Patients dependency degree in relation to the nursing team: a management tool

Silva, Karen Schein da; Echer, Isabel Cristina; Magalhães, Ana María Müller de

doi:10.5935/1414-8145.20160060

Cited by 15 publications

(21 citation statements)

References 5 publications

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“…The problem mentioned, namely: hospitalization of critically ill patients, or, those highly dependent on care, in units theoretically unprepared for such care, has already been verified in other studies on the measurement of the degree/level of care complexity of patients under the care of the nursing team, in a non-critical unit in a surgical medical clinic in the interior of Paraná 17 and in a sector that was not intended for the semi-critical or critical care of surgical patients in the capital of Rio Grande do Sul. 18 It is believed that the studies cited used two distinct PCSs, which reinforces, with more evidence, that the problem is a reality to be faced by the hospital leadership.…”

Section: Discussionmentioning

confidence: 72%

Dimensioning of hospital nursing personnel: study with brazilian official parameters of 2004 and 2017

et al. 2017

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Section: Discussionmentioning

confidence: 72%

Dimensioning of hospital nursing personnel: study with brazilian official parameters of 2004 and 2017

et al. 2017

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“…These IUs, at the rear of an overcrowded emergency service, have a high demand for care, maintaining occupancy of over 80% and patients requiring semi-intensive and intensive care. Another study also identified the same profile of patients in ICUs ( 28 ) . …”

Section: Discussionmentioning

confidence: 84%

The qualitative dimension of Nursing workload: a measurement proposal

Cucolo

Perroca

2019

Rev. Latino-Am. Enfermagem

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Objective:construct and test a proposal to measure the qualitative dimension of nursing workload; identify the workload cut-off point and its indicator as predictors of the good and optimal nursing care product score.Method:this is a descriptive study conducted in four inpatient units and four intensive care units of a Brazilian teaching hospital, considering 308 evaluations performed by 19 nurses. Four measurement instruments were used: three to assess the care demand in relation to nursing and the other to classify the care product delivered at the end of the shift. The workload was calculated and its indicator was constructed.Results:a weak and inverse correlation was found between the care product score, workload and the workload indicator and the workload indicator in the units and moderate and inverse between Nursing care planning and Care needs assistance with the number of hospitalized patients.Conclusion:it is possible to associate workload and its indicator with the care product. Nursing workload ≤ 173 hours (24 hours) and indicator ≤ 12.3 hours / professional were associated with a higher probability of obtaining a “good” and “optimal” score in the care product in the inpatient units.

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“…5 Destaca-se que a mensuração da carga de trabalho é um aspecto de recomendação diária quando vista a lógica do dimensionamento de pessoal. 5,18 Outro aspecto que reforça o uso de meios de medida da carga de trabalho da enfermagem é a alusão de que isso pode direcionar as próprias ações de planejamento e gestão do cuidado. 4 Assim, postula-se que, em UTI, a gestão do cuidado certamente acompanha a complexidade assistencial prestada no cotidiano desses serviços e, então, o emprego do NAS ou outro meio de mensuração de carga de trabalho e/ou classificação de pacientes deve ser incorporado de forma racional, vinculado à melhoria assistencial direta.…”

Section: Discussionunclassified

Sizing of the Nursing Staff in Adult Intensive Therapy

Souza

Inoue

Oliveira

et al. 2018

Reme Revista Mineira De Enfermagem

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RESUMOO objetivo consistiu em dimensionar o quadro de pessoal de enfermagem de uma unidade de terapia intensiva para adultos. Trata-se de pesquisa transversal, prospectiva, descritiva e quantitativa. Foi realizada na Unidade de Terapia Intensiva para Adultos (UTI-A) de um hospital universitário do Paraná, Brasil. A coleta de dados ocorreu entre junho e outubro de 2014 pela aplicação do Nursing Activities Score (NAS) a uma amostra (n=81) de prontuários de pacientes, obtendo a mensuração da carga de trabalho média (565,32 pontos) da equipe de enfermagem do setor. Com isso, dimensionou-se o quadro de pessoal da categoria, confrontando-o com a legislação nacional correspondente à Resolução nº 543/2017 do Conselho Federal de Enfermagem. O quadro dimensionado total da equipe foi de 32 trabalhadores, sendo 17 enfermeiros e 15 técnicos de enfermagem. À comparação com o quadro real, houve déficit geral de três profissionais. Faltavam oito enfermeiros assistenciais, evidenciando superávit de cinco trabalhadores de nível médio. Concluiu-se que o quadro de pessoal de enfermagem da UTI-A é subdimensionado, o que pode afetar a qualidade e a segurança do cuidado intensivo, além de comprometer a identidade profissional do enfermeiro.The objective of this work was to investigate the sizing of the nursing staff of an adult intensive care unit. This is a cross-sectional, prospective, descriptive and quantitative research carried out in the Adult Intensive Care Unit (ICU-A) of a university hospital in Paraná, Brazil. Data collection occurred between June and October 2014 through the application of the Nursing Activities Score (NAS) to a sample of medical records of patient (n=81), obtaining the measurement of the average workload (565.32 points) of the nursing team of the sector. As a result, the staff of the category was compared to the national legislation corresponding to Resolution nº 543/2017 of the Federal Council of Nursing. The total size of the staff was 32 workers, of whom 17 were nurses and 15 were nursing technicians. Compared to the real picture, there was an overall deficit of three professionals. Eight nurses were missing, evidencing a surplus of five middle-level workers. We concluded that the nursing staff of the ICU-A is undersized and this situation can affect the quality and safety of intensive care, as well as compromise the professional identity of nurses.

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Patients dependency degree in relation to the nursing team: a management tool

Cited by 15 publications

References 5 publications

Dimensioning of hospital nursing personnel: study with brazilian official parameters of 2004 and 2017

Dimensioning of hospital nursing personnel: study with brazilian official parameters of 2004 and 2017

The qualitative dimension of Nursing workload: a measurement proposal

Sizing of the Nursing Staff in Adult Intensive Therapy

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