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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

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Published on: November 9, 2016

Nursing workload in the emergency department: a methodological proposal.

Ana Cristina Rossetti¹, Raquel Rapone Gaidzinski, Fernanda Maria Togeiro Fugulin

¹Hospital Moysés Deutsch – M’Boi Mirim, Instituto de Responsabilidade Social, Hospital Albert Einstein, Brazil.

Revista Latino-Americana De Enfermagem

|March 6, 2013

Summary

This study developed a method to measure nursing workload in the Emergency Department (ED). The proposed methodology proved effective in a Brazilian public hospital, quantifying daily nursing hours across various ED areas.

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Area of Science:

Nursing
Healthcare Management
Emergency Medicine

Background:

Accurate assessment of nursing workload is crucial for effective Emergency Department (ED) management and patient care.
Existing methodologies may not fully capture the dynamic and complex nature of nursing tasks in the ED.

Purpose of the Study:

To propose and validate a methodology for identifying and quantifying nursing workload within an Emergency Department.
To establish a framework for workload assessment applicable to diverse ED settings.

Main Methods:

Methodological research conducted in a public hospital in São Paulo, Brazil.
Data collection across multiple ED areas including triage, shock room, emergency room, suturing, and medication/procedures for adult and pediatric patients.
Utilized distinct strategies and instruments tailored to the specific data collection requirements of each area.

Main Results:

Quantified average daily nursing workload in hours for different ED areas: Triage (48), Shock Room (30.9), Emergency (170.6), Adult Patient Observation (293.6), Pediatric Patient Observation (108.7), Adult Medication/Procedures (175.5), Pediatric Medication/Procedures (60.4), and Suturing (7.9).
Demonstrated the feasibility of applying the developed methodology in a real-world clinical setting.

Conclusions:

The data collection instruments were appropriate for workload identification.
The study successfully constructed a methodological proposal for identifying nursing workload in the ED of a general public hospital.
The findings provide a basis for improved resource allocation and staffing in EDs.