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Determining workload and size of nursing team in the pediatric emergency department

机译：确定小儿急诊科护理团队的工作量和规模

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ObjectiveTo identify indicators of required nursing workload for pediatric patients care in an emergency department.MethodsThis cross-sectional quantitative study was carried out in a pediatric short-stay unit at a public hospital in S?o Paulo (SP), Brazil. The patient classification system and activity times of nursing care proposed by the Brazilian Federal Nurse Council were applied to all patients admitted over a 1-month period. The instruments were applied by two nurses in populations of 500 and 453 patients, respectively. Nursing workload was calculated in terms of hours and by nurse/patient ratio. Data were analyzed by descriptive statistics, and inter- and intraobserver reliability was assessed by using Kappa coefficient. Confidence intervals were measured to verify differences in numbers of patient among work shifts.ResultsThe average daily workload was 108.7 hours and the average amount of time spent on nursing care per patient was 7.9 hours. The nurse-patient ratio was 1:2.6.ConclusionThe application of the standardized classification instrument was adequate. It enabled the classification of pediatric patients and the measurement of amount of time needed for nursing care. The average number of nursing work hours per patient met the average time for semi-intensive care established by the Brazilian Federal Nurse Council.
机译：目的确定急诊科儿科患者护理所需的护理工作量指标。方法这项横断面定量研究是在巴西圣保罗（SP）的一家公立医院的儿科短期住宿机构中进行的。巴西联邦护士理事会提议的患者分类系统和护理活动时间适用于所有在1个月内入院的患者。两名护士分别在500名患者和453名患者中使用了该仪器。护理工作量是根据小时数和护士/病人比例来计算的。通过描述性统计数据分析数据，并使用Kappa系数评估观察者之间和观察者内部的可靠性。通过测量置信区间来验证轮班之间患者人数的差异。结果平均每日工作量为108.7小时，每位患者平均护理时间为7.9小时。护士与护士的比例为1：2.6。结论标准化分类工具的应用是足够的。它使儿科患者的分类和护理所需时间的测量成为可能。每位患者的平均护理工作时间达到巴西联邦护士理事会确定的半重症监护平均时间。

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