Sistemas de classificação de pacientes e dimensionamento do pessoal de enfermagem na assistência domiciliar no Brasil: revisão integrativa da literatura

Abstract

The growth of home care services in Brazil poses challenges related to work organization and nursing staffing. This study aimed to identify the main patient classification systems used in home care in Brazil and to analyze how Brazilian legislation addresses home care within this context. This is an integrative literature review conducted in six stages: identification of the guiding question, establishment of inclusion and exclusion criteria, literature search, critical appraisal of studies, data analysis, and synthesis of findings. Searches were performed in the SciELO, BVS, and PubMed databases using the descriptors “Home Care,” “Personnel Staffing and Scheduling,” and “Triage,” combined with Boolean operators. The study selection process was organized according to PRISMA recommendations, adapted to the integrative review design. After applying the eligibility criteria, three studies composed the final sample. The findings reveal a scarcity of recent scientific publications addressing specific staffing systems for home care and highlight methodological proposals aimed at estimating nursing care hours based on patient dependency and care complexity. From a regulatory perspective, Brazilian legislation establishes general guidelines for workforce planning in nursing but does not provide exclusive and detailed parameters for home care services. It is concluded that the absence of specific regulation indicates the need for stronger scientific consolidation and regulatory development to enhance technical and legal security in this field.