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vol.27 número1MOTIVAÇÃO DOS ESTUDANTES DE ENFERMAGEM E SUA INFLUÊNCIA NO PROCESSO DE ENSINO-APRENDIZAGEMCAMINHOS PERCORRIDOS POR CRIANÇAS E ADOLESCENTES COM TUBERCULOSE NOS SERVIÇOS DE SAÚDE índice de autoresíndice de assuntospesquisa de artigos
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Texto & Contexto - Enfermagem

versão impressa ISSN 0104-0707versão On-line ISSN 1980-265X

Resumo

TOFFOLETTO, Maria Cecilia et al. COMPARISON BETWEEN PATIENT SEVERITY AND NURSING WORKLOAD BEFORE AND AFTER THE OCCURRENCE OF ADVERSE EVENTS IN ELDERLY IN CRITICAL CARE. Texto contexto - enferm. [online]. 2018, vol.27, n.1, e3780016.  Epub 22-Mar-2018. ISSN 0104-0707.  http://dx.doi.org/10.1590/0104-070720180003780016.

Objective:

to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units.

Method:

comparative study developed at nine intensive therapy units of a University Hospital in São Paulo. The events were collected from the patient histories and classified as moderate and severe according to the World Health Organization. For the severity analysis, the Simplified Acute Physiologic Score II was used and, for the workload analysis, the Nursing Activities Score was applied 24 hours before and after the moderate and severe event. The t-test with 5% significance was used to compare the mean clinical severity and workload scores before and after the event.

Results:

the sample consisted of 315 elderly, 94 (29.8%) of whom were victims of moderate and severe events at the units. Among the 94 events, the clinical process and procedure type was predominant (40.0%). The installation and maintenance of therapeutic artifacts and catheters were the prevalent interventions that resulted in moderate (76.5%) physiopathological damage (66.0%). The mean workload score (75.19%) dropped 24 hours after the occurrence of the event (71.97%, p=0.008), and the severity, represented by the probability of death, increased from 22.0% to 29.0% after the event (p=0.045).

Conclusion:

in the patient safety context, the identification of the changes in clinical conditions and the nursing workload in elderly victims of events supports the prevention of these occurrences.

Palavras-chave : Aged; Intensive care units; Patient safety; Nursing care; Workload; Mortality.

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