Cogitare Enfermagem (Feb 2023)

PATIENT CLASSIFICATION AND NURSING STAFF DIMENSIONING IN A PEDIATRIC INPATIENT UNIT

  • Rúbia Marcela Rodrigues Moraes,
  • Ana Caroline de Lara,
  • Eduardo Cardoso Remedio,
  • Maria Aparecida Munhoz Gaiva,
  • Mozara Mota Gentilini,
  • João Lucas Campos de Oliveira,
  • Ana Maria Muller de Magalhães

DOI
https://doi.org/10.1590/ce.v28i0.89190
Journal volume & issue
Vol. 28

Abstract

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Objective: to describe the implementation of the Patient Classification System and the dimensioning of the nursing staff in a pediatric inpatient unit. Method: a descriptive, cross-sectional, and retrospective study, carried out at a university hospital in the Midwest of Brazil. After the implementation of the Pediatric Patient Classification System, we compiled data from the classifications of the level of care complexity (N=4,639) among patients (n=608) admitted from January to December 2019. Descriptive statistical analysis was employed, including proprietary methodology for staff sizing. Results: there was a prevalence of intermediate care patients. According to the staff dimensioning, there was a surplus (+10) of mid-level workers, and the projected number of nurses (six) was compatible with the available number. Conclusion: the strategic implementation/employment of the Patient Classification System was indispensable for the pediatric nursing staffing forecast, considering that the staffing surplus found should be appreciated with caution.

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