Liliana Cristina de Castro

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 financial impact of nursing staffing adequacy accounted for a 30% increase over the cost of the current situation.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 Sao 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 financial impact of nursing staffing adequacy accounted for a 30% increase over the cost of the current situation.

Levantamento das principais fontes de desperdício de unidades assistenciais de um hospital universitário

Este estudo teve como principais objetivos levantar os diferentes tipos de desperdicio, suas causas e sugestoes para elimina-los, segundo a opiniao de profissionais de enfermagem e medicos atuantes em unidades de Clinica Medica, Clinica Cirurgica, Pediatria, Alojamento Conjunto e Bercario; e estimar o custo da principal fonte de desperdicio nessas unidades. Trata-se de um estudo descritivo, exploratorio, com abordagem quantitativa realizado no Hospital Universitario da Universidade de Sao Paulo. A amostra foi constituida por 189 profissionais de enfermagem e medicos. O desperdicio relacionado aos materiais (36%) foi o mais apontado por todas as categorias profissionais seguido pelo desperdicio de estrutura fisica (27%). Os materiais desperdicados mais citados foram os medicamentos, pacotes de curativo, papel sulfite e dispositivos de infusao. O custo do desperdicio anual com materiais nas unidades estudadas pode girar em torno de R

Custo da adequação quantitativa de profissionais de enfermagem em Unidade Neonatal

479.262,86.The objectives of this study were to survey the different types of waste, their causes and suggestions to eliminate them according to the opinion of the nursing and medical staff from the Clinical Medicine, Surgery, Pediatrics, Rooming-In, and Nursery Units; and estimate the cost of the major source of waste found in the referred units. This descriptive, explorative study was performed at the University of São Paulo Teaching Hospital using a quantitative approach. The study sample consisted of 189 medical and nursing professionals. Material waste (36%) was the most often reported by all professional categories, followed by physical structure waste (27%). The most reported wasted materials were medicines, dressing packs, stationary paper, and infusion devices The estimated annual cost of material waste in the studied units is about R

Percepção dos enfermeiros sobre a avaliação da aprendizagem nos treinamentos desenvolvidos em um hospital de São Paulo

479.262,86.

Survey of the major sources of waste in the health care units of a teaching hospital

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 financial impact of nursing staffing adequacy accounted for a 30% increase over the cost of the current situation.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 Sao 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 financial impact of nursing staffing adequacy accounted for a 30% increase over the cost of the current situation.

The cost of waste of consumable materials in a surgical center

Este estudo foi realizado com os enfermeiros de um hospital universitario da cidade de Sao Paulo, objetivando conhecer sua percepcao sobre o processo de valiacao da aprendizagem nos treinamentos desenvolvidos junto a eles. Para a coleta de dados utilizou-se um instrumento contendo a questao norteadora: Qual a sua percepcao sobre a avaliacao da aprendizagem nos programas de treinamento? Os discursos foram analisados, segundo o referencial de Bardin, na modalidade analise de conteudo. Os resultados mostraram as posicoes dos enfermeiros em tres categorias distintas: 1) dificuldades percebidas no processo de avaliacao da aprendizagem em que a disponibilidade de tempo, sentimentos negativos quanto a avaliacao e despreocupacao com os resultados dos treinamentos sao os desafios a serem trabalhados no dia-a-dia; 2) metodologia desenvolvida no processo de avaliacao da aprendizagem devendo considerar diferentes ritmos de aprendizado, sua experiencia e historia de vida e conhecimentos anteriores e 3) a avaliacao do processo ensino-aprendizagem como um indicador preciso das acoes passadas e controle da qualidade do ensino adotado no treinamento.This study was carried out with nurses of a university hospital in São Paulo. It was aimed at understanding their perception regarding the learning evaluation process in the training sessions they attended. In order to collect data, the authors used an instrument with the guiding question: Whats your perception of the learning evaluation process in training programs? The discourses were analyzed according to Bardins referential in the content analysis modality. The results showed opinions in three categories: 1) the difficulties noticed in the evaluation process, in which time availability, negative feelings towards the evaluation and little concern for training results are challenges nurses have to overcome daily; 2) the methodology used in the evaluation process, which should consider the different learning styles, and the experience, life history and previous knowledge of the professionals being trained; and 3) the teaching-learning evaluation process as an accurate indicator of past actions and a quality control of the teaching methods adopted in the training sessions.

Costs and consumption of material resources in pediatric intensive and semi-intensive care units

Este estudo teve como principais objetivos levantar os diferentes tipos de desperdicio, suas causas e sugestoes para elimina-los, segundo a opiniao de profissionais de enfermagem e medicos atuantes em unidades de Clinica Medica, Clinica Cirurgica, Pediatria, Alojamento Conjunto e Bercario; e estimar o custo da principal fonte de desperdicio nessas unidades. Trata-se de um estudo descritivo, exploratorio, com abordagem quantitativa realizado no Hospital Universitario da Universidade de Sao Paulo. A amostra foi constituida por 189 profissionais de enfermagem e medicos. O desperdicio relacionado aos materiais (36%) foi o mais apontado por todas as categorias profissionais seguido pelo desperdicio de estrutura fisica (27%). Os materiais desperdicados mais citados foram os medicamentos, pacotes de curativo, papel sulfite e dispositivos de infusao. O custo do desperdicio anual com materiais nas unidades estudadas pode girar em torno de R

Perception of nurses on the learning evaluation process in training programs in a São Paulo hospital

479.262,86.The objectives of this study were to survey the different types of waste, their causes and suggestions to eliminate them according to the opinion of the nursing and medical staff from the Clinical Medicine, Surgery, Pediatrics, Rooming-In, and Nursery Units; and estimate the cost of the major source of waste found in the referred units. This descriptive, explorative study was performed at the University of São Paulo Teaching Hospital using a quantitative approach. The study sample consisted of 189 medical and nursing professionals. Material waste (36%) was the most often reported by all professional categories, followed by physical structure waste (27%). The most reported wasted materials were medicines, dressing packs, stationary paper, and infusion devices The estimated annual cost of material waste in the studied units is about R

Consumo e custo de recursos materiais em unidades pediátricas de terapia intensiva e semi-intensiva

479.262,86.

Spending with unnecessary complementary tests for hypertension and diabetes in health services

OBJECTIVES to identify the types, quantities and cost of the consumable materials sent, used, returned unopened and wasted in surgical operations; to classify the incidences of waste as avoidable or unavoidable losses, and to calculate the rate of waste of the consumable materials in the peri-operative period in the Surgical Center of a São Paulo university hospital. METHOD a descriptive-exploratory case study with a quantitative approach. The convenience sample corresponded to 105 types of consumable materials sent for the 275 operations observed between February and May 2011. RESULTS the items wasted most were surgical sutures, surgical cotton sutures, and gauze compresses. The total cost of the waste was R