Outpatient nursing team sizing during the covid-19 pandemic
Abstract
Objective: to size the nursing team in a multi-specialty outpatient clinic during the COVID-19 pandemic. Method: this is a retrospective study, carried out in an outpatient clinic of a university hospital in southern Brazil. The sample was composed of a compilation of nursing team activities, extracted over a period of 16 weeks (September-December 2020). The variables, steps and equations for staffing at the outpatient clinic respected current national regulations. Data were subjected to descriptive statistical analysis. The Technical Safety Index of 15% and 25% was applied. Results: the standard weekly mirror resulted in 12 specific operational areas and two of general content. The total number of functional sites was 30 for nurses and 110 for mid-level workers. The number of nurses in the actual/available workforce was four, and the projected number varied from three to four. Regarding the technical team, a mean of seven professionals was identified in the actual staff and 14 in the dimensioned staff. Thus, there was a mean monthly deficit of -7 for nursing technicians/assistants and adequacy of nurses. Conclusion: during the COVID-19 pandemic, the outpatient mid-level nursing staff was insufficient.
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Ribeiro OMPL, Vicente CMFB, Martins MMFPS, Vandresen L, Silva JMAV. Instruments for assessing professional nursingpracticeenvironments: anintegrative review. Rev Gaúcha Enferm. 2020;41:e20190381. doi: 10.1590/1983-1447.2020.20190381.
Nishiyama JAP, Moraes RMR, Magalhães AMM, Nicola AL, Trevilato DD, Oliveira JLC. Labour, ethicalandpoliticaldimensionsofnursing staff sizing in the face of COVID-19. Esc Anna Nery. 2020;24(spe):e20200382. doi: 10.1590/2177-9465-EAN-2020-0382.
Santos RS, Barreto CTG, Lemos PFS, Duarte CA, Moreira DS, Reis AT, et al. Management of a universityambulatoryservice: nursing in thecopingofthepandemicof COVID-19. RevBrasEnferm. 2020;74(Suppl 1):e20200834. doi: 10.1590/0034-7167-2020-0834.
McHugh MD, Aiken LH, Windsor C, Douglas C, Yates P. Case for hospital nurse-to-patientratiolegislation in Queensland, Australia, hospitals: anobservationalstudy. BMJ Open. 2020;10(9):e036264. doi: 10.1136/bmjopen-2019-036264.
Lasater KB, Sloane DM, McHugh MD, Cimiotti JP, Riman KA, Martin B, et al. Evaluationof hospital nurse-to-patientstaffingratiosandsepsisbundlesonpatientoutcomes. Am J InfectControl. 2020. doi: 10.1016/j.ajic.2020.12.002.
Brasil. Conselho Federal de Enfermagem. Resolução nº 543, de 18 de abril de 2017. Atualiza e estabelece parâmetros para o Dimensionamento do Quadro de Profissionais de Enfermagem nos serviços/locais em que são realizadas atividades de enfermagem. Diário Oficial da União. Brasília, 8 maio 2017, Seção 1, p. 119.
Ferreira VHS, Teixeira VM, Giacomini MA, Alves LR, Gleriano JS, Chaves LDP. Contributionsandchallengesof hospital nursing management: scientificevidence. RevGaúchaEnferm. 2019;40:e20180291. doi: 10.1590/1983-1447.2019.20180291.
Macedo ABT, Riboldi CO, Silva KS, Mergen T, Echer IC, Souza SBC. Validationofparameterstofill in thePerroca’spatientclassification system. Rev Gaúcha Enferm. 2018;39:e20170241. doi: 10.1590/1983-1447.2018.20170241.
Von Elm E, Altman DG, Eggeer M, Pocock SJ, Gotzsche PC, Vandenbroucke JP. StrengtheningtheReportingofObservationalStudies in Epidemiology (STROBE) statement: guidelines for reportingobservationalstudies. BMJ. 2007 Oct;335(7624):806- 8. DOI: https://doi.org/10.1136/bmj.39335.541782.AD.
Núcleo de Apoio à Gestão Hospitalar. Manual de indicadores de enfermagem NAGEH. 2. ed. São Paulo: APM/CREMESP; 2012.
Vasconcelos RO, Rigo DFH, Marques LGS, Nicola AL, Tonini NS, Oliveira JLC. Dimensioningof hospital nursingpersonnel: studywithbrazilianofficialparametersof 2004 and 2017. Esc Anna Nery. 2017;21(4):e20170098. doi: 10.1590/2177-9465-EAN-2017-0098.
Oliveira JLC, Maia MCW, Magalhães AMM, Moraes RMR, Santarem MD, Aquino TLO, et al. Benchmarking ofqualityindicatorsanddimensioningofnursing staff among hospital units. RevBaianaEnferm. 2020;34:e37756. doi: 10.18471/rbe.v.34.37756.
Nishio EA, Lazarini LF, Salvador ME, D’Innocenzo M. ImplementationoftheNursing Services Management Model in 16 hospitals. RevBrasEnferm. 2021;74(1):e20190756. doi: 10.1590/0034-7167-2019-0756.
Freire NP, Castro DA, Fagundes MCM, Neto FRGX, Cunha ICKO, Silva MCN. News onBraziliannursing in the COVID-19 pandemic. Acta Paul Enferm. 2021; 34:eAPE02273.doi: 10.37689/acta-ape/2021AO02273.
Paixão GLS, Freitas MI, Cardoso LCC, Carvalho AR, Fonseca GG, Andrade AFSM, et al. Estratégias e desafios do cuidado de enfermagem diante da pandemia da Covid-19. Braz J of Dev. 2021;7(2):19125-139. doi: 10.34117/bjdv7n2-521.
Persegona MFM, Pires RAR, Medeiros GG, Pinheiro FAZ, Lopes MSS, Junior AN, et al. Observatório da enfermagem: ferramenta de monitoramento da Covid-19 em profissionais de enfermagem. Enferm foco. 2020; 11(Esp. 2):6-11. Doi: 10.21675/2357-707X.2020.v11.n2.ESP.4283.
Alves ABSL, Matos FGOA, Carvalho ARS, Alves DCI, Tonini NS, Santos RP, et al. Absenteeism in nursing in the face of COVID-19: a comparativestudy in a hospital fromsouthernBrazil. TextoContextoEnferm. 2022; 31:e20210254. Doi: 10.1590/1980-265X-TCE-2021-0254
Tracera G, Santos K, Nascimento F, Souza KH, Portela L, Zeitoune RC. Factorsassociatedwithabsenteeismofnursingprofessionals in universityoutpatientclinics in Brazil. J NursManag. 2020;28(6):1259-67. doi: 10.1111/jonm.13073.
Barreto MS, Arruda GO, Marcon SS, Correia LPS, Queruz ALD, Rissardo LK, et al. Estresse e burnout entre profissionais de saúde de pronto atendimento durante a pandemia da COVID-19. Cienc. Cuid. Saúde. 2021; 20:e60841. Doi: 10.4025/cienccuidsaude.v20i0.60841.
Santos KM, Tracera GMP, Zeitoune RCG, Sousa KHJF, Nascimento FPB. Profile ofthenursingteamofuniversityoutpatientunits: workerhealthconsiderations. Esc Anna Nery. 2020;24(2):e20190192. doi: 10.1590/2177-9465-EAN-2019-0192.
Santos DV, Gaidzinski RR. Dimensioningofnursing staff in outpatientchemotherapy: applicationoftheWorkloadIndicatorsofStaffingNeed. RevEscEnferm USP. 2019;53:e03456. doi: 10.1590/S1980-220X2018003803456.
Martin LGR, Gaidzinski RR. Creatingandvalidatinganinstrumenttoidentifytheworkloadatanoncologyandhematologyoutpatientservice. Einstein (São Paulo). 2014;12(3):323-9. doi: 10.1590/S1679-45082014AO2996.
Korompoki E, Gavriatopoulou M, Hicklen RS, Ntanasis-Stathopoulos I, Kastritis E, Fotiou D, et al. Epidemiologyandorganspecificsequelaeof post-acute COVID19: a narrative review. J Infect. 2021;83(1):1-16. doi: 10.1016/j.jinf.2021.05.004.
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