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Comparison of patient classification systems for dimensioning nursing staff
Jéssica Azevedo Guardalupe1, Ivana Duarte Brum1, Débora Francisco do Canto1
1Universidade Federal do Rio Grande do Sul, Programa de Pós-graduação em Enfermagem, Porto Alegre, RS, Brazil.
Objective:
To compare nursing staff workload and dimensioning measured by two patient classification systems.
Method:
Cross-sectional study, developed in a clinical inpatient unit of a large hospital in southern Brazil, between June and August 2022. Included patients (n = 260) were assessed through two different patient classification systems. The dimensioning calculation provided by the standard and descriptive statistics were applied.
Results:
Of the total number of patients, 1,248 classifications were performed with each of the classification systems. One of the instruments showed a concentration of demand for minimal care (54.5%) and the other for intermediate care (63.4%). The anticipation of required nursing hours was discrepant (235.58 and 298.16 hours), as well as the projected nursing staff, which was of 53 and 67 workers, respectively.
Conclusion:
Measurement of workload and dimensioning were different when using two patient classification systems in the same sample. Additional accuracy studies shall be carried out.
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