TY  - JOUR
PY  - 2019//
TI  - Model to estimate the nursing workload required by trauma victims on intensive care unit discharge
JO  - Journal of Nursing Management
A1  - de Souza Nogueira, Lilia
A1  - de Sousa, Regina Marcia Cardoso
A1  - Nacer, Daiana Terra
A1  - Bonfim, Ane Karoline Silva
A1  - Fernandes, Lillian Caroline
A1  - Sloboda, Dyenily Alessi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIM: To validate a model to estimate the nursing workload required by trauma victims on Intensive Care Unit (ICU) discharge. <br><br>BACKGROUND: Identifying a reliable model of nursing workload measurement which can assist professionals. <br><br>METHODS: A prospective cohort study conducted in 2010 (first phase) and 2015 (second phase) with 342 trauma victims admitted into the ICU of four hospitals located in São Paulo, Brazil. The original model was created during the first phase and included the Simplified Acute Physiology Score and New Injury Severity Score variables. Coefficients of determination (R<sup>2</sup> ) were calculated to identify the reliability. <br><br>RESULTS: The original model presented high reliability (R<sup>2</sup>  = 44%) in the hospital of origin, and unsatisfactory performance (R<sup>2</sup> less than 4%) in the other institutions. An improvement in R<sup>2</sup> was observed after adjusting the coefficients for each hospital. <br><br>CONCLUSION: For the Nursing Activities Score prediction of survivors for ICU discharge, trauma centers must validate the original model with coefficient adjustments for their population, or preferably derive their own models. IMPLICATIONS FOR NURSING MANAGEMENT: Although models are useful in predicting discharge of these ICU patients, for treatment continuity after critical care, and for organizing services, the study showed that they should be evaluated prior to use for nursing management.<br><br>© 2019 John Wiley & Sons Ltd.<p />  <p>Language: en</p>
LA  - en
SN  - 0966-0429
UR  - http://dx.doi.org/10.1111/jonm.12912
ID  - ref1
ER  -