Dimensionamento de enfermagem hospitalar: modelo OPAS/OMS

Abstract

5 Doutora em Enfermagem. Professora Titular da EERP/USP. São Paulo, Brasil. yolanda@eerp.usp.br RESUMO: O dimensionamento de recursos humanos em enfermagem tem sido ampla e intensamente discutido nos vários âmbitos que envolvem a complexidade do atendimento às necessidades de saúde da população. O objetivo do estudo é dimensionar a enfermagem de um hospital universitário público do Paraná, segundo metodologia proposta pela Rede de Observatórios de Recursos Humanos em Saúde do Brasil. Mediante aplicação da metodologia foi possível dimensionar o quadro de pessoal ideal e comparar com o real, contemplando aspectos de estrutura, processo e especificidades da clientela. Constata-se um déficit de 118 enfermeiros e 204 funcionários de enfermagem de nível médio em relação ao ideal. Espera-se que o presente estudo possa promover discussões entre os enfermeiros do serviço no sentido de aproximá-los do tema e das variáveis que envolvem o dimensionamento de pessoal, pois, atuando diretamente na assistência, possuem condições de avaliar continuamente os recursos disponíveis, subsidiando os estudos desta natureza. DESCRITORES:Enfermagem. Recursos humanos de enfermagem. Administração de recursos humanos em saúde. Downsizing organizacional. SIzING HOSPITAL NURSING STAFFS: PAHO/WHO MODELABSTRACT: Dimensioning nursing human resources has been widely and intensely discussed in the various spheres which involve the complexity of attending the population's health care needs. The objective of this study is to dimension the nursing staff at a Brazilian public university hospital in Paraná according to the methodology proposed by the Brazilian Human Health Resources Observatory Network. In doing so, it has been possible to dimension an ideal staff and compare it with the actual one, contemplating aspects such as structure, process, and client needs. The comparison shows a deficit of 118 nurses and 204 nursing technicians. We hope that the present study may further future discussion among nurses in order to approximate them to the issue and the variables involved in staff-sizing, for if they directly act in providing care, they are in the right position to continuously assess the available resources and subsidize studies of this nature. DESCRIPTORS:Nursing. Nursing staff. Health personnel management. Personnel downsizing. DIMENSIONES DE LA ENFERMERÍA HOSPITALARIA: MODELO DE LA OPAS/OMSRESUMEN: La dimensión de los recursos humanos de enfermería ha sido amplia e intensamente debatida en diversos ámbitos que abarcan la compleja realidad de atender a las necesidades de salud de la población. El objetivo del estudio es establecer las dimensiones de la enfermería de un hospital universitario público del Estado de Paraná, según la metodología propuesta por la Red de Observatorios de Recursos Humanos en Salud del Brasil. La aplicación de la referida metodología permitió obtener la dimensión del equipo de personal ideal y compararlo con el real, al tener en cuenta aspectos, como la estructura, proceso y especificidades de la población atendida. ...

Evaluating the intervening factors in patient safety: focusing on hospital nursing staff

“…Authors reiterate that the managers must make systematic use of information generated based on the application of a scientifically grounded methodology for the dimensioning of staff; however, one must note the reflection that the dimensioning of human resources as an indicator shall not be perceived as such unless it is used to relate the quantity of contracted staff to the quality of the care (14) .…”

Understanding of care through the eyes of puerperal women / Compreensões de cuidado na visão de mulheres puérperas

“…6 Another important point that the statements of thedeponents demonstrated is related to the nursing staff dimensioning, which in turn, is about the determination of the number and the composition of the team, among other criteria, by the type and complexity of the service provided, besides the nursing needs of the users. 7 Sizing is one of the tasks of nursing management, and its application is intrinsically connected to the quality of nursing care provided. On the other hand, it is necessary that the hospital management has a sensitive view to the personal dimensioning in relation to the nursing team, which facilitates to provide an integral and complete care according to the amount and needs of each hospitalized user.…”

Planning and administration of environmental security and care in health services / Planejamento e administração da segurança ambiental e do cuidado nos serviços de saúde

“…To do so, an analysis of the work organization should consider the different processes and institutional differences as the adopted model adapted to the needs of health care. 12 The proper design of nursing professionals is closely related to patient and worker safety. Because it is an indispensable category in the sense of continuous supervision of work processes that guarantee patient safety.…”