Abstract
This study aimed to evaluate the parameters established in COFEN Resolution 293/04 concerning nursing staff dimensioning in adult intensive care units (AICU). The research was conducted in six hospitals in São Paulo City. The daily quantitative average of professionals needed for patient care was calculated according to the parameters established by COFEN. The obtained results were compared with the existing number of daily staff members in these units. It was observed that the proportions recommended by COFEN for the nurse category are superior to those used in the hospitals studied, which represents a challenge for Brazilian nursing. Mean care time values were found appropriate and represent important standards for dimensioning the minimum number of professionals in AICU. This study contributed to the validation of the parameters indicated in Resolution 293/04 for nursing staff dimensioning in the AICU.
Highlights
IntroductionThe Nursing Service plays a fundamental role in the care process
Ongoing transformations in the global political and economic scenario, driven by the growing integration and socialization of communication means and informatics resources, increasingly demand the rapid adaptation from industrial and service sectors, including the health sector, to this new context, where efficiency and quality are fundamental requisites to attend to clients’ demands.In hospital institutions, the Nursing Service plays a fundamental role in the care process
In view of the established parameters and the importance of analyzing the applicability of COFEN Resolution No 293/04(13), as a reference for nursing staff dimensioning at hospital institutions, the aim of this study is to assess the parameters recommended in COFEN Resolution No 293/04(13) as one of the official references for nursing staff dimensioning at adult intensive care units (AICU)
Summary
The Nursing Service plays a fundamental role in the care process. The heads of these services should prepare themselves to better manage the human resources they are responsible for, focusing on their efficiency, as this is one of the most significant items of hospital efficacy, quality and cost. In this sense, various studies(5-10) have demonstrated that both the number and qualification of nursing resources in hospitals are associated with care outcomes that, when insufficient or inadequate, can lead to pneumonias, urinary tract infection, increased hospitalization time, shock and high infection levels.
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