Affiliation:
1. University of Novi Sad, Faculty of Medicine Novi Sad + Institute of Cardiovascular Diseases of Vojvodina, Sremska Kamenica
2. University of Novi Sad, Faculty of Medicine Novi Sad + University Clinical Center of Vojvodina, Novi Sad
3. Institute for Pulmonary Diseases of Vojvodina, Sremska Kamenica
Abstract
Introduction. The Nursing Activities Score is used to quantify, assess, and
identify the workload of nurses in intensive care units, and is widely
considered a very effective, simple, standardized measurement scale,
sufficiently detailed to be implemented in everyday hospital practice. The
aim of the study is to evaluate the workload of nurses using the results of
the Nursing Activities Score and compare the nurse-to-patient ratio with
regulations in our country. Material and Methods. The study included 131
patients who underwent cardiac surgery in the period from November 1 to
November 30, 2021. Surgical data and corresponding Nursing Activities Score
values were obtained from hospital information system. In the intensive care
unit, nursing activities were monitored and scored daily. Results. Using the
Nursing Activities Score, 344 measurements were recorded in the study
sample. The mean Nursing Activity Score was 88.27 ? 3.63, and the highest
was 102.97 ? 1.89 on the first postoperative day. The nurse-to-patient ratio
was 1.03:1 on the first postoperative day, and about 0.8:1 on the second and
third postoperative days. There was a statistically significant difference
in the mean Nursing Activities Score between postoperative days (p < 0.0005)
between the first and second day (102.96 vs. 79.46) and the first and third
day (103.46 vs. 83.58). Conclusion. On the first postoperative day, the
optimal number of nurses according to the Nursing Activities Score is higher
compared to the State Regulations, while for the rest of the days in the
intensive care unit the nurse-to-patient ratio corresponds to the
regulations.
Publisher
National Library of Serbia