Dimensioning of nursing professionals: implications for the work process in the family health strategy

Abstract

Objective: To report the experience of the construction of nursing dimensioning and its implications for the working process in a Family Health Unit (FHU). Method: Descriptive report, which used the recommendations of Resolution No. 543/2017 of the Federal Nursing Council to dimension the number of nursing professionals from a FHU with two teams in the interior of São Paulo. Results: The dimensioning evidenced the lack of the nurse and nursing assistant and brought implications for the work process, such as systematization of information about nursing staff absences, adequacy and monitoring of the information system and reorganization of the area of service coverage. Conclusion and implications for practice: It is important that nurses use management tools, such as dimensioning, to seek changes in the nursing and staff work and in the improvement of care offered. Staff dimensioning proved to be satisfactory for the adaptations in the work process.

Inadequate completion of surgical data for patient safety: opinion of health professionals

“…O dimensionamento de pessoal consiste na previsão quantitativa e qualitativa adequada de profissionais para atender as necessidades da população assistida, respeitando as particularidades dos sistemas de saúde, objetivando proporcionar uma assistência de qualidade e segurança do profissional e paciente; nesse contexto, a percepção e a realização de dimensionamento inadequado de pessoal podem influenciar negativamente o cuidado (13) .…”

Tomada de decisão na gerência em Atenção Primária à Saúde: percepção de enfermeiros

“…Relativo a isso, em estudo efetuado acerca do dimensionamento de enfermagem e do processo de trabalho em uma UBS do Centro-Oeste de São Paulo, evidenciou-se falta de recursos humanos, implicações para o processo de trabalho relacionado a monitoramento do sistema de informação e reorganização da abrangência do serviço de saúde. 26 A racionalidade na tomada de decisão abrange obtenção de informações que maximizem as escolhas, possibilitem a análise das alternativas com menor nível de incerteza e possibilitem planejamento e implementação da alternativa escolhida, no entanto abrange as limitações relacionadas à racionalidade. 8 As incertezas diante dos processos nas unidades básicas de saúde pesquisadas elencam, entre outras, a falta de comunicação entre a equipe multiprofissional, déficit na organização das atividades gerenciais e nas habilidades dos enfermeiros relacionado ao processo decisório, que foram evidentes.…”

Dimensões laborais, éticas e políticas do dimensionamento de pessoal de enfermagem diante da COVID-19

“…19 Even in medium-sized or large cities and in regions of high population density, such as the Southeast and South, shortcomings are reported in the suitability of nursing professionals (especially higher education) at different levels of care complexity. [13][14][15] With the COVID-19 pandemic, nursing reaffirms its importance, both by having the largest contingent of health professionals who are uninterruptedly providing patient care and by possessing technical expertise and a holistic view of care. 18 The WHO has stated that without nursing action it will not be possible to combat the pandemic, as well as unlikely to achieve the Sustainable Development Goals (SDS) and universal health coverage.…”

“…37 Even with COFEN's dispositions, it is common to be linked by the media, for example, that in the current pandemic scenario there is a shortage of trained professionals with experience in the adequate management of equipment and complex nursing care for critically ill patients with COVID-19, in addition to an insufficient number of workers already observed several times in many practice scenarios before the pandemic. [13][14][15] Another related aspect in the media during the pandemic period was the impossibility of opening some emergency services due to insufficient and/or non-existent human and other resources needed for care. As a result, this scenario contributes to the increased overload of professionals on this front, either because of the physical and/or emotional/mental burden, given that many professionals had to be relocated due to the need for the services and began to carry out complex activities that were not part of their daily lives.…”

“…However, inadequacies about this or even the very elevation of the nursing workload are frequently verified facts. [13][14][15] Disability of strength and working conditions in nursing seems to be in vogue in the context of the COVID-19 pandemic. Throughout the world, there are significant contamination rates 9 among this population, which is particularly affected by acting on the "battlefront", and which also experiences situations related to increased workload, lack of rest, lack of personal protective equipment (PPE), the constant fear of contaminating family members, misinformation of society and dissatisfaction with government actions, health systems and population.…”