Carga laboral de los profesionales de enfermería en las Unidades de Cuidados Intensivos de un Hospital público de la Ciudad de Guayaquil.

Abstract

Introduction: The workload key factor of work stress, linked to the type of activity and physical and mental demands. Objective: To determine the workload of nursing professionals in the intensive care units of a public hospital in the city of Guayaquil. Population and sample: 65 nurses met the inclusion criteria. Instrument: Nursing Activities Score (NAS) and Ad Hoc form. Results: The total average NAS score was 99.71 ± 22.71 (Min: 37.8 and Max: 159.5). Mean age between 33 to 43 years, most are men with work experience between 7 to 10 years. Care activities in general recorded higher demand for care related to specific interventions within the ICU: 92.2%, drainage care: 91.5%, biochemistry analysis, basic hygiene procedures lasting more than 2 hours 90.8%. Of the therapeutic interventions related to the severity of the patient we found: basic and continuous monitoring for 4 or more hours (87%), ventilatory support: 81.5%, diuresis quantification: 82.8%, vasoactive medication 81.5%. Conclusion: Nursing professionals have a high workload, most work rotating shifts and are assigned to multiple patients. Priority interventions include ventilatory and cardiovascular support and continuous monitoring. In addition, activities such as drainage care, medication administration and mobilization are essential for the well-being of the critically ill patient.