Identification of nursing workload in the Sterile Processing Department.

Objective: To determine the workload in the Sterile Processing Department as a parameter for the method of nursing staff sizing.

Method: Quantitative, observational study conducted in four hospitals in the city of São Paulo, in three steps: mapping of activities in work positions; determination of the standard processing time of materials; and establishment of the average daily workload.

Results: In the 15 mapped work positions, 1315 samples of time were obtained.

Care time and quality indicators in Intensive Care Units.

Objective: To verify the correlation between nursing care time and care quality indicators.

Method: Observational, correlational study, developed in 11 Intensive Care Units. The population comprised records of the number of nursing professionals, the number of patients with at least one of the Oro/Nasogastroenteral Probe (GEPRO), Endotracheal Tube (COT) and Central Venous Catheter (CVC) therapeutic devices and the occurrences related to the losses of these artifacts.

Effect of nursing care hours on the outcomes of Intensive Care assistance.

Objectives: To correlate the average number of nursing care hours dedicated to Intensive Care Unit (ICU) patients with nursing care indicators.

Method: Transverse, descriptive study conducted between 2011 and 2013. Data were obtained from the electronic records system and from the nursing staff daily schedule.

[Time standards of nursing in Primary Health Care: an observational study].

Objective: To determine time standards for interventions and activities conducted by nursing professionals in Family Health Units (FHU) in Brazil to substantiate the calculation of work force.

Method: This was an observational study carried out in 27 FHU, in 12 municipalities in 10 states, in 2013. In each unit, nursing professionals were observed every 10 minutes, for eight work hours, on five consecutive days via the work sampling technique.

Nursing interventions in pediatric care: a contribution to measuring workload.

Objective To identify and validate interventions/activities developed by a nursing team in a Brazilian pediatric unit. Method A descriptive, cross-sectional, and observational study was developed in the pediatric clinic of the university hospital of University of São Paulo, São Paulo, Brazil. It was organized in the following stages: identifying activities carried out by the team (from records in patient charts and from direct observation); mapping out and validating activities identified in interventions according to the Nursing Intervention Classification (NIC).

Nursing staff in the internal medicine and surgical units of teaching hospitals: composition and cost.

Objective Evaluate the mean quantitative and qualitative nursing staff working in the internal medicine and surgical units of three public general teaching hospitals in the city of São Paulo, compared to projected mean staff according to the parameters of Cofen Resolution No. 293/04, as well as measure the mean cost of current and projected nursing staff. Method Quantitative, descriptive, exploratory study using prospective data collection.

The use of Nursing Interventions Classification (NIC) in identifying the workload of nursing: an integrative review.

Purpose: To synthesize evidence related to the use of the Nursing Interventions Classification in order to identify nursing workload.

Method: An integrative literature review was conducted in June 2013.

Findings: The search strategy yielded a total of 111 references, 18 of which were retrieved, read, and evaluated for relevance.

[Standardization of activities in an oncology surgical center according to nursing intervention classification].

This study was undertaken in a surgical center specializing in oncology, and it aimed to identify nursing activities performed during the perioperative period and to classify and validate intervention activities according to the Nursing Interventions Classification (NIC). A survey of activities was conducted using records and by direct observation of nursing care across four shifts. Activities were classified as NIC nursing interventions using the cross-mapping technique.

Total staff costs to implement a decision support system in nursing.

Objective: to identify the direct labor (DL) costs to put in practice a decision support system (DSS) in nursing at the University Hospital of the University of São Paulo (HU-USP).

Method: the development of the DSS was mapped in four sub-processes: Conception, Elaboration, Construction and Transition. To calculate the DL, the baseline salary per professional category was added to the five-year additional remuneration, representation fees and social charges, and then divided by the number of hours contracted, resulting in the hour wage/professional, which was multiplied by the time spend on each activity in the sub-processes.

[Creation and validation of an instrument to identify nursing activities in pediatric wards: information for determining workload].

The aim of this study was to develop and validate an instrument for identifying nursing activities performed in a pediatric ward and to provide a basis for defining the workload of these units. The instrument was developed by selecting the activities relevant to pediatric nursing from the Nursing Intervention Classification and then submitting them to a panel of judges for validation. The panel considered the selected activities relevant and representative of pediatric nursing practice.

Nursing workload in the emergency department: a methodological proposal.

Objective: This study aimed to propose a methodology for identifying the nursing workload in the Emergency Department (ED).

Methods: this is methodological research, undertaken in a public general hospital in the municipality of São Paulo, Brazil, in the areas: triage, shock room, emergency room, suturing room, and medication/procedures for adult and pediatric patients rooms, using different strategies and instruments. Due to the characteristics of the data collection, distinct samples were obtained in each of the areas.

Costs of most frequent nursing activities in highly dependent hospitalized patients.

This quantitative study aimed to identify the costs of the most frequent nursing activities in highly dependent hospitalized patients at a medical clinic. The non-probabilistic convenience sample corresponded to 607 observations regarding oral feeding activities (OF), blood pressure verification (BP) / heart rate (HR), body temperature checking (BTC), performance of intimate hygiene and management of feeding probe. The costs identified corresponded to R$2.

Nursing care time and quality indicators for adult intensive care: correlation analysis.

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications.

Cost of nursing staffing adequacy in a neonatal unit.

The objectives of this descriptive, quantitative study were: to identify the mean nursing care time provided and required by newborns (NB) hospitalized at the Neonatal Unit of the University of São Paulo University Hospital; to calculate the cost of the mean nursing care time provided and required, by NB; to assess the cost of the nursing staffing adequacy required to assist the NB. The mean nursing care times, provided by the nursing staff and required by NBs, were calculated using equations available in the literature and by applying the Nursing Activities Score. The costs of the mean nursing care times and to make nursing staffing adequate were calculated based on the hourly cost of nurses and nursing technicians.

The setting of research production by nursing and management graduate programs in Brazil.

This documental, descriptive study was performed using a quantitative approach with the objective to characterize the production by nursing graduates in Brazil in the 2007-2009 triennium, with emphasis on nursing management. Data was collected from the CAPES database, which allows access to the abstracts of theses and dissertations. The material was analyzed and categorized according to areas/fields and the respective lines of research, as defined in Nursing.

[Pediatric Patient Classification System: construction and validation of care categories].

Patient classification is essential for managing a hospital unit. Literature, however, does not present conceptualizations of pediatric patient categories. The objectives of this study were to define and validate pediatric patient care categories, according to the level of dependency of the nursing team.

[Nursing care time in a teaching hospital].

This is a quantitative exploratory, descriptive study performed with the objective to identify and analyze the performance of the average time of nursing care delivered to patients of the Inpatient Units of the University Hospital at University of São Paulo (UH-USP), from 2001 to 2005. The average nursing care time delivered to patients of the referred units was identified by applying of a mathematical equation proposed in the literature, after surveying data from the Medical and Statistical Service and based on the monthly working shifts of the nursing professionals. Data analysis was performed using descriptive statistics.

[Nurses' work time distribution at emergency service].

The objective of this quantitative, descriptive, case study was to identify and analyze the distribution of nurses' work time at an emergency service. To do this, the work sampling method was used. The nursing activities performed by the studied nurses were identified by evaluating the patient care forms and by direct observation of nurses during their everyday work routine at the service.

[Nurses' time distribution: identification and analysis in a medical-surgical unit].

This study was performed to identify and analyze the distribution of nurses' work hours at a medical-surgical hospitalization unit, in view of the impact on making the nursing personnel dimensioning process effective during their work hours. Of the activities that nurses performed, 50% of the nurses' time was invested on indirect care interventions, 22% on direct care interventions, 18% on personal time activities, and 10% on associated activities. These data confirm previous reports that show a need to consider nursing personnel's personal time and associated activities in the official rightsizing methods.