View in EDS PDF Full Text

Comparison of workloads in two nursing care delivery models in adult intensive care units.

Saved in:
Bibliographic Details
Title: Comparison of workloads in two nursing care delivery models in adult intensive care units.
Alternate Title: Comparación de cargas de trabajo en dos modelos de atención de enfermería en unidades de cuidado intensivo adulto.
Comparação das cargas de trabalho em dois modelos de atendimento de enfermagem em unidades de terapia intensiva adulto.
Authors: Cárdenas, Katherine Rojas1 katherine.rojasc@udea.edu.co, Cárdenas, William Iván López2 wivan.lopez@udea.edu.co, Murillo, Natalia Andrea Henao2 nathyh75@gmail.com
Source: Revista Cuidarte. sep-dic2025, Vol. 16 Issue 3, p1-19. 19p.
Subjects: NURSE-patient relationships, INTENSIVE care nursing, PATIENT safety, HOSPITAL nursing staff, INDUSTRIAL psychology, NURSE-patient ratio, QUANTITATIVE research, RETROSPECTIVE studies, CHI-squared test, MANN Whitney U Test, DESCRIPTIVE statistics, TREATMENT effectiveness, HOSPITAL mortality, NURSING services administration, WORKING hours, INTENSIVE care units, NURSING practice, MEDICAL records, ACQUISITION of data, ELECTRONIC health records, RESEARCH methodology, COMPARATIVE studies, DATA analysis software, LENGTH of stay in hospitals, CRITICAL care nurses
Geographic Terms: COLOMBIA
Abstract (English): Introduction: Work overload is associated with missed care and a higher prevalence of adverse events. The study aims to generate empirical evidence on nursing workload in intensive care units in Colombia, considering differences in team composition based on qualifications, skills, and competencies (Skill Mix). Objective: To compare the workload and distribution of nursing activities in two intensives cares units with different Nursing Care Models based on the application of the TISS-28. Materials and Methods: Quantitative and retrospective study with data from medical records of patients treated between 2018 and 2020 in Medellín. The TISS-28 was calculated upon admission and SAPS-3 was used to control for confounding variables. Mean and proportion comparison tests were used according to the type of variable and data distribution pattern. Results: The nurses in both ICUs had a patient assignment higher than indicated by the TISS-28. Surgical patients, those with vasoactive drugs, transfusions, adverse events, or those who died, had longer care times. The adverse events increased proportionally with the TISS-28 level. Discussion: Key elements include the relationship between care safety and staff qualification, experience and workload; the missed nursing care; and the undervaluation of care as a public good. Conclusions: It was identified that in both ICUs there is a higher workload for nurses regarding the time available for activities and patients. The majority of care provided by the nursing assistants in the ICU2-Assistants do not correspond with their level of training and legal responsibility. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Introducción: La sobrecarga de trabajo se asocia con la omisión del cuidado y mayor prevalencia de Eventos Adversos. El estudio pretende generar evidencia empírica sobre la carga de enfermería en unidades de cuidado intensivo en Colombia con diferencias en la composición del equipo por cualificaciones, habilidades y competencias (Skill Mix). Objetivo: Comparar la carga de trabajo y la distribución de actividades de enfermería en dos UCI con diferentes Modelos de Atención de Enfermería basados en la aplicación del TISS-28. Materiales y Métodos: Estudio cuantitativo y retrospectivo con datos de atenciones clínicas entre 2018 y 2020 en Medellín. Se calculó el TISS-28 al ingreso y se usó Simplified Acute Physiology Score 3 (SAPS-3) para controlar variables confusoras. Se utilizaron pruebas de comparación de medias y proporciones según el tipo de variable y patrón de distribución de los datos. Resultados: La asignación de pacientes en ambas UCI fue superior a la indicada por el TISS- 28. Los pacientes quirúrgicos, con vasoactivos, transfusiones, eventos adversos (EA) o que murieron requirieron mayores tiempos de cuidado. Los EA aumentaron de forma proporcional con el nivel del TISS-28. Discusión: Destacan elementos como la relación entre la seguridad del cuidado y el nivel de formación, experiencia del personal y carga de trabajo; la omisión de cuidados y la subvaloración del cuidado como bien público. Conclusiones: Se identificó que en ambas UCI hay más carga de trabajo para las enfermeras respecto al tiempo disponible por actividades y pacientes. La mayor parte de cuidados brindados por las auxiliares de enfermería de la UCI2-Auxiliares no corresponden con su nivel de formación y de responsabilidad legal. [ABSTRACT FROM AUTHOR]
Abstract (Portuguese): Introdução: A sobrecarga de trabalho está associada à negligência dos cuidados e à maior prevalência de eventos adversos. Este estudo tem como objetivo gerar evidências empíricas sobre a carga de trabalho de enfermagem em unidades de terapia intensiva na Colômbia, com diferenças na composição da equipe por qualificações, habilidades e competências (Skill Mix). Objetivo: Comparar a carga de trabalho e a distribuição das atividades de enfermagem em duas UTIs com diferentes Modelos de Assistência de Enfermagem, a partir da aplicação do TISS-28. Materiais e Métodos: Estudo quantitativo e retrospectivo com dados de atendimentos clínicos entre 2018 e 2020 em Medellín. O TISS-28 foi calculado na admissão, e o Simplified Acute Physiology Score 3 (SAPS-3) foi utilizado para controlar variáveis de confusão. Testes de comparação de médias e proporções foram utilizados de acordo com o tipo de variável e o padrão de distribuição dos dados. Resultados: A alocação de pacientes em ambas as UTIs foram maiores do que a indicada pelo TISS-28. Pacientes submetidos a cirurgias, agentes vasoativos, transfusões, eventos adversos (EA) ou óbitos necessitaram de maior tempo de cuidado. Os EA aumentaram proporcionalmente com a pontuação do TISS-28. Discussão: Os elementos destacados incluem a relação entre a segurança do cuidado e o nível de treinamento, experiência da equipe e carga de trabalho; a omissão de cuidado; e a subvalorização do cuidado como um bem público. Conclusões: Foi identificado que, em ambas as UTIs, os enfermeiros têm maior carga de trabalho em comparação ao tempo disponível para atividades e pacientes. A maioria dos cuidados prestados pelos auxiliares de enfermagem na UTI2-Auxiliares não corresponde ao seu nível de treinamento e responsabilidade legal. [ABSTRACT FROM AUTHOR]
Copyright of Revista Cuidarte is the property of Universidad de Santander and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
FullText Links:
  – Type: pdflink
Text:
  Availability: 0
Header DbId: lth
DbLabel: MedicLatina
An: 191558878
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Comparison of workloads in two nursing care delivery models in adult intensive care units.
– Name: TitleAlt
  Label: Alternate Title
  Group: TiAlt
  Data: Comparación de cargas de trabajo en dos modelos de atención de enfermería en unidades de cuidado intensivo adulto.<br />Comparação das cargas de trabalho em dois modelos de atendimento de enfermagem em unidades de terapia intensiva adulto.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Cárdenas%2C+Katherine+Rojas%22">Cárdenas, Katherine Rojas</searchLink><relatesTo>1</relatesTo><i> katherine.rojasc@udea.edu.co</i><br /><searchLink fieldCode="AR" term="%22Cárdenas%2C+William+Iván+López%22">Cárdenas, William Iván López</searchLink><relatesTo>2</relatesTo><i> wivan.lopez@udea.edu.co</i><br /><searchLink fieldCode="AR" term="%22Murillo%2C+Natalia+Andrea+Henao%22">Murillo, Natalia Andrea Henao</searchLink><relatesTo>2</relatesTo><i> nathyh75@gmail.com</i>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Revista+Cuidarte%22">Revista Cuidarte</searchLink>. sep-dic2025, Vol. 16 Issue 3, p1-19. 19p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22NURSE-patient+relationships%22">NURSE-patient relationships</searchLink><br /><searchLink fieldCode="DE" term="%22INTENSIVE+care+nursing%22">INTENSIVE care nursing</searchLink><br /><searchLink fieldCode="DE" term="%22PATIENT+safety%22">PATIENT safety</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+nursing+staff%22">HOSPITAL nursing staff</searchLink><br /><searchLink fieldCode="DE" term="%22INDUSTRIAL+psychology%22">INDUSTRIAL psychology</searchLink><br /><searchLink fieldCode="DE" term="%22NURSE-patient+ratio%22">NURSE-patient ratio</searchLink><br /><searchLink fieldCode="DE" term="%22QUANTITATIVE+research%22">QUANTITATIVE research</searchLink><br /><searchLink fieldCode="DE" term="%22RETROSPECTIVE+studies%22">RETROSPECTIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22CHI-squared+test%22">CHI-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22MANN+Whitney+U+Test%22">MANN Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22HOSPITAL+mortality%22">HOSPITAL mortality</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING+services+administration%22">NURSING services administration</searchLink><br /><searchLink fieldCode="DE" term="%22WORKING+hours%22">WORKING hours</searchLink><br /><searchLink fieldCode="DE" term="%22INTENSIVE+care+units%22">INTENSIVE care units</searchLink><br /><searchLink fieldCode="DE" term="%22NURSING+practice%22">NURSING practice</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+records%22">MEDICAL records</searchLink><br /><searchLink fieldCode="DE" term="%22ACQUISITION+of+data%22">ACQUISITION of data</searchLink><br /><searchLink fieldCode="DE" term="%22ELECTRONIC+health+records%22">ELECTRONIC health records</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+methodology%22">RESEARCH methodology</searchLink><br /><searchLink fieldCode="DE" term="%22COMPARATIVE+studies%22">COMPARATIVE studies</searchLink><br /><searchLink fieldCode="DE" term="%22DATA+analysis+software%22">DATA analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22LENGTH+of+stay+in+hospitals%22">LENGTH of stay in hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22CRITICAL+care+nurses%22">CRITICAL care nurses</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink>
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Introduction: Work overload is associated with missed care and a higher prevalence of adverse events. The study aims to generate empirical evidence on nursing workload in intensive care units in Colombia, considering differences in team composition based on qualifications, skills, and competencies (Skill Mix). Objective: To compare the workload and distribution of nursing activities in two intensives cares units with different Nursing Care Models based on the application of the TISS-28. Materials and Methods: Quantitative and retrospective study with data from medical records of patients treated between 2018 and 2020 in Medellín. The TISS-28 was calculated upon admission and SAPS-3 was used to control for confounding variables. Mean and proportion comparison tests were used according to the type of variable and data distribution pattern. Results: The nurses in both ICUs had a patient assignment higher than indicated by the TISS-28. Surgical patients, those with vasoactive drugs, transfusions, adverse events, or those who died, had longer care times. The adverse events increased proportionally with the TISS-28 level. Discussion: Key elements include the relationship between care safety and staff qualification, experience and workload; the missed nursing care; and the undervaluation of care as a public good. Conclusions: It was identified that in both ICUs there is a higher workload for nurses regarding the time available for activities and patients. The majority of care provided by the nursing assistants in the ICU2-Assistants do not correspond with their level of training and legal responsibility. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Introducción: La sobrecarga de trabajo se asocia con la omisión del cuidado y mayor prevalencia de Eventos Adversos. El estudio pretende generar evidencia empírica sobre la carga de enfermería en unidades de cuidado intensivo en Colombia con diferencias en la composición del equipo por cualificaciones, habilidades y competencias (Skill Mix). Objetivo: Comparar la carga de trabajo y la distribución de actividades de enfermería en dos UCI con diferentes Modelos de Atención de Enfermería basados en la aplicación del TISS-28. Materiales y Métodos: Estudio cuantitativo y retrospectivo con datos de atenciones clínicas entre 2018 y 2020 en Medellín. Se calculó el TISS-28 al ingreso y se usó Simplified Acute Physiology Score 3 (SAPS-3) para controlar variables confusoras. Se utilizaron pruebas de comparación de medias y proporciones según el tipo de variable y patrón de distribución de los datos. Resultados: La asignación de pacientes en ambas UCI fue superior a la indicada por el TISS- 28. Los pacientes quirúrgicos, con vasoactivos, transfusiones, eventos adversos (EA) o que murieron requirieron mayores tiempos de cuidado. Los EA aumentaron de forma proporcional con el nivel del TISS-28. Discusión: Destacan elementos como la relación entre la seguridad del cuidado y el nivel de formación, experiencia del personal y carga de trabajo; la omisión de cuidados y la subvaloración del cuidado como bien público. Conclusiones: Se identificó que en ambas UCI hay más carga de trabajo para las enfermeras respecto al tiempo disponible por actividades y pacientes. La mayor parte de cuidados brindados por las auxiliares de enfermería de la UCI2-Auxiliares no corresponden con su nivel de formación y de responsabilidad legal. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Introdução: A sobrecarga de trabalho está associada à negligência dos cuidados e à maior prevalência de eventos adversos. Este estudo tem como objetivo gerar evidências empíricas sobre a carga de trabalho de enfermagem em unidades de terapia intensiva na Colômbia, com diferenças na composição da equipe por qualificações, habilidades e competências (Skill Mix). Objetivo: Comparar a carga de trabalho e a distribuição das atividades de enfermagem em duas UTIs com diferentes Modelos de Assistência de Enfermagem, a partir da aplicação do TISS-28. Materiais e Métodos: Estudo quantitativo e retrospectivo com dados de atendimentos clínicos entre 2018 e 2020 em Medellín. O TISS-28 foi calculado na admissão, e o Simplified Acute Physiology Score 3 (SAPS-3) foi utilizado para controlar variáveis de confusão. Testes de comparação de médias e proporções foram utilizados de acordo com o tipo de variável e o padrão de distribuição dos dados. Resultados: A alocação de pacientes em ambas as UTIs foram maiores do que a indicada pelo TISS-28. Pacientes submetidos a cirurgias, agentes vasoativos, transfusões, eventos adversos (EA) ou óbitos necessitaram de maior tempo de cuidado. Os EA aumentaram proporcionalmente com a pontuação do TISS-28. Discussão: Os elementos destacados incluem a relação entre a segurança do cuidado e o nível de treinamento, experiência da equipe e carga de trabalho; a omissão de cuidado; e a subvalorização do cuidado como um bem público. Conclusões: Foi identificado que, em ambas as UTIs, os enfermeiros têm maior carga de trabalho em comparação ao tempo disponível para atividades e pacientes. A maioria dos cuidados prestados pelos auxiliares de enfermagem na UTI2-Auxiliares não corresponde ao seu nível de treinamento e responsabilidade legal. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Cuidarte is the property of Universidad de Santander and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=191558878
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.15649/cuidarte.4510
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 19
        StartPage: 1
    Subjects:
      – SubjectFull: NURSE-patient relationships
        Type: general
      – SubjectFull: INTENSIVE care nursing
        Type: general
      – SubjectFull: PATIENT safety
        Type: general
      – SubjectFull: HOSPITAL nursing staff
        Type: general
      – SubjectFull: INDUSTRIAL psychology
        Type: general
      – SubjectFull: NURSE-patient ratio
        Type: general
      – SubjectFull: QUANTITATIVE research
        Type: general
      – SubjectFull: RETROSPECTIVE studies
        Type: general
      – SubjectFull: CHI-squared test
        Type: general
      – SubjectFull: MANN Whitney U Test
        Type: general
      – SubjectFull: DESCRIPTIVE statistics
        Type: general
      – SubjectFull: TREATMENT effectiveness
        Type: general
      – SubjectFull: HOSPITAL mortality
        Type: general
      – SubjectFull: NURSING services administration
        Type: general
      – SubjectFull: WORKING hours
        Type: general
      – SubjectFull: INTENSIVE care units
        Type: general
      – SubjectFull: NURSING practice
        Type: general
      – SubjectFull: MEDICAL records
        Type: general
      – SubjectFull: ACQUISITION of data
        Type: general
      – SubjectFull: ELECTRONIC health records
        Type: general
      – SubjectFull: RESEARCH methodology
        Type: general
      – SubjectFull: COMPARATIVE studies
        Type: general
      – SubjectFull: DATA analysis software
        Type: general
      – SubjectFull: LENGTH of stay in hospitals
        Type: general
      – SubjectFull: CRITICAL care nurses
        Type: general
      – SubjectFull: COLOMBIA
        Type: general
    Titles:
      – TitleFull: Comparison of workloads in two nursing care delivery models in adult intensive care units.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Cárdenas, Katherine Rojas
      – PersonEntity:
          Name:
            NameFull: Cárdenas, William Iván López
      – PersonEntity:
          Name:
            NameFull: Murillo, Natalia Andrea Henao
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 09
              Text: sep-dic2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 22160973
          Numbering:
            – Type: volume
              Value: 16
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Revista Cuidarte
              Type: main
ResultId 1