Caren de Oliveira Riboldi

Planejamento de recursos humanos de enfermagem: desafio para as lideranças

This study proposes an essay of issues involving human resources planning in nursing in the hospital sector in our current reality, discussing possible topics for future research. This is a retrospective of the evolution of research on determining the number of staff in Brazil, and the incorporation of new instruments to evaluate the work load based on the degree of dependency of the patients and actions in care. The impact of the quantity and quality of human resources on the results of care is discussed, and the role of leaders in adapting the staff composition, in order to supply safe, risk-free care to the patients and their families, seeking a management model for health practices from the perspective of complex care.Propoe-se um ensaio das questoes que envolvem o planejamento de recursos humanos de enfermagem na area hospitalar em nossa realidade, abordando possiveis temas para futuras pesquisas. Traca-se uma retrospectiva da evolucao das pesquisas sobre dimensionamento de pessoal no pais e a incorporacao de novos instrumentos para avaliacao da carga de trabalho com base no grau de dependencia dos pacientes e nas acoes de cuidado. Discute-se o impacto do quantitativo e qualitativo de recursos humanos nos resultados assistenciais e o papel das liderancas na adequacao do quadro de pessoal, com vistas a fornecer um atendimento seguro, livre de riscos aos pacientes e suas familias, buscando um modelo de gestao das praticas de saude na perspectiva do cuidado complexo.

Planning human resources in nursing: challenge for the leadership

This study proposes an essay of issues involving human resources planning in nursing in the hospital sector in our current reality, discussing possible topics for future research. This is a retrospective of the evolution of research on determining the number of staff in Brazil, and the incorporation of new instruments to evaluate the work load based on the degree of dependency of the patients and actions in care. The impact of the quantity and quality of human resources on the results of care is discussed, and the role of leaders in adapting the staff composition, in order to supply safe, risk-free care to the patients and their families, seeking a management model for health practices from the perspective of complex care.Propoe-se um ensaio das questoes que envolvem o planejamento de recursos humanos de enfermagem na area hospitalar em nossa realidade, abordando possiveis temas para futuras pesquisas. Traca-se uma retrospectiva da evolucao das pesquisas sobre dimensionamento de pessoal no pais e a incorporacao de novos instrumentos para avaliacao da carga de trabalho com base no grau de dependencia dos pacientes e nas acoes de cuidado. Discute-se o impacto do quantitativo e qualitativo de recursos humanos nos resultados assistenciais e o papel das liderancas na adequacao do quadro de pessoal, com vistas a fornecer um atendimento seguro, livre de riscos aos pacientes e suas familias, buscando um modelo de gestao das praticas de saude na perspectiva do cuidado complexo.

Association between workload of the nursing staff and patient safety outcomes

OBJECTIVE To describe the workload of the nursing team and relate it with patient safety outcomes in clinical and surgical inpatient units of a university hospital. METHOD Cross-sectional study, carried out from October 2013 to September 2015. The factor under study was the workload, expressed as the ratio between the mean number of patients and the number of nursing professionals in 24 hours and in the day shifts. RESULTS The sample consisted of 157,481 patients, 502 nursing professionals and 264 observations of safety outcomes. The ratios of patients per nurse and per nursing technician in day shifts indicate a mean estimate of 14-15 and 5-6 patients per professional, respectively. There was a significant association between the workloads in the inpatient units and average length of stay, urinary infection related to invasive procedure and the satisfaction of patients with nursing care. CONCLUSION The increase in the workload of the nursing team had an impact on quality of care and safety for patients. An adequate staffing promotes a safer care environment.

Planificación de recursos humanos en enfermería: desafío para el liderazgo

This study proposes an essay of issues involving human resources planning in nursing in the hospital sector in our current reality, discussing possible topics for future research. This is a retrospective of the evolution of research on determining the number of staff in Brazil, and the incorporation of new instruments to evaluate the work load based on the degree of dependency of the patients and actions in care. The impact of the quantity and quality of human resources on the results of care is discussed, and the role of leaders in adapting the staff composition, in order to supply safe, risk-free care to the patients and their families, seeking a management model for health practices from the perspective of complex care.Propoe-se um ensaio das questoes que envolvem o planejamento de recursos humanos de enfermagem na area hospitalar em nossa realidade, abordando possiveis temas para futuras pesquisas. Traca-se uma retrospectiva da evolucao das pesquisas sobre dimensionamento de pessoal no pais e a incorporacao de novos instrumentos para avaliacao da carga de trabalho com base no grau de dependencia dos pacientes e nas acoes de cuidado. Discute-se o impacto do quantitativo e qualitativo de recursos humanos nos resultados assistenciais e o papel das liderancas na adequacao do quadro de pessoal, com vistas a fornecer um atendimento seguro, livre de riscos aos pacientes e suas familias, buscando um modelo de gestao das praticas de saude na perspectiva do cuidado complexo.