reason for admission* -Severity index (SAPS II) -Organ Dysfunction (LODS) -Origin* |
-NAS |
-LOS -Mortality* |