NURSING STAFF SIZING IN PEDIATRIC INTENSIVE CARE UNITS: WORKLOAD VERSUS LEGISLATION
DOI:
https://doi.org/10.5380/ce.v25i0.64058Keywords:
Workload, Motion-Time Studies, Neonatal Intensive Care Units, Pediatric Intensive Care Units, Nursing Human Resources.Abstract
Objective: To compare nursing staff sizing in the relevant legislation according to the workload.
Method: Prospective documentary study conducted in the 2017- 2018 period in six pediatric
intensive care units for children in Paraná. The workload was measured with the use of the
Nursing Activities Score; the sizing was based on legislation and work schedules. Data were
compared, and a bootstrap confidence interval of 95% was used in statistical analysis.
Results: Considering 58 beds, 80 medical records and 412 assessments of care and workload,
the nursing staff was oversized, if compared to the stipulations of the Normative Resolution
No 543/2017 of Brazil’s Federal Council of Nursing (COFEN) in two units, and in four units,
according to Normative Resolution No 26/2012 of the National Health Surveillance Agency
(ANVISA).
Conclusion: The findings indicate the need for changes to obtain a proper staff sizing, including
workload, and changes in legislation. When only the normative resolutions are considered,
oversizing or undersizing may occur.
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