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Rev Esc Enferm USP. 2015 Feb;49 Spec No:131-7. doi: 10.1590/S0080-623420150000700019.

Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit.

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Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Isala klinieken Research Department Anesthesiologie & Intensive Care, Zwolle, Netherlands.
Hospital Universitario Fundación Alcorcón, Madrid, España.
Faculty of Nursing, Sohag University, Sohag, Egypt.
Faculty of Nursing, University of Athens, Athens, Greece.
Faculté des Sciences Infirmières, Université Laval, Quebec, Canada.
Faculty of Health Sciences, Poznan University of Medical Sciences, Poznan, Poland.
Instituto de Geografia, Universidade Federal de Uberlândia, MG, Brazil.
Former Researcher, University of Groningen, Groningen, Netherlands.


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 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus. Results The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers' consensus. Conclusion NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results.

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