Abstract
This descriptive study aimed to calculate and compare the nursing staff at the medical-surgical clinical units of a philanthropic hospital in current and projected situations, and to investigate how much time the nursing team delivers patient care in the current and projected situations. Gaidzinski's method was used to calculate the nursing staff, and the equation proposed by the Hospital Quality Commitment (HQC) to estimate care hours. The findings showed an increase of 33% in the staff, with a 68.4% increase in the number of nurses and 15.6% in the number of technicians / nursing auxiliaries. According to the projected situation, the care hours varied from 5.7 to 7.2. The number of nursing and the mean care time provided to the patients were inadequate according to the clientele's care needs. This could impair the quality of care.
Highlights
Continuous quality improvement has permeated work processes in health services
As nurses need to continuously identify the quality of their team’s professional practice and use the results found as a management tool for pertinent interventions in work processes(3), the following study objectives were outlined
Another study(12) carried out at hospitalization units showed a higher percentage of patients in the minimal care category (68.7%), with lower percentages for semi-intensive (6.6%) and intensive care (1.5%)
Summary
Continuous quality improvement has permeated work processes in health services. Quality can be defined as a set of attributes that include the level of professional excellence, efficient resource use, patient safety and user satisfaction(1). To measure performance and signal activity irregularities, instruments known as indicators are used. These can be defined as a quantitative measure used to reassess, replan and reorganize activities at a service, offering support for decision making in care management(2). Another aspect that needs to be taken into account in health service assessment is related to personnel management. The human dimension is considered as the core of management discussions, as professional satisfaction is of fundamental importance to achieve organizational targets(3)
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