Nursing workload in hematopoietic stem cell transplantation: a cohort study

  • Juliana Bastoni da Silva Universidade Estadual de Campinas; Faculdade de Enfermagem
  • Valéria Cristina Oliveira Póvoa Universidade de São Paulo; Escola de Enfermagem
  • Maria Helena de Melo Lima Universidade Estadual de Campinas; Faculdade de Enfermagem
  • Henrique Ceretta Oliveira Universidade Estadual de Campinas; Faculdade de Enfermagem
  • Kátia Grillo Padilha Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem-Médico-Cirúrgica
  • Sílvia Regina Secoli Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem-Médico-Cirúrgica

Abstract

Objective Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, São Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fisher’s exact test, Mann-Whitney test and Spearman’s correlation coefficient; with 5% significance level. Results Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380).Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT.

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Published
2015-12-01
How to Cite
Silva, J., Póvoa, V., Lima, M., Oliveira, H., Padilha, K., & Secoli, S. (2015). Nursing workload in hematopoietic stem cell transplantation: a cohort study . Revista Da Escola De Enfermagem Da USP, 49(spe), 93-100. https://doi.org/10.1590/S0080-623420150000700014
Section
Original Articles