Rosângela Tsukamoto

Aplicação do nursing activities score em pacientes de alta dependência de enfermagem

ABstrAct: The objectives of this exploratory-descriptive study were to evaluate the applicability of the Nursing Activities Score as an instrument to measure workload in caring for patients classified into the category of high dependency on nursing care and to correlate the obtained mean scores with mean time of assistance proclaimed by the Brazilian Federal Nursing Council. Data was collected to determine the Nursing Activities Score in the period from July 13th to August 1, 2007 through means of consulting the patient charts of those interned in the high dependency ward of an out-patient clinic of a Medical Clinical Unit. Data analysis was performed by descriptive statistics and measure of variability. The instrument was effective for these patients, while the establishment of guidelines was needed for its application. It was concluded that the patient classified as high dependant on nursing care needs on average of 12.3 hours of assistance within a 24-hour period. resUmen: Estudio de tipo exploratorio-descriptivo, cuyos objetivos fueron: evaluar la aplicabilidad delEstudio de tipo exploratorio-descriptivo, cuyos objetivos fueron: evaluar la aplicabilidad del Nursing Activities Score como instrumento de medida de la carga de trabajo en la asistencia a los pacientes de la categoria de cuidados de alta dependencia de enfermeria, y ademas, relacionar la puntuacion media obtenida con los tiempos medios de asistencia establecidos por el Consejo Federal de Enfermeria. La recoleccion de los datos fue hecha en el periodo de 13 de julio a 1 de agosto de 2007, por medio de la consulta a los prontuarios de los pacientes internados en la enfermeria de alta dependencia de una Unidad de Clinica Medica. El analisis de los datos se realizo por estadistica descriptiva y por la medida de la variabilidad. El instrumento de analisis mostro ser eficaz para esos pacientes, siendo necesario el establecimiento de directrices para su aplicacion. Este estudio concluyo que el paciente clasificado como de alta dependencia de enfermeria necesita una media de 12,3 horas de asistencia, en un periodo de 24 horas.

Avaliação de sistema eletrônico para documentação clínica de enfermagem

OBJETIVO: Presentar la evaluacion de un sistema electronico para la documentacion del proceso de enfermeria (PE) en la perspectiva de enfermeras usuarias. METODOS: Estudio exploratorio, descriptivo realizado con 16 enfermeras del Hospital Universitario de la Universidad de Sao Paulo. Las enfermeras evaluaron modulos y pantallas del Sistema de Documentacion Electronica del Proceso de Enfermeria de la Universidad de Sao Paulo - PROCEnf-USP, juzgando el confort visual, manipulacion, claridad y extension de la documentacion, objetividad de las informaciones y adecuacion del contenido al registro de enfermeria en unidades clinico-quirurgicas. RESULTADOS: La mayoria de las enfermeras evaluo las caracteristicas funcionales del PROCEnf-USP, como excelentes y muy buenas, destacando el soporte al raciocinio clinico al apoyar decisiones sobre diagnosticos, resultados e intervenciones de enfermeria. Todas tomaron posicion favorable respecto a la implementacion del PROCEnf-USP. CONCLUSION: Los resultados de la evaluaciones mostraron que las enfermeras estan estimuladas para adquirir nuevas habilidades tecnicas y tecnologicas, como la adopcion del PROCEnf-USP para la documentacion del PE en la realidad Institucional.Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf –USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.

Dimensionamento informatizado de profissionais de enfermagem: inovação tecnológica

Esse estudo, de producao tecnologica, teve como objetivo desenvolver um programa aplicativo para dimensionar o quadro de profissionais de enfermagem em unidades de internacao hospitalar. O metodo seguiu as fases de concepcao, detalhamento e construcao e prototipagem do sistema de forma iterativa e ciclica. O programa computacional, denominado de Dimensionamento de Profissionais de Enfermagem - DIPE, e uma ferramenta que operacionaliza o dimensionamento, fundamentado na carga de trabalho da unidade, para a adequada relacao profissionais/pacientes, segundo os tipos de cuidado; no Indice de Seguranca Tecnica (IST) para cobertura das ausencias previstas (folgas e ferias) e nao previstas (faltas e licencas) e no tempo despendido na jornada de trabalho para as pausas dos profissionais. O sistema esta disponivel no site da Escola de Enfermagem da USP: http://www.ee.usp.br/dipe. A incorporacao desse avanco tecnologico constitui importante estrategia gerencial para a melhoria da qualidade da atencao a saude.The aim of this technological production study was to develop a program to measure nursing professional chart in units of hospitalization. The method followed the phases of conception, description, construction and prototyping of the system interactively and a cyclically. The computerized program, denominated Measuring Nursing Professionals (DIPE) is a tool that operationalizes measurement based on the workload of the unit for the adequate professional/patient relationship according to types of care, according to the Index of Technical Security to cover expected absences (day-off and vacation) and those non expected (leave and licenses) and also time spent during work for pauses of professionals. The system is available in the site of the Nursing School of USP: htpp:// www.ee.usp.br/dipe. The incorporation of this technological development became important managerial instrument to improve quality in health attention.

Assessment of an electronic system for clinical nursing documentation

OBJETIVO: Presentar la evaluacion de un sistema electronico para la documentacion del proceso de enfermeria (PE) en la perspectiva de enfermeras usuarias. METODOS: Estudio exploratorio, descriptivo realizado con 16 enfermeras del Hospital Universitario de la Universidad de Sao Paulo. Las enfermeras evaluaron modulos y pantallas del Sistema de Documentacion Electronica del Proceso de Enfermeria de la Universidad de Sao Paulo - PROCEnf-USP, juzgando el confort visual, manipulacion, claridad y extension de la documentacion, objetividad de las informaciones y adecuacion del contenido al registro de enfermeria en unidades clinico-quirurgicas. RESULTADOS: La mayoria de las enfermeras evaluo las caracteristicas funcionales del PROCEnf-USP, como excelentes y muy buenas, destacando el soporte al raciocinio clinico al apoyar decisiones sobre diagnosticos, resultados e intervenciones de enfermeria. Todas tomaron posicion favorable respecto a la implementacion del PROCEnf-USP. CONCLUSION: Los resultados de la evaluaciones mostraron que las enfermeras estan estimuladas para adquirir nuevas habilidades tecnicas y tecnologicas, como la adopcion del PROCEnf-USP para la documentacion del PE en la realidad Institucional.Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf –USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.

Computerized measuring of nursing professionals: technological innovation *

Esse estudo, de producao tecnologica, teve como objetivo desenvolver um programa aplicativo para dimensionar o quadro de profissionais de enfermagem em unidades de internacao hospitalar. O metodo seguiu as fases de concepcao, detalhamento e construcao e prototipagem do sistema de forma iterativa e ciclica. O programa computacional, denominado de Dimensionamento de Profissionais de Enfermagem - DIPE, e uma ferramenta que operacionaliza o dimensionamento, fundamentado na carga de trabalho da unidade, para a adequada relacao profissionais/pacientes, segundo os tipos de cuidado; no Indice de Seguranca Tecnica (IST) para cobertura das ausencias previstas (folgas e ferias) e nao previstas (faltas e licencas) e no tempo despendido na jornada de trabalho para as pausas dos profissionais. O sistema esta disponivel no site da Escola de Enfermagem da USP: http://www.ee.usp.br/dipe. A incorporacao desse avanco tecnologico constitui importante estrategia gerencial para a melhoria da qualidade da atencao a saude.The aim of this technological production study was to develop a program to measure nursing professional chart in units of hospitalization. The method followed the phases of conception, description, construction and prototyping of the system interactively and a cyclically. The computerized program, denominated Measuring Nursing Professionals (DIPE) is a tool that operationalizes measurement based on the workload of the unit for the adequate professional/patient relationship according to types of care, according to the Index of Technical Security to cover expected absences (day-off and vacation) and those non expected (leave and licenses) and also time spent during work for pauses of professionals. The system is available in the site of the Nursing School of USP: htpp:// www.ee.usp.br/dipe. The incorporation of this technological development became important managerial instrument to improve quality in health attention.

Application of the nursing activities score in patients with high dependency on nursing care

ABstrAct: The objectives of this exploratory-descriptive study were to evaluate the applicability of the Nursing Activities Score as an instrument to measure workload in caring for patients classified into the category of high dependency on nursing care and to correlate the obtained mean scores with mean time of assistance proclaimed by the Brazilian Federal Nursing Council. Data was collected to determine the Nursing Activities Score in the period from July 13th to August 1, 2007 through means of consulting the patient charts of those interned in the high dependency ward of an out-patient clinic of a Medical Clinical Unit. Data analysis was performed by descriptive statistics and measure of variability. The instrument was effective for these patients, while the establishment of guidelines was needed for its application. It was concluded that the patient classified as high dependant on nursing care needs on average of 12.3 hours of assistance within a 24-hour period. resUmen: Estudio de tipo exploratorio-descriptivo, cuyos objetivos fueron: evaluar la aplicabilidad delEstudio de tipo exploratorio-descriptivo, cuyos objetivos fueron: evaluar la aplicabilidad del Nursing Activities Score como instrumento de medida de la carga de trabajo en la asistencia a los pacientes de la categoria de cuidados de alta dependencia de enfermeria, y ademas, relacionar la puntuacion media obtenida con los tiempos medios de asistencia establecidos por el Consejo Federal de Enfermeria. La recoleccion de los datos fue hecha en el periodo de 13 de julio a 1 de agosto de 2007, por medio de la consulta a los prontuarios de los pacientes internados en la enfermeria de alta dependencia de una Unidad de Clinica Medica. El analisis de los datos se realizo por estadistica descriptiva y por la medida de la variabilidad. El instrumento de analisis mostro ser eficaz para esos pacientes, siendo necesario el establecimiento de directrices para su aplicacion. Este estudio concluyo que el paciente clasificado como de alta dependencia de enfermeria necesita una media de 12,3 horas de asistencia, en un periodo de 24 horas.

Evaluación de un sistema electrónico para la documentación clínica de enfermería

OBJETIVO: Presentar la evaluacion de un sistema electronico para la documentacion del proceso de enfermeria (PE) en la perspectiva de enfermeras usuarias. METODOS: Estudio exploratorio, descriptivo realizado con 16 enfermeras del Hospital Universitario de la Universidad de Sao Paulo. Las enfermeras evaluaron modulos y pantallas del Sistema de Documentacion Electronica del Proceso de Enfermeria de la Universidad de Sao Paulo - PROCEnf-USP, juzgando el confort visual, manipulacion, claridad y extension de la documentacion, objetividad de las informaciones y adecuacion del contenido al registro de enfermeria en unidades clinico-quirurgicas. RESULTADOS: La mayoria de las enfermeras evaluo las caracteristicas funcionales del PROCEnf-USP, como excelentes y muy buenas, destacando el soporte al raciocinio clinico al apoyar decisiones sobre diagnosticos, resultados e intervenciones de enfermeria. Todas tomaron posicion favorable respecto a la implementacion del PROCEnf-USP. CONCLUSION: Los resultados de la evaluaciones mostraron que las enfermeras estan estimuladas para adquirir nuevas habilidades tecnicas y tecnologicas, como la adopcion del PROCEnf-USP para la documentacion del PE en la realidad Institucional.Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf –USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.

Dimensionamento informatizado de profesionales de enfermería: innovation tecnológica

Esse estudo, de producao tecnologica, teve como objetivo desenvolver um programa aplicativo para dimensionar o quadro de profissionais de enfermagem em unidades de internacao hospitalar. O metodo seguiu as fases de concepcao, detalhamento e construcao e prototipagem do sistema de forma iterativa e ciclica. O programa computacional, denominado de Dimensionamento de Profissionais de Enfermagem - DIPE, e uma ferramenta que operacionaliza o dimensionamento, fundamentado na carga de trabalho da unidade, para a adequada relacao profissionais/pacientes, segundo os tipos de cuidado; no Indice de Seguranca Tecnica (IST) para cobertura das ausencias previstas (folgas e ferias) e nao previstas (faltas e licencas) e no tempo despendido na jornada de trabalho para as pausas dos profissionais. O sistema esta disponivel no site da Escola de Enfermagem da USP: http://www.ee.usp.br/dipe. A incorporacao desse avanco tecnologico constitui importante estrategia gerencial para a melhoria da qualidade da atencao a saude.The aim of this technological production study was to develop a program to measure nursing professional chart in units of hospitalization. The method followed the phases of conception, description, construction and prototyping of the system interactively and a cyclically. The computerized program, denominated Measuring Nursing Professionals (DIPE) is a tool that operationalizes measurement based on the workload of the unit for the adequate professional/patient relationship according to types of care, according to the Index of Technical Security to cover expected absences (day-off and vacation) and those non expected (leave and licenses) and also time spent during work for pauses of professionals. The system is available in the site of the Nursing School of USP: htpp:// www.ee.usp.br/dipe. The incorporation of this technological development became important managerial instrument to improve quality in health attention.

Aplicación del nursing activities score en pacientes de alta dependencia de enfermería

ABstrAct: The objectives of this exploratory-descriptive study were to evaluate the applicability of the Nursing Activities Score as an instrument to measure workload in caring for patients classified into the category of high dependency on nursing care and to correlate the obtained mean scores with mean time of assistance proclaimed by the Brazilian Federal Nursing Council. Data was collected to determine the Nursing Activities Score in the period from July 13th to August 1, 2007 through means of consulting the patient charts of those interned in the high dependency ward of an out-patient clinic of a Medical Clinical Unit. Data analysis was performed by descriptive statistics and measure of variability. The instrument was effective for these patients, while the establishment of guidelines was needed for its application. It was concluded that the patient classified as high dependant on nursing care needs on average of 12.3 hours of assistance within a 24-hour period. resUmen: Estudio de tipo exploratorio-descriptivo, cuyos objetivos fueron: evaluar la aplicabilidad delEstudio de tipo exploratorio-descriptivo, cuyos objetivos fueron: evaluar la aplicabilidad del Nursing Activities Score como instrumento de medida de la carga de trabajo en la asistencia a los pacientes de la categoria de cuidados de alta dependencia de enfermeria, y ademas, relacionar la puntuacion media obtenida con los tiempos medios de asistencia establecidos por el Consejo Federal de Enfermeria. La recoleccion de los datos fue hecha en el periodo de 13 de julio a 1 de agosto de 2007, por medio de la consulta a los prontuarios de los pacientes internados en la enfermeria de alta dependencia de una Unidad de Clinica Medica. El analisis de los datos se realizo por estadistica descriptiva y por la medida de la variabilidad. El instrumento de analisis mostro ser eficaz para esos pacientes, siendo necesario el establecimiento de directrices para su aplicacion. Este estudio concluyo que el paciente clasificado como de alta dependencia de enfermeria necesita una media de 12,3 horas de asistencia, en un periodo de 24 horas.