Costs of nursing procedures/interventions: an integrative literature review

Abstract

Objectives: to analyze the scientific production of nurses regarding the costs of procedures/interventions performed by nursing professionals. Methods: integrative literature review with a sample of 17 primary articles selected from the CINAHL, Scopus, EMBASE databases and the PubMed portal. Results: all studies were conducted in hospitals, with quantitative, exploratory-descriptive studies, considering the case study method, with the description of costs method adopted, and the number of Brazilian publications stood out (12; 70.58%). The calculation of direct costs was most common due to the absence/difficulty of accessing information in the studied hospitals. This made it impossible to obtain the indirect costs that would be necessary for the composition of the total cost. Conclusions: it was shown that studies about the cost of procedures/interventions are still scarce, often covering only the calculation of direct costs. Nurses need to develop studies on such costs using the same methodology in different contexts of health care.

In loco nursing practice inspection costs in a Brazilian setting

“…Despite recurrent searches of the national and international literature, no similar studies were found that would allow the discussion of the specific financial- economic results obtained, indicating the knowledge gap that needs to be increased and verticalized based on research developed by other CORENs, including activities performed before and after in loco inspection. However, there is evidence of research that funded the ADC of nursing professionals involved in carrying out processes and procedures ( 25 , 26 , 27 , 28 ) .…”

Matriz de perfil dos gestores clínicos enfermeiros sob a ótica do processo orçamentário de hospitais

“…Essa necessidade de conhecimento sobre a área específica de custos foi levantada em um estudo no qual os enfermeirosdiretores de unidade, chefes de divisão, encarregados de seção e enfermeiros assistenciais -foram entrevistados sobre o significado do gerenciamento de custos, a utilização do relatório gerencial e a contribuição dos relatórios gerenciais por centro de custos. Os resultados apontaram que o foco da atenção é voltado para a assistência, que há ausência de formação profissional voltada para o gerenciamento de custo e que há necessidade de capacitação para melhor compreensão e análise dos relatórios gerenciais de custo 31,32 .…”

“…Assim, a capacitação desses profissionais, pelo desenvolvimento de atitudes, conhecimentos e competências relativas à abordagem econômico-gerencial, integrando os aspectos da profissão com os da gestão econômica, seria uma possibilidade de superação para que houvesse a participação desses gestores no processo orçamentário. São poucas as carreiras da área da Saúde que incluem disciplinas voltadas ao gerenciamento dos serviços de saúde na graduação, mesmo que nas Diretrizes Curriculares Nacionais seja apontado o desenvolvimento desta competência, e um preparo mínimo para que o enfermeiro possa assumir este papel 31,33 .…”

Development of billing post competency evaluation index system for nurses in China: a Delphi study

“…In recent years, the National Healthcare Security Administration has increased unannounced inspections, thereby increasing pressure on nurses. Therefore, as key team members, billing nurses need to improve their professional service capabilities [ 11 ] to promote satisfactory clinical financial practices. The Outline of China Nursing Career Development Plan 2016–2020 and 2021–2025 proposed to establish a “demand-oriented, position competency-focused” nurse training system.…”