Analysis of Nursing Staff Management for a Semi-intensive Pulmonology Unit During the COVID-19 Pandemic Using the Nursing Activities Score.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-09-01 DOI:10.1097/DCC.0000000000000593

Jérôme Tack, Arnaud Bruyneel, Yoan Bouillon, Olivier Taton, Fabio Taccone, Magali Pirson

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引用次数: 0

Abstract

Objectives: During the COVID-19 pandemic, a shortage of intensive care unit beds was encountered across Europe. Opening a semi-intensive pulmonary ward freed up intensive care unit beds. This study aimed to determine the appropriate nurse staffing level for a semi-intensive pulmonology unit (SIPU) for patients with COVID-19 and to identify factors associated with an increase in nursing workload in this type of unit.

Methods: This was a retrospective study of the SIPU of the Erasme university clinics in Belgium. Nursing staff was determined with the Nursing Activities Score (NAS) during the second wave of COVID-19 in Belgium.

Results: During the study period, 59 patients were admitted to the SIPU, and a total of 416 NAS scores were encoded. The mean (±SD) NAS was 70.3% (±16.6%). Total NAS varied significantly depending on the reason for admission: respiratory distress (mean [SD] NAS, 71.6% [±13.9%]) or critical illness-related weakness (65.1% ± 10.9%). The items encoded were significantly different depending on the reason for admission. In multivariate analysis, body mass index > 30 (odds ratio [OR], 1.77; 95% confidence interval [CI], 1.07-3.30) and higher Simplified Acute Physiology Score II score (OR, 1.05; 95 CI, 1.02-1.11) were associated with higher NAS. Patients admitted via the emergency department (OR, 2.45; 95% CI, 1.15-5.22) had higher NAS. Patients on noninvasive ventilation (OR, 13.65; 95% CI, 3.76-49.5) and oxygen therapy (OR, 4.29; 95% CI, 1.27-14.48) had higher NAS. High peripheral venous oxygen saturation (OR, 0.86; 95% CI, 0.78-0.94) was a predictor of lower workload.

Conclusion: A ratio of 2 nurses to 3 patients is necessary for SIPU care of patients with COVID-19. Factors associated with higher workload were high Simplified Acute Physiology Score II score, body mass index > 30, admission via emergency room, patients on oxygen, and noninvasive ventilation.

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应用护理活动评分分析2019冠状病毒病疫情期间某半重症肺科护理人员管理

目的:在2019冠状病毒病大流行期间，整个欧洲都遇到了重症监护病房床位短缺的问题。开设半重症肺科病房，腾出了重症监护病房的床位。本研究旨在确定针对COVID-19患者的半强化肺科病房(SIPU)的适当护士配备水平，并确定与此类病房护理工作量增加相关的因素。方法:对比利时Erasme大学诊所的SIPU进行回顾性研究。采用护理活动评分(NAS)对比利时第二波COVID-19期间的护理人员进行评估。结果:在研究期间，59例患者入住SIPU，共编码了416个NAS评分。平均(±SD) NAS为70.3%(±16.6%)。根据入院原因，总NAS差异显著:呼吸窘迫(平均[SD] NAS, 71.6%[±13.9%])或危重疾病相关虚弱(65.1%±10.9%)。因入院原因不同，编码的项目有显著差异。在多变量分析中，体重指数> 30(优势比[OR]， 1.77;95%可信区间[CI]， 1.07-3.30)和更高的简化急性生理评分II评分(OR, 1.05;95 CI, 1.02-1.11)与较高的NAS相关。通过急诊科入院的患者(OR, 2.45;95% CI, 1.15-5.22)有较高的NAS。无创通气患者(OR, 13.65;95% CI, 3.76-49.5)和氧疗(OR, 4.29;95% CI(1.27-14.48)患者的NAS较高。外周静脉氧饱和度高(OR, 0.86;95% CI, 0.78-0.94)是较低工作量的预测因子。结论:2名护士对3名患者进行SIPU护理是必要的。与高负荷相关的因素有:简化急性生理评分II得分高、体重指数> 30、急诊室入院、患者需要吸氧和无创通气。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.