Rossetti Ana Cristina, Gaidzinski Raquel Rapone, Bracco Mario Maia
Sociedade Beneficente Israelita Brasileira Albert Einstein, Hospital Municipal Dr. Moysés Deutsch ? M?Boi Mirim, São Paulo, SP, Brazil.
Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2014 Apr;12(2):217-22. doi: 10.1590/s1679-45082014ao2945.
To identify indicators of required nursing workload for pediatric patients care in an emergency department.
This cross-sectional quantitative study was carried out in a pediatric short-stay unit at a public hospital in São Paulo (SP), Brazil. The patient classification system and activity times of nursing care proposed by the Brazilian Federal Nurse Council were applied to all patients admitted over a 1-month period. The instruments were applied by two nurses in populations of 500 and 453 patients, respectively. Nursing workload was calculated in terms of hours and by nurse/patient ratio. Data were analyzed by descriptive statistics, and inter- and intraobserver reliability was assessed by using Kappa coefficient. Confidence intervals were measured to verify differences in numbers of patient among work shifts.
The average daily workload was 108.7 hours and the average amount of time spent on nursing care per patient was 7.9 hours. The nurse-patient ratio was 1:2.6.
The application of the standardized classification instrument was adequate. It enabled the classification of pediatric patients and the measurement of amount of time needed for nursing care. The average number of nursing work hours per patient met the average time for semi-intensive care established by the Brazilian Federal Nurse Council.
确定急诊科儿科患者护理所需护理工作量的指标。
本横断面定量研究在巴西圣保罗市一家公立医院的儿科短期住院病房进行。巴西联邦护士委员会提出的患者分类系统和护理活动时间应用于1个月内收治的所有患者。这些工具分别由两名护士应用于500名和453名患者群体。护理工作量按小时和护士/患者比例计算。数据采用描述性统计分析，观察者间和观察者内信度采用Kappa系数评估。测量置信区间以验证各工作班次患者数量的差异。
平均每日工作量为108.7小时，每名患者护理平均花费时间为7.9小时。护士与患者的比例为1:2.6。
标准化分类工具的应用是恰当的。它能够对儿科患者进行分类，并测量护理所需时间。每名患者的平均护理工作小时数符合巴西联邦护士委员会确定的半重症护理平均时间。
Zotero 插件