scholarly journals Dimensioning of hospital nursing personnel: study with brazilian official parameters of 2004 and 2017

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Raíssa Ottes Vasconcelos ◽  
Denise de Fátima Hoffmann Rigo ◽  
Luis Guilherme Sbrolini Marques ◽  
Anair Lazzari Nicola ◽  
Nelsi Salete Tonini ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Actual Condition ◽  
Patient Classification ◽  
Cross Sectional ◽  
Hospital Unit ◽  
Hospital Nursing ◽  
Patient Classification System ◽  
Negative Difference

Abstract Objective: To investigate the dimensions of the nursing team of a hospital unit according to the official Brazilian parameters of 2004 and 2017 and compare the dimensioned conditions to the actual condition existing. Method: A cross-sectional study with data from patients (n = 325) hospitalized in the Neurology and Orthopedics unit of a university hospital in Paraná, Brazil. Data from the Patient Classification System related to nursing work, as well as sociodemographic and clinical variables of the clientele were compiled. The dimensioning of the nursing staff followed the Federal Nursing Council Resolutions of 2004 and 2017. Results: The profile of the patients showed predominantly men (66.46%) hospitalized for Orthopedics (49.58%). The negative difference of professionals dimensioned compared to the actual condition was more evident for the category of nurses, below both the parameters of 2004 (-8) and 2017 (-11). Conclusions: The number of nursing staff in the unit was insufficient.

scholarly journals SIZING OF NURSING STAFF IN CLINICAL, SURGICAL AND PEDIATRIC HOSPITALIZATION UNITS

2021 ◽  
Vol 30 ◽  
Author(s):  
Rúbia Marcela Rodrigues Moraes ◽  
Juliana Aparecida Peixoto Nishiyama ◽  
Ana Cristina Pretto Báo ◽  
Francine Melo da Costa ◽  
Lisiane Nunes Aldabe ◽  
...  
Keyword(s):  
Nursing Staff ◽  
Cross Sectional Study ◽  
University Hospital ◽  
General Staff ◽  
Cross Sectional ◽  
Pediatric Hospitalization ◽  
Surgical Units ◽  
Pediatric Inpatient ◽  
Inpatient Units ◽  
Descriptive Statistical Analysis

ABSTRACT Objective: to size the Nursing staff in clinical, surgical and pediatric inpatient units. Method: a retrospective cross-sectional study, carried out in a university hospital in Midwest Brazil. The data were obtained from daily classifications of the care complexity level (n=5,808) among patients (n=882) hospitalized in the referred units, from July to October 2019, in addition to occupancy and hospital stay indicators. Descriptive statistical analysis, parameters and an equation specific to the design were used. Results: clinical hospitalization had the highest occupation, permanence, demand for Nursing hours/day (162.58) and deficit of nurses (-12), followed by the pediatric unit (-2). In the clinical and surgical units, there was the same available/real number of nurses. The general staff sized showed personnel surplus (+24), due to the high number of mid-level professionals in all the sectors. Conclusion: expected sizing inadequacy was verified, as there was a mismatch between workload and allocation of professionals in the units.

scholarly journals Professional burnout, stress and job satisfaction of nursing staff at a university hospital

2015 ◽  
Vol 23 (3) ◽  
pp. 543-552 ◽  
Author(s):  
Silvia Portero de la Cruz ◽  
Manuel Vaquero Abellán
Keyword(s):  
Job Satisfaction ◽  
Nursing Staff ◽  
Maslach Burnout Inventory ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Average Score ◽  
Professional Burnout ◽  
Cross Sectional ◽  
Nursing Stress

OBJECTIVES: to describe the social and work characteristics of the nursing staff at a tertiary hospital in the Public Health Service of Andalucía, to assess the degree of professional professional burnout and job satisfaction of those professionals and to study the possible relation between the professional burnout variables and the stress and job satisfaction levels on the one hand and social and employment variables on the other.METHOD: descriptive and cross-sectional study in a sample of 258 baccalaureate and auxiliary nurses. As research instruments, an original and specific questionnaire was used to collect social and employment variables, the Maslach Burnout Inventory, the Nursing Stress Scale and the Font-Roja questionnaire. Descriptive, inferential statistics and multivariate analysis were applied.RESULTS: average scores were found for professional stress and satisfaction, corresponding to 44,23 and 65,46 points, respectively. As regards professional burnout, an average score was found on the emotional exhaustion subscale; a high score for depersonalization and a low score for professional accomplishment. Studies are needed to identify the scores on these subscales in health organizations and to produce knowledge on their interrelations.

scholarly journals 'n Rekenaargesteunde Wissellys

Curationis ◽  
1985 ◽  
Vol 8 (2) ◽  
Author(s):  
Mirinda Coetsee
Keyword(s):  
Computer Program ◽  
Nursing Staff ◽  
Cost Containment ◽  
Classification System ◽  
Patient Classification ◽  
Nursing Management ◽  
Staff Scheduling ◽  
Hospital Nursing ◽  
Patient Classification System ◽  
Monthly Change

Drawing up the monthly change list and the off-duty times for hospital nursing staff is an important administrative function. However, nursing management spends many valuable hours on this function. These hours can be reduced to minutes by a computer program designed for this purpose. The program also contributes to cost containment as it allows for more effective staff scheduling, particularly when used with a patient classification system. Furthermore, it provides a variety of useful management reports such as a monthly productivity summary, a monthly costanalysis report and a 24-hour staff analysis.

scholarly journals Nursing staff sizing in the emergency room of a university hospital

2015 ◽  
Vol 49 (3) ◽  
pp. 481-487 ◽  
Author(s):  
Taís Couto Rego da Paixão ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Meiry Fernanda Pinto Okuno ◽  
Ruth Ester Assayag Batista
Keyword(s):  
Emergency Room ◽  
Nursing Staff ◽  
Classification System ◽  
Registered Nurse ◽  
Professional Staff ◽  
Risk Classification ◽  
University Hospital ◽  
Patient Classification ◽  
Patient Classification System

OBJECTIVE To verify the adequacy of the professional nursing staff in the emergency room of a university hospital and to evaluate the association between categories of risk classification triage with the Fugulin Patient Classification System. METHOD The classification of patients admitted into the emergency room was performed for 30 consecutive days through the methodology proposed by Gaidzinski for calculating nursing requirements. RESULTS The calculation determines the need for three registered nurses and four non-registered nursing for each six hour shift. However, only one registered nurse and four non-registered nurse were available per shift. There was no correlation between triage risk classification and classification of care by the Fugulin Patient Classification System. CONCLUSION A deficit in professional staff was identified in the emergency room. The specificity of this unit made it difficult to measure. To find the best strategy to do so, further studies should be performed.

scholarly journals Classification of patients seen at a hemodynamics unit according to the degree of dependence on nursing care

2008 ◽  
Vol 21 (1) ◽  
pp. 72-76
Author(s):  
Aline Hammermüller ◽  
Eneida Rejane Rabelo ◽  
Sílvia Goldmeier ◽  
Karina de Oliveira Azzolin
Keyword(s):  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Average Score ◽  
Patient Classification ◽  
Hospital Data ◽  
Cross Sectional ◽  
Significant Difference ◽  
Level Of Consciousness

OBJECTIVE: To classify patients in a hemodynamics healthcare unit, according to the degree of dependence on nursing care. METHODS: Cross-sectional study performed in June/2005 at the Hemodynamics unit of a university hospital. Data were collected during the first hour post-procedure, using Perroca's instrument of patient classification. RESULTS: Among 164 patients, 52% were female, aged 60 ± 14.8 years. The average score of classification was 31.9 ± 4.8, rated as intermediate. As for instrument indicators, patients submitted to gastroenterological procedures presented a significant difference regarding their level of consciousness (P<0.0001); as for motility, patients submitted to cardiologic procedures presented higher dependence scores (P<0.0001); there were no differences for locomotion between the different specialties. CONCLUSION: The dependence profile of patients seen in the hemodynamics unit was considered intermediate. Further studies may add more information when planning the size of hemodynamics units.

scholarly journals Nurses’ Experiences of Nonpatient Factors That Affect Nursing Workload: A Study of the PAONCIL Instrument’s Nonpatient Factors

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Lisbeth Fagerström ◽  
Paula Vainikainen
Keyword(s):  
Working Conditions ◽  
Cross Sectional Study ◽  
Self Control ◽  
Nursing Workload ◽  
Intensity Level ◽  
Patient Classification ◽  
Cross Sectional ◽  
Professional Assessment ◽  
Outpatient Settings ◽  
Patient Classification System

In the RAFAELA patient classification system, the professional assessment of optimal nursing care intensity level (PAONCIL) instrument is used to assess the optimal nursing intensity level per unit. The PAONCIL instrument contains an overall assessment of the actual nursing intensity level and an additional list of central nonpatient factors that may increase or decrease the total nursing workload (NWL). The aim of this cross-sectional study was to assess and determine which nonpatient factors affect nurses’ experiences of their total NWL in both outpatient settings and hospitals, as captured through the PAONCIL instrument. The data material consisted of PAONCIL questionnaires from 38 units and 37 outpatient clinics at 11 strategically selected hospitals in Finland, and included nurses’ answers(n=1307)to the question of which factors, other than nursing intensity, affect total NWL. The methods for data analyses were qualitative content analyses. The nonpatient factors that affected nurses’ experiences of total NWL are “organization of work,” “working conditions,” “self-control,” and “cooperation.” The actual list of nonpatient factors in the PAONCIL instrument is to a reasonable extent relevant, but the list should be improved to include nurses’ actual working conditions and self-control.

scholarly journals Safe injection awareness and practices among nursing staff in an Egyptian and a Saudi hospital

2019 ◽  
Vol 94 (1) ◽  
Author(s):  
Manal M. Anwar ◽  
Alshimaa A. Mohamed Lotfy ◽  
Afaf A. Alrashidy
Keyword(s):  
Nursing Staff ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Continuous Training ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean ◽  
Safe Injection ◽  
Child Hospital ◽  
Injection Practices

Abstract Background Unsafe injection practices are an occupational hazard among the nursing staff. Awareness of nurses’ staff members about safe injection practices may vary between different hospitals according to the policies adopted for staff training and systematic auditing. Aim To assess awareness and practice of safe injection among nursing staff in a Maternal and Child Hospital, Qassim Region, Saudi Arabia, and Beni-Suef University Hospital, Egypt. Methods A cross-sectional study using a structured questionnaire. Observations included 500 injections (250 from each hospital) from October to December 2017. Results The mean awareness total scores in both hospitals were 9.98 ± 1.76 and 11.12 ± 0.96 respectively with a significant difference among observed nurses (P = 0.001). The mean safe injection practice total score was 27.13 ± 3.11 and 27.39 ± 2.17. Past year safe injection training was received for 95% and 70% for observed Egyptian and Saudi group of nurses. The majority of nurses (98.8%) were aware of the importance of safe injection practices to minimize blood-borne diseases, and 95.2% of them were aware of the placement of sharps disposal box beside the place of injection procedure. Exposure to the past year needlestick injuries (NSIs) was higher among the observed Egyptian nurses (P = 0.001). Using appropriately stored and refilled disinfectants was done by 48.5% and 51.5% of the observed nurses. Needle separation from its syringe inside sharps disposal box and sharps disposal boxes near patient care areas were observed in 95.2% and 95.6% of both hospitals respectively. Conclusions and recommendation Nurses of both hospitals have good awareness and practice of injection safety. This might be attributed to the adoption of appropriate training courses. There is a need for continuous training sessions and auditing for nursing staff to ensure safe injection practices.

scholarly journals Calculation of the Optimal Number of Nurses Based on Nursing Intensity by Patient Classification Groups in General Units in South Korea: a Cross-sectional Study

2021 ◽  
Author(s):  
Yukyung Ko ◽  
Bohyun Park
Keyword(s):  
Internal Medicine ◽  
Cross Sectional Study ◽  
Optimal Number ◽  
Nursing Workload ◽  
Patient Classification ◽  
Nursing Time ◽  
Cross Sectional ◽  
Hospital Nursing ◽  
Surgical Unit ◽  
Internal Medicine Unit

Abstract Background: Calculating the accurate number of nursing personnel based on a patient classification system that clearly reflects the nursing needs of patients is a problem directly related to the nursing unit’s budget management, productivity, etc. This study aimed to calculate the total daily nursing workload and the optimal number of nurses per general unit based on the nursing intensity and direct nursing time per inpatient through patient classification.Methods: Three units at one general hospital were investigated. To calculate nursing intensity, patient classification according to nursing needs was performed for over 10 days in each unit in September 2018. The direct and non-direct nursing time and nursing intensity scores were analyzed using descriptive statistics (e.g. frequency, percentage, and average) generated using Microsoft Excel.Results: For the internal medicine unit, the average direct nursing time per patient was 1.0, 1.5, 2.2, and 2.9 hours for Groups 1, 2, 3 and 4, respectively. For the surgical unit, the average direct nursing time per patient was 0.9, 1.4, 2.1, and 2.6 hours for Groups 1, 2, 3, and 4, respectively. For the comprehensive nursing care unit, the average direct nursing time per patient was 0.8, 1.2, 1.7, and 2.2 hours for Groups 1, 2, 3, and 4. The optimal number of nurses was 25 in the internal medicine unit, 37 in the surgical unit, and 22 in the comprehensive nursing unit. There was a shortage of five nurses in the internal medicine unit and nine in the surgical unit.Conclusion: Based on the nursing time according to patient classification groups, this study confirmed that the optimal number of nurses cannot be secured and that the nursing intensity is very high. The results of this study suggest that long-term efforts, such as improving the nursing environment, should be made to secure an optimal number of nurses in various hospital nursing units.

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