Navegando por Palavras-chave "Dimensionamento de pessoal"
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- ItemAcesso aberto (Open Access)Avaliação do algoritmo da distribuição da carga de trabalho para técnicos e auxiliares de enfermagem em unidades de clínica médica e cirúrgica(Universidade Federal de São Paulo (UNIFESP), 2011-02-22) Nishio, Elizabeth Akemi [UNIFESP]; Wainer, Jacques [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Aims: To identify the nursing hours spent by technicians and nursing assistants in the Units of Clínical Medicine (CM) and Units of Clínical Surgery (CC) for the comple-tion of nursing care in different shifts, morning, noon and night. Method: This is an original study prospective, analytical approach to quantitative standard time and mo-tion. Four nurses from the General Hospital Pirajussara (HGP) observed and meas-ured the time spent by technicians and nursing assistants for care provided to pa-tients hospitalized in units CM and CC. At the beginning of each work period (morn-ing, afternoon and evening) for seven days a week, nurse’s observers randomly chose eight nursing technicians (TE) and nursing assistants (AE) (four for each). In parallel, we carried out the distribution of patients for each employee using the rec-ommendation of the Nursing Care Model of Experimental HGP (MAEE-HGP). Cate-gorical variables were described through absolute and relative frequencies and quan-titative variables were presented as means and standard deviations.Results: We identified the hours spent by TE/AE by type of patient within 24 hours: 3.5 hours (± 1.0) for minimal care, 3.9 hours (± 0.9) for intermediate care, 5.1 hour (± 1.4) for high dependency care, 6.7 hours (± 1.0) for semi-intensive care and 3.1 hours (±1.0) for joint care. As the distribution of patients by type recommended by the MAEE-HGP, the hours spent between TE/AE, for six hours were minimal care 4.9 hours (± 0.7), intermediate care 5.2 hours (± 0.5), high dependency care 4.9 hours (± 0.5), semi-intensive care 5.1 hours (± 0.6) and mixed care 4.3 hours (±0.3). Conclusion: The study results showed that the distribution of workload by TE/AE, by using the algo-rithm MAEE-HGP, resulting in a balanced distribution of hours. These may be ob-tained actual hours used as the basis for development of computerized decision-making for homogeneous distribution of hours for the AE/TE in units medical and surgical.
- ItemAcesso aberto (Open Access)Dimensionamento de pessoal de enfermagem em um hospital de ensino(Associação Brasileira de Enfermagem, 2006-04-01) Fakih, Flávio Trevisan [UNIFESP]; Carmagnani, Maria Isabel Sampaio [UNIFESP]; Cunha, Isabel Cristina Kowal Olm [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The objective of this study was to ajust the downsizing of nursing personnel in a teaching hospital to the resolution of Federal Nursing Council no. 293/2004. The classification of patients in levels of complexity care was done and the required time for the nurse care also was verified. The present number of employees was compared to the measured one. The outcomes showed the levels of patients' care complexity is on intermediate care (42%), and the required time to the nurse care was greater on intensive care patients (42%). The present staff has a deficit of 205 nurses and an exceding of 284 professionals of techinical college level.
- ItemAcesso aberto (Open Access)Dimensionamento do pessoal de enfermagem das unidades de internação do Hospital São Paulo(Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2005-03-01) Matsushita, Mari Sahamura [UNIFESP]; Adami, Nilce Piva [UNIFESP]; Carmagnani, Maria Isabel Sampaio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)This descriptive study was carried out at the hospital São Paulo aiming nursing staff dimension of the hospitalization units of this Institution. Data collect was performed in 2002, in the 40 hospitalization units in which patient s classification and non anticipated absences of the nursing staff of the previous year were studied, applying the staff dimensioning calculation proposed by Gaidzinski(1). The main conclusions were regarding levels of complexity of the nursing care, the hospitalized patients demanded minimum care of nursing (30.8%) followed by intermediary care (27.5%), high dependence care (22.0%), intensive care (12%) and semi-intensive care (7.6%). Time of nursing assistance for the classified patients was greater for intensive care (30.9%) followed by high dependence (21.8%), intermediary (21.2%), minimum (15.3%) and semi-intensive (10.7%). Almost 50.0% of the non-anticipated absences were due to maternity permissions and those of nursing technicians/assistants and others were homogeneous as no show at work, medical authorization, maternity permission and others. The comparison between the nursing staff in the Hospital São Paulo and the calculated according to the Gaidzinski model showed a need of 76 nurses and superlative of 97 nursing technician/assistants.