Nursing workload in a COVID-free ICU: a retrospective descriptive study

Submitted: 26 July 2021
Accepted: 26 July 2021
Published: 26 July 2021
Abstract Views: 729
PDF (Italiano): 179
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Since the beginning of the SARS-COV2 pandemic, Italian intensive care units have been put under great strain and have had to rethink their staffing and equipment. The nursing workload in intensive care units dedicated to COVID-19 positive patients has undergone major changes compared to the pre-emergency situation. No study has been conducted so far on the nursing workload in COVID-free ICUs during the onset of the SARS pandemic COV-2. The aim of this work was therefore to describe the variation in nursing workload in a COVID-free ICU of a public hospital in Milan.

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Regione Lombardia, DGR N° XI / 2906, 2020. Disponibile da: www.regione.lombardia.it (aggiornato al 9/4/2021)
Calamandrei C., Manuale di Management per le professioni sanitarie 4/e, Milano: McGrawHill
Lucchini A, Giani M, Elli S, Villa S, Rona R, Foti G. Nursing Activities Score is increased in COVID-19 patients. Intensive Crit Care Nurs. Agosto 2020; 59:102876.
Guccione A, Morena A, Pezzi A, Iapichino G. I carichi di lavoro infermieristico. Minerva Anestesiol. 2004;70(5):6.
Miranda DR, Nap R, de Rijk A, Schaufeli W, Iapichino G. Nursing activities score. Crit Care Med. 2003;31(2):374–82.
Lastrucci D, Carraretto A, Fastelli C, Ferrucci V, Leone A, Paglialunga A., Leone A., Silvestri A. La Scala NAS (Nursing Activities Score) per la rilevazione del carico di lavoro infermieristico. Scenario 2012;29 (3): 21-25
Lucchini A, De Felippis C, Elli S, Bambi S. The burden of not-weighted factors in nursing workload: Can Nursing Activities Score be more suitable than TISS 28 and NEMS? Intensive Crit Care Nurs. 2019; 51:82–3.
Padilha KG, Stafseth S, Solms D, Hoogendoom M, Monge FJC, Gomaa OH, Giakoumidakis K, Giannakopoulou M, Gallani MC, Cudak E, Nodueira LDS, Santoro C, de Sousa RC, Barbosa RL, Miranda DDR, Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit. Rev esc enferm USP. 2015; 49(spe):131–7.
Lucchini A, De Felippis C, Elli S, Schifano L, Rolla F, Pegoraro F, Fumagalli R. Nursing Activities Score (NAS): 5 Years of experience in the intensive care units of an Italian University hospital. Intensive and Crit Care Nurs. 2014;30(3):152–8.
Lucchini A, Elli S, Bambi S, Becattini G, Vanini S, Piantanida C, Vanini S, Piantanida C, Iacca C, Sartori D. Nursing activities score: differences in nursing workload in three intensive care units. Assist Inferm Ric. 2015; 34(1):6–14.
Lucchini A, Chinello V, Lollo V, De Filippis C, Schena M, Elli S, Sasso M, Pelucchi G, Poloniato L, Martino M, Costanzo A, Vimercati S. The implementation of NEMS and NAS systems to assess the nursing staffing levels in a polyvalent intensive care unit. Assist Inferm Ric. 2008; 27(1):18–26.
Bruyneel A, Gallani M-C, Tack J, d’Hondt A, Canipel S, Franck S, Reper P, Pirson M. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive and Crit Care Nurs. 2021; 62:102967.
Lucchini A, Peruta M, Canella R, Elli S, Sanvito G, De Angelis C, Villani V, Vanini S, Rolli B, Bondi H, Gariboldi R, Vimercati S, Sartori D, Raimondi. Number of nurses and adverse events: the results of a study. Assist Inferm Ric. Dicembre 2011;30(4):172–9.
Margadant C, Wortel S, Hoogendoorn M, Bosman R, Spijkstra JJ, Brinkman S, de Keizer N. The Nursing Activities Score Per Nurse Ratio Is Associated with In-Hospital Mortality, Whereas the Patients Per Nurse Ratio Is Not*. Crit Care Med. 2020; 48(1):3–9.
Scruth E. Nursing Activities Score, Nurse Patient Ratios, and ICU Mortality: Its More Complicated Than That*. Critical Care Medicine. 2020; 48(1):126–7.
Carmel S, Rowan K. Variation in intensive care unit outcomes: a search for the evidence on organizational factor. Curr Opin Crit Care. 2001;7(4):284–96.
Aiken LH, Sloane DM, Bruyneel L, Van den Heede K, Griffiths P, Busse R, Diomidous M, Kozka M, Lesaffre E, McHugh MD, Moreno-Casbas MT, Rafferty AM, Schwendimann R, Scott PA, Tishelman C, van Achteberg T, Sermeus W. Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study. Lancet. 2014;383(9931):1824–30.
Aiken LH, Clarke SP, Sloan DM, Sochalski J, Silber JH. Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction. JAMA. 2002;288(16):1987.
Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, Bruyneel L, Rafferty AM, Griffiths P, Moreno Casbas MT, Tishelman C, Scott A, Brzostek T, Kinnunen J, Schwendimann R, Heinen M, Zikos D, Sjetne IS, Smith HL, Kutney Lee A. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ.; 344(mar20 2): e1717–e1717.
Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, Maier CB, Moreno-Casbas T, Ball JE, Ausserhofer D, Sermeus W. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017;26(7):559–68.
Aiken LH. Evidence-based Nurse Staffing: ICN’s New Position Statement. Int Nurs Rev. 2018; 65(4):469–71.
International Council of Nurses (2018) Evidence-based safe nurse staffing: position statement. Disponibile da: https://www.icn.ch (Aggiornato al 9/4/2021)

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How to Cite

Zoppini, L., Scala, C., Gulizia, D., Cipolla, C. A., Alberti, B. M. B., Stellabotte, M., Pagani, S., Ravanelli, M. G., Costa, D., Baciu, C. A., Barlo, G., Porro, B., Di Paola, A., Anzaldi, E., Gubertini, A., & Zanoni, C. (2021). Nursing workload in a COVID-free ICU: a retrospective descriptive study. Scenario® - Il Nursing Nella Sopravvivenza, 38(2), 21–25. https://doi.org/10.4081/scenario.2021.476