Cassiani Silvia Helena De Bortoli, Fernandes Maria Neyrian de Fátima, Reveiz Ludovic, Filho José Rodrigues Freire, da Silva Fernando Antônio Menezes
Organização Pan-Americana da Saúde Washington, D.C. Estados Unidos de América Organização Pan-Americana da Saúde, Washington, D.C., Estados Unidos de América.
Universidade Federal do Maranhão Imperatrize Brasil Universidade Federal do Maranhão, Imperatriz, Brasil.
Rev Panam Salud Publica. 2020 Jul 17;44:e82. doi: 10.26633/RPSP.2020.82. eCollection 2020.
To evaluate the effectiveness of the strategy of skill mix of nurses and other health care professionals in primary health care.
Systematic review of the literature aligned with the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), including observational and intervention studies. No restrictions were established for period or country of publication; studies published in Spanish, English and Portuguese were included. The search was carried out in MEDLINE, CINAHL, LILACS, EMBASE and Web of Science electronic databases.
Eighteen studies were analyzed, including 6 from the United States; 3 from the Netherlands; 2 from the United Kingdom; 1 each from Australia, South Africa, South Korea, Scotland, Haiti and Japan; and 1 study with a prospective observational design from 8 countries. The studies reported that the skill mix among health professionals enables a better use of material resources; optimizes time spent on care; improves adhesion to treatment, quality of care and commitment and satisfaction with the work; and reduces the level of psychological distress in nursing professionals.
The expansion of tasks of nurses and other health care professionals, and the skill mix as well as the development of interprofessional teams, are strategies that help to face a scarcity and poor distribution of human resources in urban and non-urban areas with improvement of the health care of the population and satisfaction of professionals and clients.
评估护士与其他医护专业人员技能组合策略在初级卫生保健中的有效性。
按照系统评价与Meta分析的首选报告项目（PRISMA）的建议对文献进行系统评价，包括观察性研究和干预性研究。对发表时间和国家未设限制；纳入西班牙语、英语和葡萄牙语发表的研究。检索在MEDLINE、CINAHL、LILACS、EMBASE和科学网电子数据库中进行。
分析了18项研究，其中6项来自美国；3项来自荷兰；2项来自英国；澳大利亚、南非、韩国、苏格兰、海地和日本各1项；1项前瞻性观察性设计研究来自8个国家。这些研究报告称，卫生专业人员之间的技能组合能够更好地利用物质资源；优化护理时间；提高治疗依从性、护理质量以及对工作的投入度和满意度；并降低护理专业人员的心理困扰程度。
扩大护士和其他医护专业人员的任务、技能组合以及发展跨专业团队，是有助于应对城乡地区人力资源短缺和分布不均问题的策略，同时可改善人群的卫生保健状况，并提高专业人员和服务对象的满意度。
