Nursing workload and patient-focused outcomes in intensive care: A systematic review.
intensive care units
mortality
nurses
nursing
patient safety
quality of health care
workload
Journal
Nursing & health sciences
ISSN: 1442-2018
Titre abrégé: Nurs Health Sci
Pays: Australia
ID NLM: 100891857
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
revised:
04
09
2023
received:
15
12
2022
accepted:
08
09
2023
pubmed:
3
10
2023
medline:
3
10
2023
entrez:
3
10
2023
Statut:
ppublish
Résumé
The aim of this systematic review was to examine the association of nursing workload on patient outcomes in intensive care units. The primary outcome measure was patient mortality, with adverse events (AE), the secondary outcome measures. Electronic search of databases including MEDLINE, CINAHL, Cochrane, EMCARE, Scopus, and Web of Science were performed. Studies were excluded if they were in non-ICU settings, pediatric, neonatal populations, or if the abstract/full text was unavailable. Risk of bias was assessed by the ROBINS-I tool. After screening 4129 articles, 32 studies were identified as meeting inclusion criteria. The majority of included studies were assessed as having a moderate risk of bias. The nursing activities score (NAS) was the most frequently used tool to assess nursing workload. Our systematic review identified that higher nursing workload was associated with patient-focused outcomes, including increased mortality and AE in the intensive care setting. The varied approaches of measuring and reporting nursing workload make it difficult to translate the findings of the impact of nursing workload on patient outcomes in intensive care settings.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
497-515Informations de copyright
© 2023 The Authors. Nursing & Health Sciences published by John Wiley & Sons Australia, Ltd.
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