Dimensionamento de profissionais de enfermagem na atenção básica: implicações no processo de trabalho na atenção primária e terciária

Abstract

Introduction: Primary Health Care, responsible mainly for the prevention, promotion and recovery of health for users of the Unified Health System, should solve 80% of the problems associated with the health-disease process. Although the patient classification system is not applied to this population in order to dimension the staff of nursing professionals, there is a method proposed in the literature to predict the ideal number of nurses and nursing technicians needed to solve the health problems of this population. Objective: perform the dimensioning of the staff of nursing professionals in a Health Center in the city of Uberlândia, in order to quantify the category of nurse and nursing technician correlating with the work process with implications for the health care network. Method: report of a descriptive experience that used the Resolution COFEN N 543/2017 of the Conselho Federal de Enfermagem (COFEN), statistical data from the Emergency Department and application of the structural check-list. Results it was evident, through the data collection to perform the dimensioning of the nursing staff, the underreporting of the nursing team interventions that impacted the quantity for the nurse and nursing technician, which resulted in a lower employee value for nurse category and the professional staff for the nursing technician category remained similar. Conclusion: The registration of data in the information system related to the care interventions provided by the nursing team through management tools such as dimensioning calculations, with the purpose of providing improvements in the work process, contributes to the development of improvement actions in provision of services by the Basic Health Units.