Instrumento de medida de carga de trabalho dos profissionais de Saúde na Atenção Primária: desenvolvimento e validação

Abstract

RESUMO Objetivo Propor e validar um instrumento que contemple as intervenções/atividades realizadas pela equipe de saúde da família, como referência para o planejamento da força de trabalho. Método Pesquisa metodológica desenvolvida nas etapas: construção do instrumento; validação de conteúdo e teste piloto, em três unidades, localizadas na região sudeste do Brasil. Resultados Foram validadas 39 intervenções em um único instrumento de medida de carga de trabalho para médico, cirurgião-dentista, técnico/auxiliar de saúde bucal, enfermeiro, técnico/auxiliar de enfermagem e agente comunitário de saúde. No teste piloto, o instrumento contemplou 100% das intervenções observadas, atingindo 93,7% de concordância entre os observadores. Conclusão O instrumento proposto, inédito na sua configuração, subsidia o planejamento da força de trabalho em atenção primária.

Tecnologia móvel para coleta de dados de pesquisas em saúde

“…(8) This particular design was adopted in this study because it involved the development of a mobile application to help collect data regarding the distribution of time spent with interventions/activities of FHS teams during the workday, using the work sampling technique as part of a nationwide study titled: (5) In this study, the researchers from the Estações de Trabalho da Rede de Observatórios em Recursos Humanos designed and validated an instrument to measure the workload of health professionals in primary care, consisting of care interventions/ activities for the following professional categories: physician; dental surgeon; nurse; dental technician/assistant; nurse technician/assistant; and community health agent. (9) The instrument included interventions of direct and indirect care, work-related activities, personal activities, waiting time, absence, and no observation (Chart 1).…”

“…(11,12) The content of the workload measurement instrument was tested in three family health units located in the Southeast region of Brazil, and validated to include 100% of the interventions observed in the practice of health professionals, with 90.4% agreement among field observers in parallel observations. (5,9) The interventions and activities were grouped into 20 direct care interventions; 19 indirect care interventions; 14 work-related activities, seven personal activities; and waiting time, absence, and no observation, as indicated in chart 1.…”

“…Therefore, the analysis of all requirements for the application development was based on information from the workload measurement instrument of health professionals in primary care, which included the interventions and activities identified for the health professionals from the FHS teams (Chart 1). (9) The interventions/activities included in the instrument were coded for easy recording of observations and local and virtual storage of information using mobile devices (Chart 2). (9) Development In this step, data entry and project architecture were structured, as well as the procedural details to implement the programming language and conduct required testing.…”

“…(9) The interventions/activities included in the instrument were coded for easy recording of observations and local and virtual storage of information using mobile devices (Chart 2). (9) Development In this step, data entry and project architecture were structured, as well as the procedural details to implement the programming language and conduct required testing.…”

“…(5,9) Application use in data collection Studies that address work time should be conducted in environments of good care practices.…”