Nursing workload in specialized Semi-intensive Therapy unit: workforce size criteria

Abstract

Objective:To assess the nursing workload (NW) in Semi-intensive Therapy Unit, specialized in the care of children with Craniofacial anomalies and associated syndromes; to compare the amount of workforce required according to the Nursing Activities Score (NAS) and the COFEN Resolution 293/04. Method: Cross-sectional study, whose sample was composed of 72 patients. Nursing workload was assessed through retrospective application of the NAS. Results: The NAS mean was 49.5%. Nursing workload for the last day of hospitalization was lower in patients being discharged to home (p<0.001) and higher on the first compared to last day of hospitalization (p< 0.001). The number of professionals required according to NAS was superior to the COFEN Resolution 293/04, being 17 and 14, respectively. Conclusion: The nursing workload corresponded to approximately 50% of the working time of nursing professional and was influenced by day and outcome of hospitalization. The amount of professionals was greater than that determined by the existing legislation.

Vídeo educativo: estratégia de treinamento para cuidadores de crianças com fissura labiopalatina

“…(8,15,16) Based on caregivers' characterization data, there was a predominance of mothers, corroborating other investigations. (4,17,18) The presence of the mother during hospitalization has been associated with less stress for the child. In addition, the mother, the main caretaker, receives training on the care, ensuring its continuity after hospital discharge.…”

“…(4) As to the socioeconomic classification, there was a predominance of the lower class, corroborating the literature. (4,17,18) With regard to the child's gender, there was a predominance of females. On the classification of clefts, there was equality between cleft lip and palate and cleft palate.…”

“…Surgical stitches in cheiloplasty should be removed after seven and ten days, whereas those used in palatoplasty fall spontaneously when not absorbable. (18) In cases of surgical complications such as bleeding, trauma, injuries, respiratory distress, infection at the site, fever and pain, the children should be immediately referred to medical evaluation at the place where they are. Later, after the child is stabilized, the situation shall be informed to the institution for appropriate procedures.…”

Dimensionamento De Pessoal De Enfermagem Na Uti-Adulto De Hospital Universitário Público

“…Acredita-se que, por si só, este fato justifica a necessidade de novos estudos acerca do dimensionamento da enfermagem brasileira, uma vez que a atualização contempla mudanças na proporção de profissionais por pacientes e nas horas de enfermagem requeridas às categorias (graus de dependência) de cuidado (5) . O dimensionamento é um método fundamentado em expressões matemáticas que se utiliza de variáveis inerentes à clientela, ao serviço de enfermagem e à organização, com amplo destaque à carga de trabalho da equipe de enfermagem em sua operacionalização (5)(6) . Em UTI, apesar de existir a necessidade de sua contínua revisão, o Nursing Activities Score (NAS) é amplamente utilizado e recomendado à mensuração da carga de trabalho da enfermagem intensivista, além de mediar o próprio dimensionamento de pessoal (7) .…”

“…Não menos importante, ressalta-se que os estudos recentes relacionam a carga de trabalho de enfermagem em UTI, e não o próprio dimensionamento como objeto de pesquisa (6)(7)(8)(9)(10)(11) , o que reforça a justificativa para novas pesquisas.…”