Análise do Quadro de Pessoal de Enfermagem e sua Influência na Ocorrência de Eventos Adversos em Unidades de Internação de um Hospital de Médio Porte

• Autor(a) principal: FERNANDA MAREGA NERY DE SOUZA
• Data de Publicação: 2021
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMS
• Texto Completo: https://repositorio.ufms.br/handle/123456789/3694
• topic: Downsizing Organizacional. Carga de Trabalho. Equipe de Enfermagem. Segurança do Paciente. Doença Iatrogênica.

This dissertation aims to analyze the nursing staff and describe the occurrence of adverse events in the medical and surgical inpatient units of a medium-sized hospital. Descriptive, cross-sectional, prospective study with a quantitative approach carried out in a philanthropic hospital of medium complexity located in the municipality of Três Lagoas, state of Mato Grosso do Sul. Data were collected from August to November 2020, using the Classification System of Patients (SCP) of Fugulin, with complement in the area of care in wounded patients. The dimensioning of nursing staff was calculated according to the recommendations of the Federal Nursing Council and the Adverse Events (AEs) that occurred in the inpatient units, during the data collection period, were provided by the Patient Safety Center (PSC). Following the ethical precepts of resolutions 466/2012 and 510/2016, of the National Health Council, since the research participants signed the informed consent form and the data were collected only after approval by the Research Ethics Committee with Human Beings located at the Federal University of Mato Grosso do Sul Foundation, under nº 3.937.361. As a result of the elaboration of two articles, the first article was carried out in the medical clinic unit, 1,539 evaluations were carried out in 309 patients, most of whom, 71% of the sample, were aged 50 years or more. The Total Nursing Hours in the sector was 137.7 hours, with the largest workload for intensive care, 39.6 hours. The calculation of the DPE demonstrated the need for 30 nursing professionals, distributed among 16 nurses and 14 nursing technicians. The sector consists of 06 nurses, 10 nursing technicians and 04 nursing assistants, with a total of 20 professionals. Compared with the staff of nursing professionals made available to the sector, there was a deficit in the number of nurses and nursing technicians, in addition to the presence of nursing assistants, which is not recommended by COFEN. During the data collection period, only 04 (four) AEs were notified, half of which were related to food. The second article was carried out in the surgical inpatient unit, 1,523 evaluations were carried out in 399 patients. The total hours required for the provision of nursing care (THE) was 108.78 over a period of seven days in 24 hours, with prevalence for intermediate care (IM) 39.6 THE, followed by high dependency (AD) 32, 3 THE. According to the Nursing Dimensioning (DE), 21 professionals are needed, divided between seven nurses and 14 nursing technicians. The sector has 06 nurses, 12 nursing technicians and 02 assistants. In this unit, according to COFEN, nursing assistants are accepted, however we identified a deficit in the nurse category. During the period studied, there were nine notifications of Adverse Events (AEs), related to diet, communication, medication, surgery and falls. Note that, with the results of the articles, there is a greater deficit in the nurses category. A low rate of AE notifications was observed. It is concluded that DEP is below what is recommended by COFEN, and that EAs may be underreported. In this way, the relevance of the implementation of educational strategies for the awareness of the nursing team regarding the importance of AE notifications and the accomplishment of the SCP by the nurse for the adequacy of the DEP is perceived, providing quality in patient care and safety.