Katia Padilha

• University of São Paulo

Objective: To analyze the association of patient safety culture perceived by nursing professionals with incidents recorded during nursing shifts in intensive care units. Methods: This was a cross-sectional study that investigated patient safety culture measured by the Hospital Survey on Patient Safety Culture instrument. Descriptive statistics,...

Objective To analyze the association of patient safety culture perceived by nursing professionals with incidents recorded during nursing shifts in intensive care units. Methods This was a cross-sectional study that investigated patient safety culture measured by the Hospital Survey on Patient Safety Culture instrument. Descriptive statistics, chi-...

This study focuses on the policies, principles, and logic of action that are embodied in nurses' education and training practices and strategies working in intensive care units located in different countries, Portugal and Brazil. The choice of locating the study in two intensive care units and the practices of the actors of these units, i.e. in the...

Objectives: To analyze potential (in)compatibilities of intravenous drugs based on the scheduling prepared by the nursing team. Methods: historic cohort (retrospective) with 110 adults in critical units. Intravenous medications were identified concomitantly, whose pairs were analyzed for (in) compatibility using the screening system Trissel's™ 2...

Objective: To analyze the construct validity of the Supportive Care Needs Survey Short Form 34 (SCNS SF-34) in the population with cancer treated in Manaus, in the Brazilian Amazon region. Methods: Psychometric study carried out in an institution specialized in oncology, from April to June 2016. The data sources included a form with socio-demograph...

Objective: To understand the education/training of nurses working in an intensive care unit. Method: Case study with qualitative approach, with an intentional sample. Data collection and analysis used different research techniques, mainly document analysis, interview and field observation. Results: The data highlights feelings of well-being, s...

Objective: To estimate the cost of nursing care required and available through the use of the Nursing Activities Score. Method: Quantitative study, direct costing of nursing care required and available in the Intensive Care Units. Data collection included variables of the patients, nursing professionals and nursing workload measured by the Nursi...

Objetivo: Analizar el grado de preservación de las propiedades psicométricas del Nursing Activities Score (NAS),según análisis de confiabilidad y validez del instrumento. Material y método: Estudio instrumental para la adaptación y validación de un instrumento que mide la carga de trabajo de enfermería en Unidades de Cuidados Intensivos y que abarc...

RESUMEN Objetivo: Describir la adaptación del Nursing Activities Score al español hablado en Chile, para su utilización en unidades de cuidados intensivos en Chile. Material y métodos: Adaptación transcultural con equivalencia semántica e idiomática cuyas etapas metodológicas fueron: traducción y retrotraducción, evaluación de la validez de conteni...

Background: Pulse pressure is a hemodynamic variable easily measured in the intensive care unit. Objective: To investigate whether pulse pressure is an independent risk factor for mortality in intensive care unit patients. Methods: A retrospective cohort study was carried out in Brazil. Data were collected from medical records of patients admi...

Objective: to compare the patient severity and the nursing workload before and after the occurrence of moderate and severe adverse events in elderly hospitalized at intensive care units. Method: comparative study developed at nine intensive therapy units of a University Hospital in São Paulo. The events were collected from the patient histories an...

Objetivo: Identificar los factores relacionados con la carga de trabajo de enfermería generada por pacientes onco-hematológicos hospitalizados. Método: Cohorte prospectivo realizado con 151 pacientes ingresados en unidad de Onco-Hematología de un hospital universitario, en el Estado de São Paulo, Brasil. Se utilizó para la colecta de datos una fic...

Objective: to analyze the influence of workload, stress, Burnout, work satisfaction, the nursing team’s perception of the care environment, and the presence of adverse events in a Trauma Intensive Care Units. Method: an observational study conducted at the Intensive Trauma Therapy Unit 195 patients were prospectively followed for the collection of...

Objective: to identify the relationship between the workload of the nursing team and the occurrence of patient safety incidents linked to nursing care in a public hospital in Chile. Method: quantitative, analytical, cross-sectional research through review of medical records. The estimation of workload in Intensive Care Units (ICUs) was performed u...

OBJECTIVE Verify if aging is an independent predictor of NW in ICU, according to age groups, and its predictive value as a determinant of NW in ICU. METHODS Study was conducted from 2012 to 2016. A convenience sample composed by patients (age ≥ 18) admitted to nine ICU belonging to a Brazilian hospital, was analyzed. Age was assumed as an independ...

This study aimed to determine hypoglycemia incidence and associated factors in critically ill patients. It looked at a retrospective cohort with 106 critically ill adult patients with 48 hours of glycaemic control and 72 hours of follow up. The dependent variable, hypoglycaemia (≤70 mg/dl), was assessed with respect to independent variables: age, d...

Objective: to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU). Method: a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfac...

Objective: to identify the factors associated with the occurrence of adverse events in critical elderly patients admitted to intensive care unit according to demographic and clinical characteristics. Method: a retrospective cohort study was conducted in nine units of a teaching hospital. Data were collected from medical records and from monitoring...

OBJECTIVE To verify the nursing workload required by cancer patients undergoing palliative care and possible associations between the demographic and clinical characteristics of the patients and the nursing workload. METHOD This is a quantitative, cross-sectional, prospective study developed in the Connective Bone Tissue (TOC) clinics of Unit II o...

OBJECTIVE To identify the perceptions of leaderships toward patient safety culture dimensions in the routine of hospitals with different administrative profiles: government, social and private organizations, and make correlations among participating institutions regarding dimensions of patient safety culture used. METHOD A quantitative cross-secti...

Objective: To describe our experience in the many processes involved in the development of a Project on Research into Intensive Care Unit Patient Safety. Method: Mixed design study: historic cohort study of the collection of data on patients and on adverse events/incidents and transversal design on the collection of data on a nursing team. The d...

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 hos...

Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patient...

Objective analyze how studies have approached the results obtained from the application of the Nursing Activities Score (NAS) based on Donabedian’s model of healthcare organization and delivery. Method CINAHL and PubMed databases were searched for papers published between 2003 and March 2015. Results 36 articles that met the inclusion criteria we...

Objective To investigate emotional stress, coping and burnout among nursing staff and their association with biosocial factors and characteristics of work in Intensive Care Units (ICU). Method This was a cross-sectional study, conducted in eight ICUs at a teaching hospital in the city of São Paulo, Brazil, in October 2012. Biosocial data and infor...

Objective To analyze the influence of nursing workload on the occurrence of healthcare associated infection (HAI) in patients in the intensive care unit (ICU), according to type of treatment. Method Retrospective cohort study developed in nine ICUs in São Paulo, Brazil, from September to December 2012. Nursing workload was measured by the Nursing...

Objective To identify the pattern of nursing interventions performed on trauma victims in the Intensive Care Unit (ICU). Method Prospective study performed in the ICU of a hospital in São Paulo, Brazil. Nursing interventions were identified using the Nursing Activities Score (NAS). Results The sample consisted of 200 patients, most of them male,...

Objective: to analyze the formation of nursing doctorates in Brazil, from theses production, disciplines and other strategies focusing on research offered by courses. Method: a descriptive and analytical study of the performance of 18 doctoral courses in nursing, running from 1982 to 2010, and defended their theses between 2010-2012. Results:...

Intensive care units (ICUs) focus on treatment for those who are critically ill and interventions to prolong life. Ethical issues arise when decisions have to be made regarding the withdrawal and withholding of life-sustaining treatment and the shift to comfort and palliative care. These issues are particularly challenging for nurses when there are...

This study sought to compare patients at public and private intensive care units according to the nursing workload and interventions provided. This retrospective, comparative cohort study included 600 patients admitted to 4 intensive care units in São Paulo. The nursing workload and interventions were assessed using the Nursing Activities Score dur...

Nurse understaffing is frequently hypothesized as a potential risk factor for healthcare-associated infections (HAI). This study aimed to evaluate the role of nursing workload in the occurrence of HAI, using Nursing Activities Score (NAS). This prospective cohort study enrolled all patients admitted to 3 Medical ICUs and one step-down unit during 3...

Integrative review of scientific literature study to identify and analyze the production of knowledge about clinical advances in security needs of patients during the intraoperative period of bariatric surgery. It was based on 12 selected studies in electronic databases, with descriptors previously defined. Except for two studies, the specific cont...

Patient safety is a challenge for the quality in health care system. This study aimed to analyze the appropriateness of the allocation of nursing staff according to the hours of care required by patients and to identify the relationship between this allocation and adverse events/incidents (EA/I). This research was observational, descriptive and pro...

Investigación de revisión integradora de la literatura con el fin de identificar y analizar la producción del conocimiento sobre los avances clínicos en las necesidades de seguridad de los pacientes durante el período transoperatorio de la cirugía bariátrica. Está basado en 12 estudios seleccionados en bases de datos electrónicas, con descript...

Este estudio tuvo como objetivos determinar la distribución de personal de enfermería conforme las horas de los cuidados requeridos por los pacientes y identificar la relación entre esta distribución con los eventos adversos/incidentes (EA/I). Estudio observacional, descriptivo y prospectivo, desarrollado en la UCI Clínicas de 4º y 6º piso de...

Unlabelled: The Simplified Acute Physiology Score II (SAPS II) and Logistic Organ Dysfunction System (LODS) are instruments used to classify Intensive Care Unit (ICU) inpatients according to the severity of their condition and risk of death, and evaluate the quality of nursing care. The objective of this study is to evaluate and compare the perfor...

The Simplified Acute Physiology Score II (SAPS II) and Logistic Organ Dysfunction System (LODS) are instruments used to classify Intensive Care Unit (ICU) inpatients according to the severity of their condition and risk of death, and evaluate the quality of nursing care. The objective of this study is to evaluate and compare the performance of...

Revisao integrativa de literatura que objetivou identificar o perfil de producoes cientificas nacionais sobre o Nursing Activities Score e analisar os resultados em evidencia de 2002 a 2010. Selecionaram-se 17 artigos na bases de dados Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior, Literatura Latino-Americana e do Caribe em Ciencias d...

This integrative revision of the literature aimed to identify the profile of Brazilian scientific productions about the Nursing Activities Score and analyze the results in evidence from 2002 to 2010. 17 articles were elected from the following databases: Coordination for Improvement of Higher Education Personnel (CAPES, in Portuguese), Latin-Americ...

La investigación tuvo como objetivo comparar las características clínicas, evolución y gravedad de pacientes adultos ingresados en Unidades de Cuidados Intensivos públicas y privadas. Este es un estudio retrospectivo, longitudinal y cuantitativo de 600 pacientes ingresados en cuatro Unidades de Cuidados Intensivos en São Paulo, Brasil. Fueron encon...

OBJETIVO: Medir y caracterizar la carga de trabajo de enfermería en una Unidad de Cuidados Intensivos (UCI) por medio de la aplicación del Nursing Activities Score (NAS). MÉTODOS: Estudio descriptivo cuantitativo, retrospectivo, realizado en una de las UCIs de un Hospital Filantrópico de Teresina-PI, de setiembre a octubre del 2010, con una muestra...

The objective of this study was to identify the nursing workload in the Cardiac Intensive Care Unit and to verify the association of this variable according to demographic and clinical patient's characteristics. The sample consisted of 100 patients hospitalized between August and September of 2006 in a Cardiac Intensive Care Unit of a private hospi...

This study compared clinical outcomes among adult, elderly and very elderly patients admitted to Intensive Care Units (ICUs) located in São Paulo, Brazil. This retrospective, longitudinal and comparative study included 279 adult (≥ 18 and <60 years), 216 elderly (≥ 60 and <80 years) and 105 very elderly (≥ 80 years) patients. Adult patients differe...

This study identifies the factors associated with death and readmission into the Intensive Care Unit. This is a longitudinal prospective study of 600 adult patients admitted in general Intensive Care Units of four hospitals in São Paulo, Brazil. The multiple regression analysis showed that patients with a longer length of stay and higher Nursing Ac...

Unlabelled: The safety culture of Intensive Care Units (ICU) recommends following the no-punishment approach when adverse events (AE) occur. It is, however, questionable if nurses perceive those AE. Objectives: to characterize AE report systems; to verify AE frequency and consequences to the professionals; and to verify the nurses' level of conf...

The objectives of the study were to identify the daily nursing workload in an intensive care unit (ICU) and to analyse the adequacy of nursing staff in a six hour shift according to the Nursing Activities Score (NAS). The sample consisted of 68 patients from a general 25-bed adult ICU in a private hospital with 250 beds in São Paulo, Brazil. The nu...

This study characterizes patients hospitalized in Intensive Care Units (ICUs) of hospitals that have intermediate units (IU) regarding their demographic and clinical data and identifies factors related to discharge from these units. This prospective longitudinal study involved 600 adult patients hospitalized in general ICUs in four hospitals in São...

O estudo teve como objetivos adaptar para o português e avaliar as propriedades psicométricas do Nursing Activities Score (NAS), instrumento de medida de carga de trabalho de enfermagem em UTI. Após o processo de adaptação cultural, o NAS foi aplicado em uma amostra de 200 pacientes adultos internados em UTIs. A análise da consistência interna pelo...

The study's objectives were to compare nursing workload among adults, elderly and very elderly patients, including in the analyses the interventions and evolution of the workload between admission and discharge. This prospective longitudinal study involved 600 adult patients in general ICU in four city hospitals in Sao Paulo. The results showed tha...

Foi objetivo do estudo verificar as associações entre a probabilidade de morte, número e tipo de insuficiências orgânicas na admissão de pacientes na Unidade de Terapia Intensiva (UTI), segundo o Logistic Organ Dysfunction System (LODS), e as seguintes variáveis: tempo de internação, condição de saída e readmissão na unidade. Estudo prospectivo lon...

The study's objectives were to compare nursing workload among adults, elderly and very elderly patients, including in the analyses the interventions and evolution of the workload between admission and discharge. This prospective longitudinal study involved 600 adult patients in general ICU in four city hospitals in Sao Paulo. The results showed tha...

The aim of this study was to analyze the association between the probability of death, number and type of organ dysfunction at the admission in the Intensive Care Unit (ICU) according to the Logistic Organ Dysfunction System (LODS) and the variables: length of stay (LOS), discharge and readmission in the Unit. This prospective longitudinal study in...

The study aimed to adapt to the Portuguese language and to evaluate the psychometric properties of the Nursing Activities Score (NAS), an instrument for measuring the nursing workload in ICUs. After the process of cross-cultural adaptation, the NAS was applied to a sample of 200 adult ICU patients. The analysis of internal consistency by Cronbach's...

This quantitative, retrospective study aimed to characterize adverse events (AE) in Intensive Care Units (ICU), Semi-Intensive Care Units (SCU) and Inpatient Units (IU), regarding nature, type, day of the week and nursing professionals / patient ratio at the moment of occurrence; as well as to identify nursing interventions after the event and AE r...

High costs of intensive care as well as quality of care and patient safety demand measurement of nursing workload in order to determine nursing staff requirements. It is also important to be aware of the factors related to high patient care demands in order to help forecast staff requirements in intensive care units (ICUs). To describe nursing work...

The age of patients is a controversial issue in admission to intensive care unit (ICU). The aim of this study was to compare severity and nursing workload of elderly patients with 60-69, 70-79, and e"80 years of age and to identify predictors of nursing workload in elderly patients. A cross sectional study was performed with a sample of 71 elderly...

The study aimed to compare cost-effectiveness of analgesic schemes administered to 89 patients submitted to hemorrhoidectomy, on the 1st postoperative day. The descriptive and retrospective study was carried out in a General Hospital, Sao Paulo, Brazil. In order to carry out the cost-effectiveness analysis, the five most frequently used analgesic s...

OBJETIVOS: Analisar o desempenho do Nursing Activities Score (NAS) para a medida prospectiva de carga de trabalho de enfermagem em Unidade de Terapia Intensiva (UTI) e comparar os valores do NAS obtidos na aplicação prospectiva e retrospectiva do instrumento, além de verificar o grau de concordância nos itens que o compõem aplicados na forma prospe...

This study was aimed both at analyzing the nursing workload on the first day of admission of patients in Intensive Care Units (ICUs) and the factors associated with it. This is a qualitative, retrospective, cross-section study that was carried out in April of 2002 and October of 2004. The data were taken from a database that gathered information fr...

For over 30 years in an attempt to demonstrate the cost-benefit ratio of the intensive care unit (ICU) a variety of tools have been developed to measure not only the severity of illness of the patient but also to capture the true cost of nursing workload. In this context, the nursing activities score (NAS) was developed as a result of modifications...

Os objetivos desta pesquisa foram analisar a carga de trabalho de enfermagem e os fatores associados a ela, no primeiro dia de internação dos pacientes na Unidade de Terapia Intensiva (UTI). Trata-se de um estudo retrospectivo, de corte transversal e com abordagem quantitativa, realizado em abril de 2002 e outubro de 2004. Os dados foram extraídos...

OBJETIVOS: Analizar el desempeño del Nursing Activities Score (NAS) para la medida prospectiva de la carga de trabajo de enfermería en una Unidad de Cuidados Intensivos (UCI) y comparar los valores del NAS obtenidos en la aplicación prospectiva y retrospectiva del instrumento, además de verificar el grado de concordancia en los items que lo compone...

The Therapeutic Intervention Scoring System-28 (TISS-28) is an instrument that has been used to measure severity of illness and nursing workload in intensive care units (ICUs). To characterize the severity of illness and nursing workload using the TISS-28 in 11 ICUs of a university hospital in the city of São Paulo, Brazil. In a prospective study,...

OBJECTIVE: To investigate nursing research in critical care in Brazil from 1995 to 2004. METHODS: Selected articles from ten Brazilian scientific journals were analyzed regarding frequency of publication, authorship, research methodology, topic, and study population. RESULTS: Among 3464 published articles, only 97 (2.8%) were related to critical ca...

Objective: To investigate nursing research in critical care in Brazil from 1995 to 2004. Methods: Selected articles from ten Brazilian scientific journals were analyzed regarding frequency of publication, authorship, research methodology, topic, and study population. Results: Among 3464 published articles, only 97 (2.8%) were related to critical ca...

This study is a theoretical approach to different care and management measuring tools used to determine the severity of patients' illnesses, to quantify patients' care demands, and to estimate the actual need for Nursing professionals and the costs of intensive care, which makes them management facilitators. This article presents several measuring...

This study is a theoretical approach to different care and management measuring tools used to determine the severity of patients' illnesses, to quan- tify patients' care demands, and to estimate the actual need for Nursing professionals and the costs of intensive care, which makes them management facili- tators. This article presents seve- ral meas...

This report was aimed at characterizing medication errors and evaluating their consequences for the patients' conditions and for the nursing workload in the Intensive Care Units (ICU) and Semi-Intensive Care Units (SICU) of two hospitals in the city of São Paulo. The sample was 50 patients, and data was gathered in record logs. The severity of the...

This report was aimed at characterizing medication errors and evaluating their consequences for the patients' conditions and for the nursing workload in the Intensive Care Units (ICU) and Semi-Intensive Care Units (SICU) of two hospitals in the city of São Paulo. The sample was 50 patients, and data was gathered in record logs. The severity of the...

OBJETIVOS: comparar as necessidades de cuidados de enfermagem e as intervenções terapêuticas realizadas em pacientes idosos e não idosos em UTI, segundo o Nursing Activities Score (NAS). MÉTODOS: Compuseram a amostra, 50 pacientes adultos admitidos na UTI de um Hospital Universitário do município de São Paulo, a partir de 26 de setembro de 2003. O...

OBJETIVOS: comparar as necessidades de cuidados de enfermagem e as intervenções terapêuticas realizadas em pacientes idosos e não idosos em UTI, segundo o Nursing Activities Score (NAS). MÉTODOS: Compuseram a amostra, 50 pacientes adultos admitidos na UTI de um Hospital Universitário do município de São Paulo, a partir de 26 de setembro de 2003. O...

This study aimed to characterize patients admitted to ICU according to their bio-social factors and admissions and verify the daily needs for nursing care according to NAS. The sample was composed by 50 adult patients who were consecutively admitted to the ICU of a University Hospital in São Paulo city. It was concluded that most patients were olde...

Este artigo tem como proposta tecer algumas considerações sobre as incorporações tecnológicas em saúde, a hardware ou dura e a software ou leve, ambas importantes, essenciais e complementares para o diagnóstico e tratamento oncológico, como também refletir sobre a prática do enfermeiro neste cenário. O enfermeiro deve ser capaz de avaliar o uso das...

A farmacoeconomia, uma disciplina nova, surgida no cenário internacional na década de 1980, tem crescido de forma expressiva, especialmente no âmbito dos sistemas de saúde. Sua forma de investigação mais difundida é a avaliação econômica da terapia medicamentosa, em que são usados métodos oriundos da economia da saúde. A farmacoeconomia identifica,...

Pharmacoeconomics is a new discipline, which appeared at the end of the twentieth century, during the eighties, and which has been developing consideralibly since then, especially in the field of system health. Its most widespread investigation form has been the economic evaluation of drug therapy, using methods from health-related economics. Pharm...

A distanásia apresenta-se como uma das fontes geradoras de dilemas éticos nas Unidades de Terapia Intensiva (UTI). Discute-se o contexto que favorece a prática da distanásia nesse ambiente, com ênfase na utilização excessiva do suporte tecnológico. Tecemos comentários sobre a participação dos familiares e profissionais envolvidos, principalmente mé...

The study had as objectives to verify the professional conduct and feelings of nurses from Emergency Department when they are faced with an adverse event related to medication therapy and to verify its associations with such factors as age, time of completion of college degree, time of experience in the field and previous history with this type of...

The study had as objectives to verify the professional conduct and feelings of nurses from Emergency Department when they are faced with an adverse event related to medication therapy and to verify its associations with such factors as age, time of completion of college degree, time of experience in the field and previous history with this type of...

Therapeutic Intervention Scoring System-28 (TISS-28) is a tool that enables the measurement of the nursing work load in Intensive Care Units and the estimate of how grave the disease is. In this study are presented the operational definitions for its application, proposed by a group of specialists in the area, with the aim of rendering uniform the...

O Therapeutic Intervention Scoring System-28 (TISS-28) é um instrumento que permite dimensionar carga de trabalho de enfermagem em Unidade de Terapia Intensiva e estimar gravidade da doença. Apresenta-se nesta publicação as definições operacionais para sua aplicação, proposta por um grupo de especialistas na área, com vistas a uniformizar o signifi...

The present study aimed to identify the therapeutic interventions categories carried out in Intensive Care Units (ICU), finding out their prevalence and identifying their components according to TISS-28. The sample was composed of 89 adult patients who were consecutively admitted to the ICU of a university hospital in São Paulo city. Basic and Supp...