Objective Measure nursing workload required by patients submitted to autologous and allogeneic hematopoietic stem cell transplantation (HSCT) and analyze the Nursing Activities Score (NAS) of the nursing team during the hospitalization period for HSCT. Method A prospective cohort study conducted from January 2013 to April 2014 with 62 patients hospitalized in the HSCT unit of a university hospital in Campinas, São Paulo, Brazil. The workload was measured through NAS and data analysis was through chi-square test or Fisher's exact test, Mann-Whitney test and Spearman's correlation coefficient; with 5% significance level. Results Mean nursing workload was 67.3% (SD of 8.2) in autologous HSCT patients and 72.4% (SD of 13.0) in allogeneic HSCT patients (p=0.1380).Monitoring and titration showed, in more than 50% of the time, patients demanded intensified care, requiring two hours or more in a nursing shift for reasons of safety, severity or therapy. Conclusion The nursing workload and the NAS items with the highest scores reflect the magnitude, complexity and specificity of care required by patients submitted to HSCT.
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http://dx.doi.org/10.1590/S0080-623420150000700014 | DOI Listing |
Br J Nurs
January 2025
Registered Advanced Nurse Practitioner, Emergency Department, St James's Hospital, Dublin.
Clinical supervision is a valued learning tool for student nurses; however, there is a paucity of description around real-time experience of clinical supervision among qualified advanced nurse practitioners. Many qualified nurses claim delays in engaging with clinical supervision may be caused by staff shortages, time constraints, workload in busy clinical environments, or a reticence to engage in discussions that might reveal shortcomings in knowledge or practical skills. This article reviews a process of monthly clinical supervision that has been conducted among a group of qualified emergency department advanced nurse practitioners for 25 years.
View Article and Find Full Text PDFHealthcare (Basel)
January 2025
Department of Clinical Data Management and Research, Clinical Research Center, National Hospital Organization Headquarters, 2-5-11 Higashigaoka, Meguro-ku, Tokyo 152-8621, Japan.
: Falls are common adverse events among hospitalized patients, affecting outcomes and placing a financial burden on patients and hospitals. This study investigated the relationship between nurse staffing/workload and patient falls during hospitalization. : The patients studied were hospitalized in the general wards (excluding pediatrics and obstetrics/gynecology) of 11 National Hospital Organization institutions between April 2019 and March 2020.
View Article and Find Full Text PDFNurs Health Sci
March 2025
Faculty of Medicine Nursing and Health Science, Monash University, Melbourne, Victoria, Australia.
Health professional engagement ensures relevant, clinically focused research that informs evidence-based care. Research shows health professionals may not engage optimally in research. Understanding barriers and enablers influencing participation is necessary to enhance engagement.
View Article and Find Full Text PDFBMC Nurs
January 2025
Department of Nursing, Faculty of Health Sciences, Gaziantep Islam Science and Technology University, Gaziantep, Turkey.
Background: Brain drain refers to the migration of qualified professionals to developed countries in search of better living and working conditions, and has become a global concern, particularly in the healthcare sector. Migration of highly skilled nurses results in increased workload for the remaining nursing staff, limited access to quality healthcare services, and contributes to disparities in healthcare. Therefore, nursing students represent a critical demographic group for understanding the drivers of brain drain in the healthcare sector.
View Article and Find Full Text PDFBMC Nurs
January 2025
Student research committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Background: Intensive care unit (ICU) nurses work under heavy workloads, which can lead to serious consequences for nurses' outcomes and patient safety. This study aimed to examine the relationship between professional quality of life (Pro QOL), and sleep quality among ICU nurses during the COVID-19 outbreak.
Methods: A cross-sectional and multicentre study was conducted on 253 nurses in 20 COVID-19 ICUs in four major teaching hospitals from July 2021 to June 2022.
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