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儿科半重症监护病房中与促进自我护理相关的护理人员规模确定

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

作者信息

Trettene Armando Dos Santos, Fontes Cassiana Mendes Bertoncello, Razera Ana Paula Ribeiro, Prado Priscila Capelato, Bom Gesiane Cristina, von Kostrisch Lilia Maria

机构信息

Programa de Pós-Graduação em Ciências da Reabilitação, Hospital de Reabilitação de Anomalias Craniofaciais, Universidade de São Paulo - Bauru (SP), Brasil.

Departamento de Enfermagem, Universidade Estadual Paulista "Júlio de Mesquita Filho" - Botucatu (SP), Brasil.

出版信息

Rev Bras Ter Intensiva. 2017 Apr-Jun;29(2):171-179. doi: 10.5935/0103-507X.20170027.

DOI:10.5935/0103-507X.20170027
PMID:28977258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5496751/
Abstract

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.

摘要

目的

计算并比较儿科半重症监护病房中与促进自我护理相关的护理人员规模。

方法

这是一项前瞻性研究，31名儿童及其照顾者参与其中。使用护理活动评分工具在两个不同时间点（首次和第二次住院）评估与每位参与者相关的护理工作量。首次住院对应促进自我护理阶段。根据护理活动评分工具和巴西联邦护理委员会（COFEN）第527/16号决议建议的护理时长，计算两次住院期间的工作人员规模，并比较结果。

结果

首次住院期间的护理工作量（14.6小时）高于第二次住院期间的护理工作量（9.9小时）（p < 0.001）。护理活动评分显示，根据护理时长，首次和第二次住院期间护理人员规模分别对应26名和18名专业人员，而根据COFEN第527/16号决议则为15名专业人员。

结论

根据护理活动评分建议的护理时长，儿科半重症监护病房中负责促进自我护理的人员数量高于现有立法建议的数量。这表明有必要重新考虑此类医疗服务的人员规模。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad9/5496751/fc25d2803c71/rbti-29-02-0171-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad9/5496751/fc25d2803c71/rbti-29-02-0171-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ad9/5496751/fc25d2803c71/rbti-29-02-0171-g01.jpg

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