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Impact of COVID-19 on nursing time in intensive care units in Belgium.
Bruyneel, Arnaud; Gallani, Maria-Cécillia; Tack, Jérôme; d'Hondt, Alain; Canipel, Sebastien; Franck, Stéphane; Reper, Pascal; Pirson, Magali.
  • Bruyneel A; Soins intensifs - Centre Hospitalier Universitaire Tivoli, Belgium; SIZ Nursing, A Society of Intensive Care Nurses, Belgium; Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Belgium. Electronic address: arnaudbruyneel8@gmail.co
  • Gallani MC; Université de Laval, Canada.
  • Tack J; SIZ Nursing, A Society of Intensive Care Nurses, Belgium; Soins intensifs - Cliniques Universitaire de Bruxelles - Hôpital Erasme, Belgium.
  • d'Hondt A; Soins intensifs - Centre Hospitalier Universitaire Ambroise Paré, Belgium.
  • Canipel S; SIZ Nursing, A Society of Intensive Care Nurses, Belgium; Soins intensifs - Centre Hospitalier Universitaire Ambroise Paré, Belgium.
  • Franck S; Soins intensifs - Centre Hospitalier Universitaire Tivoli, Belgium.
  • Reper P; Soins intensifs - Centre Hospitalier de la Haute Senne, le Tilleriau, Belgium.
  • Pirson M; Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Belgium.
Intensive Crit Care Nurs ; 62: 102967, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-915466
ABSTRACT

INTRODUCTION:

The COVID-19 pandemic has had a significant impact on nursing practice in intensive care unit and consequently, on workload.

OBJECTIVE:

To assess the nurse-patient ratio required by COVID-19 patients and to identify the factors that influence nursing in this context.

DESIGN:

This study was a retrospective observational study that evaluated the ratio using the Nursing Activities Score (NAS).

SETTING:

Three Belgian French-speaking hospitals, including five ICUs. Patients included COVID-19 and non-COVID-19 patients. MEASUREMENTS AND MAIN

RESULTS:

The study included 95 COVID-19 patients and 1604 non-COVID-19 patients (control group) resulting in 905 and 5453 NAS measures, respectively. The NAS was significantly higher among the COVID-19 patients than in the control group (p = <0.0001). In the COVID-19 group, these higher scores were also observed per shift and uniformly across the three hospitals. COVID-19 patients required more time in the activities of monitoring and titration (χ2 = 457.60, p = <0.0001), mobilisation (χ2 = 161.21, p = <0.0001), and hygiene (χ2 = 557.77, p = <0.0001). Factors influencing nursing time measured by NAS in the COVID-19 patients were age <65 years old (p = 0.23), the use of continuous venovenous hemofiltration (p = 0.002), a high APACHE II score (p = 0.006) and patient death (p = 0.002). A COVID-19 diagnosis was independently associated with an increase in nursing time (OR = 4.8, 95% CI3.6-6.4).

CONCLUSIONS:

Patients hospitalised in the ICU due to COVID-19 require significantly more nursing time and need an average ratio of almost 11.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Care / Respiratory Insufficiency / Shock, Cardiogenic / Workload / Sepsis / Critical Care Nursing / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Intensive Crit Care Nurs Journal subject: Nursing / Critical Care Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Postoperative Care / Respiratory Insufficiency / Shock, Cardiogenic / Workload / Sepsis / Critical Care Nursing / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Intensive Crit Care Nurs Journal subject: Nursing / Critical Care Year: 2021 Document Type: Article