Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit

  • Katia Grillo Padilha Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica
  • Siv Stafseth Oslo University Hospital; Division of Emergencies and Critical Care
  • Diana Solms Oslo University Hospital; Division of Emergencies and Critical Care
  • Marga Hoogendoom Isala klinieken Research Department Anesthesiologie & Intensive Care
  • Francisco Javier Carmona Monge Hospital Universitario Fundación Alcorcón
  • Om Hashem Gomaa Sohag University; Faculty of Nursing
  • Konstantinus Giakoumidakis University of Athens; Faculty of Nursing
  • Margarita Giannakopoulou University of Athens; Faculty of Nursing
  • Maria Cecília Gallani Université Laval; Faculté des Sciences Infirmières
  • Edyta Cudak Poznan University of Medical Sciences; Faculty of Health Sciences
  • Lilia de Souza Nogueira Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica
  • Cristiane Santoro Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica
  • Regina Cardoso de Sousa Universidade de São Paulo; Escola de Enfermagem; Departamento de Enfermagem Médico-Cirúrgica
  • Ricardo Luis Barbosa Universidade Federal de Uberlândia; Instituto de Geografia
  • Dinis dos Reis Miranda University of Groningen; Former Researcher

Abstract

Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus. Results The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers’ consensus. Conclusion NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results.

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Published
2015-12-01
How to Cite
Padilha, K., Stafseth, S., Solms, D., Hoogendoom, M., Monge, F., Gomaa, O., Giakoumidakis, K., Giannakopoulou, M., Gallani, M., Cudak, E., Nogueira, L., Santoro, C., Sousa, R., Barbosa, R., & Miranda, D. (2015). Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit . Revista Da Escola De Enfermagem Da USP, 49(spe), 131-137. https://doi.org/10.1590/S0080-623420150000700019
Section
Original Articles