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Determining Nurse Staffing for Peritoneal Dialysis Care
Ana Elizabeth Figueiredo1,2,3, Janete de Souza Urbanetto4, Judith Bernardini5
1Associate Professor, School of Nursing, Nutrition and Physiotherapy (FAENFI) and Post-Graduation Program in Medicine and Health Science, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS).
Summary
Determining optimal nurse staffing for peritoneal dialysis (PD) units is crucial. This study found that direct patient care constitutes over half of nursing time, requiring an estimated 70.2 hours per patient annually.
Area of Science:
- Nephrology
- Nursing
- Healthcare Management
Background:
- Establishing ideal nurse staffing levels for peritoneal dialysis (PD) units remains an unresolved issue.
- Accurate workload assessment is essential for efficient patient care delivery and resource allocation in PD units.
Purpose of the Study:
- To evaluate nurse staffing requirements in a peritoneal dialysis unit by analyzing specific nursing activities and their time allocation.
- To provide data-driven insights into the nursing workload within PD settings.
Main Methods:
- A focus group identified 47 distinct nursing activities within a PD unit.
- Time spent on each activity was meticulously measured over a four-month period.
- Activities were categorized into care assistance, management, education, and research.
Main Results:
- Direct patient care activities accounted for the largest proportion of nursing time, utilizing 55.3% of the total work hours.
- A significant portion of nursing effort was dedicated to care assistance (29 activities).
- The study estimates an annual nursing care requirement of 70.2 hours per patient.
Conclusions:
- The findings quantify the nursing time necessary for effective peritoneal dialysis patient management.
- This study provides a foundational estimate for PD unit nurse staffing, highlighting the predominance of direct patient care.
- Further research can refine these estimates and inform evidence-based staffing models for PD units.
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