Nursing care time in the Intensive Care Unit: evaluation of the parameters proposed in COFEN Resolution Nº 293/04

Abstract

Tiempo de asistencia de enfermería en la Unidad de CuidadosIntensivos: evaluación de los parámetros propuestos por la Resolución COFEN nº 293/04Este estudio tuvo como objetivo evaluar los parámetros establecidos por la Resolución COFEN 293/04, referencia para dimensionamiento de personal de enfermería en unidades de cuidados intensivos adultos (UCIA). La investigación se realizó en seis hospitales de la ciudad de São Paulo. La cantidad media diaria de profesionales necesarios para la asistencia al paciente se calculó de acuerdo a los parámetros establecidos por COFEN. Los resultados se compararon al cuantitativo diario de personal existente en estas Unidades.Se observó que las proporciones recomendadas por COFEN, categoría enfermera, son superiores a las utilizadas por los hospitales convirtiéndose desafío para la enfermería brasileña. Se encontró que los valores del tiempo medio de asistencia son adecuadas y representan importante referencia para el dimensionamiento del cuantitativo mínimo de profesionales en UCIA. Este estudio evidencia contribuciones para validación de los parámetros especificados en la Resolución COFEN 293/04, para el dimensionamiento del personal de enfermería en UCIA.

Análise de eventos adversos em pacientes internados em unidade de terapia intensiva

“…(7) Regarding the Braden scale, the mean risk score found was similar to other researches that found scores ranging from 12.1 to 14.9. (13,17) The occurrence of PS, even though it was the most frequent AE found in this study, similar to another Brazilian study, (7) can be considered low compared to other studies. These studies addressed factors associated to the development of PS in patients hospitalized in ICU, and found higher age mean, longer hospitalization time, a lower Braden score and higher clinical severity in the group of patients that developed sores.…”

“…These studies addressed factors associated to the development of PS in patients hospitalized in ICU, and found higher age mean, longer hospitalization time, a lower Braden score and higher clinical severity in the group of patients that developed sores. (13,17) There was only one case of fall in this study, a rate much lower than the ones found in other studies that also addressed this event. (6,8) This study has some limitations, mostly regarding the low risk profile of the patients admitted in the ICU studied.…”

“…(9) Other Brazilian studies conducted in ICUs confirm this finding, indicating that the nurse staffing is not enough to meet the care demands. (4,13) A lower mean in the NAS was found, compared to other Brazilian studies, which found results ranging from 73.4 to 87.5%. (15) However, other studies showed similar NAS means, ranging from 52.7% to 66.1%.…”

“…(5,13) One of the reasons that may justify this result is the lack of a semi-intensive unit in the hospital assessed, which means that less critical patients are admitted in the ICU. However, the most severe patients assessed by APACHE II experienced more AE, a similar result to the ones found in national literature.…”

Confiabilidade de um instrumento para classificar o recém-nascido segundo a complexidade assistencial

“…Faced with this scenario, the management responsible for quantifying nursing professionals for safe patient care and managing the human resources under their responsibility needs instruments, such as the Patient Classification System (PCS) (3) , to help in the planning, allocation, distribution, and control of the workforce, one of the most significant determinants of hospital effectiveness, quality, and cost.…”