{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T20:55:29Z","timestamp":1776372929443,"version":"3.51.2"},"reference-count":47,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T00:00:00Z","timestamp":1679961600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology (FCT-Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia), through CIDMA\u2014Center for Research and Development in Mathematics and Applications","award":["UIDB\/04106\/2020"],"award-info":[{"award-number":["UIDB\/04106\/2020"]}]},{"name":"Portuguese Foundation for Science and Technology (FCT-Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia), through CIDMA\u2014Center for Research and Development in Mathematics and Applications","award":["UIDP\/04106\/2020"],"award-info":[{"award-number":["UIDP\/04106\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The objective of this study is to understand how the type of wound dressing changes (routine or frequent) in patients admitted to intensive care units influences nurses\u2019 workload. This study used a database of retrospective and analytical observational study from one Portuguese intensive care unit. The sample included 728 adult patients admitted between 2015 and 2019. The nursing workload was assessed by the TISS-28 scale, both at admission and at discharge. The linear regression results show that patients with frequent dressing changes are associated with a higher nursing workload, both at admission (Coef. 1.65; 95% CI [0.53; 2.77]) and discharge (Coef. 1.27; 95% CI [0.32; 2.22]). In addition, age influences the nursing workload; older people are associated with a higher nursing workload (at admission Coef. 0.07; 95% CI [0.04; 0.10]; at discharge Coef. 0.08; 95% CI [0.05; 0.10]). Additionally, an increase in nursing workload at admission would significantly increase the nursing workload at discharge (Coef. 0.27; 95% CI [0.21; 0.33]). The relative stability of the nursing workload over the studied years is also another important finding (the influence of studied years is non-significant). In conclusion, patients with frequent dressing changes presented higher TISS-28 scores when compared with patients with an exchange of routine dressings, which leads to a higher nursing workload.<\/jats:p>","DOI":"10.3390\/ijerph20075284","type":"journal-article","created":{"date-parts":[[2023,3,28]],"date-time":"2023-03-28T02:11:40Z","timestamp":1679969500000},"page":"5284","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Impact of Wound Dressing Changes on Nursing Workload in an Intensive Care Unit"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2326-6712","authenticated-orcid":false,"given":"Juliana Dias dos","family":"Reis","sequence":"first","affiliation":[{"name":"Centre for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics (DMAT), University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5673-8683","authenticated-orcid":false,"given":"Pedro","family":"Sa-Couto","sequence":"additional","affiliation":[{"name":"Centre for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics (DMAT), University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"given":"Jos\u00e9","family":"Mateus","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Centro Hospitalar do Baixo Vouga E.P.E., 3810-164 Aveiro, Portugal"}]},{"given":"Carlos Jorge","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Centro Hospitalar do Baixo Vouga E.P.E., 3810-164 Aveiro, Portugal"},{"name":"School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"given":"Alexandre","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Centre for Innovative Biomedicine and Biotechnology (CIBB)\u2014Center for Health Studies and Research, University of Coimbra, 3004-531 Coimbra, Portugal"}]},{"given":"Pedro","family":"Sardo","sequence":"additional","affiliation":[{"name":"School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Institute of Biomedicine (iBiMED), University of Aveiro, 3810-193 Aveiro, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4989-2252","authenticated-orcid":false,"given":"Jo\u00e3o Lindo","family":"Sim\u00f5es","sequence":"additional","affiliation":[{"name":"School of Health Sciences (ESSUA), University of Aveiro, 3810-193 Aveiro, Portugal"},{"name":"Institute of Biomedicine (iBiMED), University of Aveiro, 3810-193 Aveiro, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1111\/jocn.15570","article-title":"Nursing Workload Assessment in an Intensive Care Unit: A 5-Year Retrospective Analysis","volume":"30","author":"Oliveira","year":"2021","journal-title":"J. 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