Dimensioning of nursing team at neonatal intensive care unit: real versus ideal / Dimensionamento de enfermagem em unidade de terapia intensiva neonatal: real versus ideal
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v13.10364Palabras clave:
recém-nascido, enfermagem neonatal, carga de trabalho, recursos humanos de enfermagem, unidades de terapia intensiva neonatal.Resumen
Objective: to compare the workload at a neonatal unit, according to Nursing Activities Score, and the dimensioning of nursing staff. Methods: cross-sectional study at a teaching unit with 30 beds. Data collection took place from October 6 to December 6, 2017, and data were analyzed according to descriptive statistics. Results: the sample of 115 neonates, totaling 1944 measurements. The average workload score was 73%. The unit has 107 nursing professionals, while should has 137. The proportion of registered nurses was lower than recommended (34%), whereas the proportion of nursing technicians was higher than recommended (66%). Conclusion: there was an imbalance between workload and number of professionals in nursing staff. Tools as Nursing Activities Score should be applied for supporting the staff dimensioning, since workload can impact the health outcomes and patient safety.
Descargas
Citas
Ohnstad MO, Solberg MT. Patient acuity and nurse staffing challenges in Norwegian neonatal intensive care units. J Nurs Manag. [Internet]. 2017 [cited 2019 feb 01]; 25(7):569-576. Available from: https://doi.org/10.1111/jonm.12495
Van Oostveen CJ, Mathijssen E, Vermeulen H. Nurse staffing issues are just the tip of the iceberg: a qualitative study about nurses' perceptions of nurse staffing. Int J Nurs Stud. [Internet]. 2015 [cited 2019 feb 11]; 52(8):1300-1309. Available from: https://doi.org/10.1016/j.ijnurstu.2015.04.002
Kang JH, Chul-Woung KB, Sang-Y. Nurse-Perceived Patient Adverse Events depend on Nursing Workload. Osong Public Health Res Perspect. [Internet]. 2016 [cited 2019 feb 11]; 7(1):56-62. Available from: https://doi.org/10.1016/j.phrp.2015.10.015
Inoue KC, Matsuda LM. Sizing the nursing staff in an Intensive Care Unit for Adults. Acta Paul Enferm. [Internet]. 2010 [cited 2018 mar 23]; 23(3):379-84. Available from: <https://www.scielo.br/pdf/ape/v23n3/en_v23n3a11.pdf>.
Maya CM, Simões ALA. Implications of nursing staff's dimensioning in the accomplishment of professional nurse's competences. Rev Bras Enferm. [Internet]. 2011 [cited 2019 jul 13]; 64(5):898-904. Available from: https://doi.org/10.1590/S0034-71672011000500015
Hamilton K, Redshaw ME, Tarnow-Mordi. Nurse staffing in relation to risk-adjusted mortality in neonatal care. Arch Dis Child Fetal Neonatal. [Internet]. 2007 [cited 2019 feb 01]; 92(2):99-103. Available from: https://doi.org/10.1136/adc.2006.102988
Queijo AF, Padilha KG. Instrumento de medida de carga de trabalho de enfermagem em Unidade de Terapia Intensiva: Nursing Activities Score (NAS). Rev Paul Enf. 2004; 23(2): 114-22.
Conishi RMY, Gaidzinki RR. Evaluation of the Nursing Activities Score (NAS) as a nursing workload measurement tool in an adult ICU. Rev Esc Enferm USP. [Internet]. 2007 [cited 2019 jan 01]; 41(3): 346-54. Available from: https://doi.org/10.1590/S0080-62342007000300002
Alghamdi MG. Nursing workload: a concept analysis. J Nurs Manag. [Internet]. 2016 [cited 2019 feb 01]; 24(1), 449–7. Available from: https://doi.org/10.1111/jonm.12354
Queijo AF, Martins RS, Andolhe R, Oliveira EM, Barbosa RL, Padilha KG. Nursing workload in neurological intensive care units: cross-sectional study. Intensive Crit Care Nurs. [Internet]. 2013 [cited 2019 jul 15]; 29(2): 112-6. Available from: https://doi.org/10.1016/j.iccn.2012.08.001
Gonçalves LA, Padilha KG. Factors associated with nursing workload in adult intensive care units. Rev. Esc. enferm. USP. [Internet]. 2007 [cited 2018 jul 11]; 41(4):645-652. Available from: http://dx.doi.org/10.1590/S0080-62342007000400015
Miranda DR, Nap R, Rijk A, Schaufeli W, Iapichino G. Therapeutic intervention scoring system: Nursing Activities Score. Crit Care Med 2003; 31(2):374-82.
Queijo AF, Padilha KG. Nursing Activities Score (NAS): cross-cultural adaption and validation to Portuguese language. Rev Esc Enferm USP. [Internet]. 2009 [cited 2017 feb 01]; 43(spe):1018-1025. Available from: https://www.scielo.br/pdf/reeusp/v43nspe/en_a04v43ns.pdf
Bochembuzio L. Avaliação do instrumento Nursing Activities Score (NAS) em neonatologia; [tese] São Paulo (SP). Escola de Enfermagem da Universidade de São Paulo; 2007. Disponível em: https://www.teses.usp.br/teses/disponiveis/7/7136/tde-23012008-134656/en.php
Campagner AOM, Garcia PCR, Piva JP. Use of scores to calculate the nursing workload in a pediatric intensive care unit. Rev Bras Ter Intensiva. [Internet]. 2014 [cited 2017 feb 01]; 26 (1): 36-43. Available from: https://doi.org/10.5935/0103-507X.20140006
Fugulin FMT, Lima AFC, Castilho V, Bochembuzio L, Costa JA, Castro L, Silva NCL, Gaidzinski RR. Cost of nursing staffing adequacy in a neonatal unit. Rev Esc Enferm USP. [Internet]. 2011 [cited 2017 feb 01]; 45(Esp): 1582-8. Available from: http://dx.doi.org/10.1590/S0080-62342011000700007
Queijo AF, Martins RS, Andolhe R, Oliveira EM, Barbosa RL, Padilha KG. Nursing workload in neurological intensive care units: cross-sectional study. [Internet]. 2013 [cited 2017 feb 01]; Intensive Crit Care Nurs. 29(2): 112-6. Available from: https://doi.org/10.1016/j.iccn.2012.08.001
Padilha K, Stafseth S, Solms D, Hoogendoom M, Monge F, Gomaa O, et al. Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit. Rev Esc Enferm USP. [Internet]. 2015 [cited 2017 jul 13]; 49(spe):131-7. Available from: https://doi.org/10.1590/S0080-623420150000700019
Fugulin FMT, Lima AFC, Castilho V, Bochembuzio L, Costa JA, Castro L, Silva NCL, Gaidzinski RR. Cost of nursing staffing adequacy in a neonatal unit. Rev Esc Enferm USP. [Internet]. 2011 [cited 2017 jul 13]; 45(Esp): 1582-8. Available from: https://doi.org/10.1590/S0080-62342011000700007.
Conselho Federal de Enfermagem (Brasil). Resolução COFEN nº 543, de 08 de Maio de 2017. Atualiza e estabelece parâmetros para o Dimensionamento do Quadro de Profissionais de Enfermagem nos serviços/locais em que são realizadas atividades de enfermagem. Ed. Brasília, 2017. Disponível em: http://www.cofen.gov.br/resolucao-cofen-5432017_51440.html.
Nunes BK, Toma E. Assessment of a neonatal unit nursing staff: application of the Nursing Activities Score. Rev Latino-Am Enferm. [Internet]. 2013 [cited 2017 jul 13]; 21 (1): [08 telas] jan-fev. Available from: https://doi.org/10.1590/S0104-11692013000100009
Coventry TH, Maslin-Prothero SE, Smith G. Organizational impact of nurse supply and workload on nurses continuing professional development opportunities: an integrative review. J Adv Nurs. [Internet]. 2015 [cited 2017 jul 21]; 71(12), 2715–2727. Available from: https://doi.org/10.1111/jan.12724
O' Brien-Pallas L, Thomson D, Hall LM, Ping G, Kerr M, Wang S, et al. Evidence-based standards for measuring nurse staffing and performance. Otawa, Ontário: Canadian Health Services Research Foundation; 2004.
Branco LLWV; Beleza LO; Luna AA. Nursing workload in neonatal ICU: application of the nursing activities score tool. Rev Fund Care Online. [Internet]. 2017 [cited 2017 jul 21]; 9(1):144-151. Available from: http://dx.doi.org/10.9789/2175- 5361.2017.v9i1.144-151
Brasil. Ministério da Saúde. Portaria nº 930, de 10 de maio de 2012. Define as diretrizes e objetivos para a organização da atenção integral e humanizada ao recém-nascido grave ou potencialmente grave e os critérios de classificação e habilitação de leitos de Unidade Neonatal no âmbito do Sistema Único de Saúde (SUS) [portaria na Internet]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2012/prt0930_10_05_2012.html.
Mininel VA, Baptista PC, Felli VEA. Psychic workloads and strain processes in nursing workers of brazilian university hospitals. Rev Latino-Am Enfermagem. [Internet]. mar-abr 2011 [cited 2017 jul 21]; 19(2): 340-7. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692011000200016&lng=en&tlng=en
Andolhe R, Barbosa RL, Oliveira EM, Costa AL, Padilha KG. Stress, coping and burnout among Intensive Care Unit nursing staff: associated factors. Rev Esc Enferm USP. [Internet]. 2015 [cited 2018 jul 11];49 Spec No:58-64. Available from: https://doi.org/10.1590/S0080-623420150000700009
Carmona-Monge FJ, Jara-Pérez A, Quirós-Herranz C, Rollán-Rodríguez G, Cerrillo-González I, García-Gómez S, et al. Assessment of nursing workload in three groups of patients in a Spanish ICU using the Nursing Activities Score scale. Rev Esc Enferm USP [Internet]. 2013 Apr; [cited 2018 nov 08]; 47(2):335-40. Available from: http://dx.doi.org/10.1590/S0080-62342013000200009.
Publicado
Versiones
- 2021-09-28 (2)
- 2021-09-22 (1)
Cómo citar
Número
Sección
Licencia
Derechos de autor 2021 Revista de Pesquisa: Cuidado é Fundamental Online
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
TERMO DE TRANSFERÊNCIA DE DIREITOS AUTORAIS
Transfiro os direitos autorais deste artigo para a Revista de Pesquisa Cuidado é Fundamental - Online - RPCF, assim que ele for aceito para a devida publicação eletrônica. Os direitos de autor incluem o direito de reproduzir na íntegra ou em parte por qualquer meio, distribuir o referido artigo, incluindo figuras, fotografias, bem como as eventuais traduções. O autor pode ainda, imprimir e distribuir cópias do seu artigo, desde que mencione que os direitos pertencem a RPCF. Declaro que este manuscrito é original, não tendo sido submetido à publicação, na íntegra ou em partes para outros periódicos online ou não, assim cmmo em Anais de eventos científicos ou capítulos de livros.