Sizing of nursing staff associated with self-care promotion in a pediatric semi-intensive care unit

Objectives To calculate and compare the nursing staff size associated with self-care promotion at a pediatric semi-intensive care unit. Methods This was a prospective study in which 31 children and their caregivers participated. The nursing workload associated with each participant was evaluated at two different times (first and second hospital stays) using the Nursing Activities Score instrument. The first hospital stay corresponded to self-care promotion. Staff size was calculated according to the nursing hours recommended by the Nursing Activities Score instrument and by Conselho Federal de Enfermagem (COFEN) resolution no. 527/16, in the two hospital stays, and the results were compared. Results The nursing workload in the first hospital stay (14.6 hours) was higher than the nursing workload in the second stay (9.9 hours) (p < 0.001). The Nursing Activities Score revealed that according to the nursing hours, the nursing staff size corresponded to 26 and 18 professionals in the first and second hospital stays, respectively, and to 15 professionals according to COFEN resolution no. 527/16. Conclusion The number of personnel responsible for promoting self-care in pediatric semi-intensive care units, according to the nursing hours suggested by the Nursing Activities Score, was higher than that recommended by the existing legislation. This demonstrates the necessity of reconsidering staff size for this healthcare profile.

[1]  Arlete Silva,et al.  [Workloads and strain process in Community Health Agents]. , 2016, Revista da Escola de Enfermagem da U S P.

[2]  Armando dos Santos Trettene,et al.  [Nursing workload in specialized Semi-intensive Therapy unit: workforce size criteria]. , 2015, Revista da Escola de Enfermagem da U S P.

[3]  A. Magalhães,et al.  BED BATHS: NURSING STAFF WORKLOAD AND PATIENT SAFETY , 2015 .

[4]  V. Castilho,et al.  Nursing interventions in pediatric care: a contribution to measuring workload. , 2015, Revista da Escola de Enfermagem da U S P.

[5]  E. Rabelo-Silva,et al.  [Nursing workload in a coronary unit according to the Nursing Activities Score]. , 2015, Revista gaucha de enfermagem.

[6]  Ilza Lazarini Marques,et al.  In Situ and Home Care Nasopharyngeal Intubation Improves Respiratory Condition and Prevents Surgical Procedures in Early Infancy of Severe Cases of Robin Sequence , 2015, BioMed research international.

[7]  S. You,et al.  Effects of increasing nurse staffing on missed nursing care. , 2015, International nursing review.

[8]  Eun-Young Kim,et al.  Effects of nurse staffing, work environments, and education on patient mortality: an observational study. , 2015, International journal of nursing studies.

[9]  M. H. M. Lima,et al.  Nursing workload in hematopoietic stem cell transplantation: a cohort study. , 2015, Revista da Escola de Enfermagem da U S P.

[10]  M. Giannakopoulou,et al.  Measuring professional satisfaction and nursing workload among nursing staff at a Greek Coronary Care Unit. , 2015, Revista da Escola de Enfermagem da U S P.

[11]  Renata Lopes Sampaio,et al.  Evaluating the intervening factors in patient safety: focusing on hospital nursing staff. , 2015, Revista da Escola de Enfermagem da U S P.

[12]  G. Dalben,et al.  [Doubts of caregivers of children with cleft lip and palate on postoperative care after cheiloplasty and palatoplasty]. , 2014, Revista da Escola de Enfermagem da U S P.

[13]  Edzangela de Vasconcelos Santos,et al.  [Nursing workload and occurrence of incidents and adverse events in ICU patients]. , 2014, Revista Brasileira de Enfermagem.

[14]  Marianna Diomidous,et al.  Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study , 2014, The Lancet.

[15]  K. Hurst,et al.  Using a complex audit tool to measure workload, staffing and quality in district nursing. , 2014, British Journal of Community Nursing.

[16]  S. Kato,et al.  [Analysis on workload for hospital DOTS service]. , 2014, Kekkaku : [Tuberculosis].

[17]  S. S. Zanei,et al.  Pressure ulcers in the intensive care unit: the relationship between nursing workload, illness severity and pressure ulcer risk. , 2013, Journal of clinical nursing.

[18]  P. Ma,et al.  Factors associated with low adherence to head-of-bed elevation during mechanical ventilation in Chinese intensive care units. , 2013, Chinese Medical Journal.

[19]  Edi Toma,et al.  Assessment of a neonatal unit nursing staff: application of the Nursing Activities Score. , 2013, Revista latino-americana de enfermagem.

[20]  A. Magalhães,et al.  Carga de trabalho da equipe de enfermagem e segurança do paciente - estudo com método misto na abordagem ecológica restaurativa , 2013 .

[21]  Kátia Grillo Padilha,et al.  Carga de trabalho de enfermagem em unidades de terapia intensiva publicas e privadas , 2013 .

[22]  J. Steyrer,et al.  Safety climate reduces medication and dislodgement errors in routine intensive care practice , 2013, Intensive Care Medicine.

[23]  K. G. Padilha,et al.  Nursing Workload as a Risk Factor for Healthcare Associated Infections in ICU: A Prospective Study , 2012, PloS one.

[24]  S. Blazer,et al.  Factors associated with iatrogenesis in neonatal intensive care units: an observational multicenter study , 2012, European Journal of Pediatrics.

[25]  P. Garcia,et al.  Nursing care time and quality indicators for adult intensive care: correlation analysis. , 2012, Revista latino-americana de enfermagem.

[26]  F. M. Fugulin,et al.  Nursing care time in the Intensive Care Unit: evaluation of the parameters proposed in COFEN Resolution Nº 293/04. , 2012, Revista latino-americana de enfermagem.

[27]  N. Fotos,et al.  Risk factors for increased in-hospital mortality: a cohort study among cardiac surgery patients , 2012, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[28]  K. G. Padilha,et al.  Nursing Activities Score and demand of nursing work in intensive care , 2012 .

[29]  T. Oliveira,et al.  Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP) - Part 1: overall aspects , 2012, Journal of applied oral science : revista FOB.

[30]  E. B. Guirardello,et al.  Nursing workload in an inpatient unit. , 2011, Revista latino-americana de enfermagem.

[31]  Marianne Baernholdt,et al.  Using Clinical Data to Capture Nurse Workload: Implications for Staffing and Safety , 2010, Computers, informatics, nursing : CIN.

[32]  K. Inoue,et al.  Dimensionamiento del personal de enfermería en una Unidad de Terapia Intensiva para adultos , 2010 .

[33]  Raquel Rapone Gaidzinski,et al.  Dimensionamento de pessoal de enfermagem em instituições de saúde , 2010 .

[34]  Luciana de Freitas Campos,et al.  DIMENSIONAMENTO DE PESSOAL DE ENFERMAGEM NA UNIDADE SEMI-INTENSIVA DE UM HOSPITAL UNIVERSITÁRIO DE CURITIBA , 2007 .

[35]  Georgia R Glenn,et al.  Nursing: Concepts of Practice , 1981 .