Nursing workload and patient-focused outcomes in intensive care: A systematic review.

IF 2.1 3区医学 Q2 NURSING Nursing & Health Sciences Pub Date : 2023-12-01 Epub Date: 2023-10-02 DOI:10.1111/nhs.13052

Paul Ross, Bethany Howard, Dragan Ilic, Jason Watterson, Carol L Hodgson

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Abstract

The aim of this systematic review was to examine the association of nursing workload on patient outcomes in intensive care units. The primary outcome measure was patient mortality, with adverse events (AE), the secondary outcome measures. Electronic search of databases including MEDLINE, CINAHL, Cochrane, EMCARE, Scopus, and Web of Science were performed. Studies were excluded if they were in non-ICU settings, pediatric, neonatal populations, or if the abstract/full text was unavailable. Risk of bias was assessed by the ROBINS-I tool. After screening 4129 articles, 32 studies were identified as meeting inclusion criteria. The majority of included studies were assessed as having a moderate risk of bias. The nursing activities score (NAS) was the most frequently used tool to assess nursing workload. Our systematic review identified that higher nursing workload was associated with patient-focused outcomes, including increased mortality and AE in the intensive care setting. The varied approaches of measuring and reporting nursing workload make it difficult to translate the findings of the impact of nursing workload on patient outcomes in intensive care settings.

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重症监护中的护理工作量和以患者为中心的结果：一项系统综述。

这项系统综述的目的是检查重症监护室护理工作量与患者预后的关系。主要的结果指标是患者死亡率，不良事件（AE）是次要的结果指标。对MEDLINE、CINAHL、Cochrane、EMCARE、Scopus和Web of Science等数据库进行了电子搜索。如果研究是在非ICU环境、儿科、新生儿人群中进行的，或者如果摘要/全文不可用，则将其排除在外。使用ROBINS-I工具评估偏倚风险。在筛选了4129篇文章后，32项研究被确定为符合纳入标准。大多数纳入的研究被评估为具有中度偏倚风险。护理活动评分（NAS）是评估护理工作量最常用的工具。我们的系统综述发现，较高的护理工作量与以患者为中心的结果有关，包括重症监护环境中死亡率和AE的增加。测量和报告护理工作量的方法多种多样，这使得在重症监护环境中很难转化护理工作量对患者结果的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing & Health Sciences 医学-护理

CiteScore

4.80

自引率

3.70%

发文量

审稿时长

6-12 weeks

期刊介绍： NHS has a multidisciplinary focus and broad scope and a particular focus on the translation of research into clinical practice, inter-disciplinary and multidisciplinary work, primary health care, health promotion, health education, management of communicable and non-communicable diseases, implementation of technological innovations and inclusive multicultural approaches to health services and care.