Abstract
To apply the method developed by the World Health Organization, called Workload Indicators of Staffing Need for dimensioning the nursing staff for the care of cancer patients in a Chemotherapy outpatient clinic. This is a quantitative, observational, documentary field study with an intentional sample. Prospective data were collected through the work sampling method. Seventeen nurses and 12 nursing technicians participated in the study. A total of 3,727 observations were performed and were obtained the mean times and the relative working time of 23 nurses' interventions and 18 nursing technicians' interventions. The interventions corresponded to 88.5% of the relative working time of nurses and 83.9% of nursing technicians. Personal activities accounted for 8.2% of the relative working time of nurses and 7.9% of nursing technicians. The reliability test resulted in 86.3% concordance. The similarity between the staff required according to the method studied and the current staff showed that the Workload Indicators of Staffing Need has great potential and applicability for dimensioning nursing professionals safely.
Highlights
The antineoplastic chemotherapy treatment is complex and requires a multidisciplinary team
To apply the method developed by the World Health Organization, called Workload Indicators of Staffing Need for dimensioning the nursing staff for the care of cancer patients in a Chemotherapy outpatient clinic
The Workload Indicators of Staffing Need (WISN) method proved to be applicable to the CT outpatient clinic
Summary
The antineoplastic chemotherapy treatment is complex and requires a multidisciplinary team. The nursing staff stands out among all professional categories involved because of its presence in most interventions(1). One of the challenging situations in the oncological context is that patient care happens predominantly in an outpatient setting. This requires the application of education, monitoring and safety actions (among others) to a great demand of patients during the short period they remain in the institution(2-3). The specific demand of outpatient chemotherapy services requires the application of validated methods for preparing the professional staff. The issue of dimensioning of nursing personnel has been the focus of attention of nurses and service administrators, because it directly interferes in the effectiveness, quality and cost of health care(4)
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