Perfil das Unidades de Pronto Socorro de Pediatria e Enfermaria de Pediatria em um Hospital Universitário quanto ao tipo de cuidado

Abstract

Introduction: Nursing actions are not restricted to direct patient care and extend the administrative routines that require planning and organization, with staff dimensioning being one of these main tasks. The use of the Patient Classification System is one of the tools that assist in the management of the nursing service, providing essential subsidies for the correct dimensioning of the team both in the pediatric sectors and in adult care units. Objective: To evaluate the pediatric patient's workload related to the type of care prevalent in the study's reference units. Methodology: This is a descriptive research, with a quantitative, longitudinal approach. The analysis was made from a secondary database, of a public nature, referring to the workload of nursing professionals who provide assistance to pediatric patients in the years 2013 and 2019. The sectors analyzed were Pediatric Infirmary and Emergency Room of Pediatrics of a large university hospital in the interior of Minas Gerais. Results: The predominant type of care in both sectors was intermediate care. The average score of the Pediatric Patient Classification System in the Emergency Department was 19.92 and in the ward sector it was 20.11 points. There was no temporal variation in the type of care for the Emergency Department. The area of care that received the highest score of one, which corresponds to the best possible assessment within the Instrument, was “Support and Support Network” for both study sites. The item “Companion Participation” also received a high score of one. The types of care were dependent on the type of Pediatric unit (p = 0.002). Conclusion: It was possible to assess the workload of the pediatric patient through the application of the Pediatric Patient Classification Instrument. The predominant type of care was Intermediate Care in the two units studied. The demand for daily hours of nursing care according to the prevalent type of care is six hours a day and the unit's profile interferes with the workload of the nursing team.