Comparison of patient classification systems for dimensioning nursing staff.

IF 1.2 4区医学 Q3 NURSING Revista da Escola de Enfermagem da U S P Pub Date : 2023-01-01 DOI:10.1590/1980-220X-REEUSP-2023-0047en

Jéssica Azevedo Guardalupe, Ivana Duarte Brum, Débora Francisco do Canto, Kelly Cristina Milioni Telles, Ana Maria Müller de Magalhães, João Lucas Campos de Oliveira

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Abstract

Objective: To compare nursing staff workload and dimensioning measured by two patient classification systems.

Method: Cross-sectional study, developed in a clinical inpatient unit of a large hospital in southern Brazil, between June and August 2022. Included patients (n = 260) were assessed through two different patient classification systems. The dimensioning calculation provided by the standard and descriptive statistics were applied.

Results: Of the total number of patients, 1,248 classifications were performed with each of the classification systems. One of the instruments showed a concentration of demand for minimal care (54.5%) and the other for intermediate care (63.4%). The anticipation of required nursing hours was discrepant (235.58 and 298.16 hours), as well as the projected nursing staff, which was of 53 and 67 workers, respectively.

Conclusion: Measurement of workload and dimensioning were different when using two patient classification systems in the same sample. Additional accuracy studies shall be carried out.

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护理人员尺寸患者分类系统的比较。

目的:比较两种病人分类系统所测量的护理人员工作量和量表。方法:横断面研究，于2022年6月至8月在巴西南部一家大型医院的临床住院病房开展。纳入的患者(n = 260)通过两种不同的患者分类系统进行评估。采用标准和描述性统计提供的量纲计算。结果:在患者总数中，每个分类系统进行了1248次分类。其中一项仪器显示对最低限度护理的需求集中(54.5%)，另一项仪器显示对中间护理的需求集中(63.4%)。预计所需护理时数(235.58小时)和298.16小时)存在差异，预计护理人员分别为53人和67人。结论:在同一样本中使用两种患者分类系统时，工作量测量和量纲不同。应进行额外的准确性研究。

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来源期刊

Revista da Escola de Enfermagem da U S P 医学-护理

CiteScore

1.70

自引率

11.10%

发文量

254

审稿时长

3-8 weeks

期刊介绍： The University of São Paulo Nursing School Journal (Revista da Escola de Enfermagem da USP, REEUSP) is a bimonthly periodical revised by fellow nurses, which has the objective of publishing empirical or theoretical articles that represent a significant advance for the professional practice or for the fundaments of Nursing Mission: to stimulate knowledge production and dissemination in Nursing and related areas, focusing on international interlocution to advance Nursing science. Areas of Interest: Nursing and Health Its abbreviated title is Rev Esc Enferm USP, which should be used in bibliographies, footnotes and bibliographical references and strips.