SISTEMA DE CLASSIFICAÇÃO DE PACIENTES - PARTE I: DIMENSIONAMENTO DE PESSOAL DE ENFERMAGEM

Rodrigues Filho, José

doi:10.1590/0080-6234199202600300395

Resumos

Um sistema de classificação de pacientes pode ser considerado como um instrumento essencial da prática administrativa na área de enfermagem. Estes sistemas proporcionam aos gerentes de enfermagem informações para o processo de tomada de decisão em áreas referentes à alocação de recursos humanos, monitoramento da produtividade e custos de enfermagem. O propósito deste trabalho é o de demonstrar a importância de um sistema de classificação de pacientes, depois de uma revisão da literatura, com a esperança de que este tópico venha afazer parte de uma agenda de pesquisa no Brasil.

Cuidados de enfermagem; Sistema de classificação de pacientes; Recursos humanos em enfermagem

A classification system can be an essential management tool of nursing administrative practice. This system should exist to provide nursing with useful and meaningful information for decisions about staffing allocations, monitoring productivity, and costing of nursing services. The purpose of this study is to show the importance of a patient classification system, after a review of current literature, in the hope that a reasearch agenda on the topic can be established in Brasil

Nursing care; Classification systems; Care requeriments; Staffing

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REFERÊNCIAS BIBLIOGRÁFICAS

¹
BARR, A.; MOORES, B.; RHYS-HEARN, C. A review of the various methods of measuring the dependency of patients on nursing staff. InLJ.Nurs.Stud, v.10, n.3, p.195-208,1973.
²
BARTSCHT, K.G. An analitycal approach to nursing scheduling. Hosp.Top., v.41, n.9, p.44-5.1963.
³
CAMPEDELLI, M.C.; TAKITO, C; SANCINETTI, T.R.; BENKO, M.A Cálculo de pessoal de enfermagem: competência da enfermeira. Rev.Esc.Enf.USP, v.21, n.1, p.3-15,1987.
⁴
CARPENITO, LJ. Developments in nursing classification. In: AMERICAN NURSES ASSOCIATION. Classification systems for describing nursing practice: working papers. Kansas City, 1989. (Publ. NP. 74).
⁵
CLARK, E.; DIGGS, W. Quantifying patient care needs. Hospitals, v.48, n18, p.96-100,1971.
⁶
CLAUSSEN, M.E. Categorization of patients according to nursing care needs. Milit.Med, v.116, p.209-14,1955.
⁷
CONNOR, R J. Effective use of nursing resources: a research report. Hospitals, v.35, n.9, p.30-9, 1961.
⁸
DE GROOT, H.A Patient classification system evaluation. Part I: essencial system elements. J.Nurs. Adm., v.19, n.6, p.30-5,1989.
⁹
DES ORMEAUX, S.P. Implementation of the C.AS.H.: patient classification system for sttafing determination. Superv. Nurse, v.8, n.4, p.28-30,1977.
¹⁰
FETTER, R.B.; SHIN, Y.; FREEMAN, J.L; AVERILL, R.F.; THOMPSON, J.D. Case mix definitions by diagnosis-related groups. Med. Care, v.18, p1-53. Supplement 2.
¹¹
FLAGE, C.D. The problem of organization for hospital inpatient care. In: CHURCHMAN, C.W.; VERHULST, M. Management sciences: models and techniques. New York, Pergamon Press, 1960. v.2, cap.25, p.275-87,1960.
¹²
GEORGE, F.L.; KUEHN, R.P. Patterns of patient care. New York, Macmillan, 1985.
¹³
GIOVANNETI, P. Patient classification systems in nursing: a description and analysis. Hyatssville, US Department of Health, Education, and Welfare. 1978. (Publication HRA 78-22, HRPO-500-501).
¹⁴
GIOVANNETI, P. Understanding patient classification systems. J.Nurs.Adm., v.9, n.2, p.4-9,1979.
¹⁵
HAAS, S.A Patient classification systems: a self-fulfilling prophecy. Nurs.Manage, v. 19, n.5, p.56-62, 1988.
¹⁶
HAUSEN, K.E. How to measure nursing care time. Mod.Hosp., v.100, n.4, p.93-6,1963.
¹⁷
HORN, S.D. Severity indices: potencial uses in quality measurement. Top. Health Rec. Manage, v.10, n.2, p.45-55,1989.
¹⁸
HORN, S.D.; HORN, R.A. Reliability and valitidy of the severity of illness index. Med. Care, v.24, n.2, p.159-78,1986.
¹⁹
RODRIGUES FILHO, J. Hospital utilizations and reimbursement method in Brazil. Int.J.Health Plann.Manage, v.4, n.1, p.3-15,1989.
²⁰
RODRIGUES FILHO, J. Método de pagamento hospitalar no Brasil. Rev.Adm.Públ, v.24, n.4, p.78-86,1990.
²¹
RODRIGUES FILHO, J.; LOPES, M.A.A.; SANTOS, S.R. dos. Avaliação da distribuição de recursos humanos no Hospital Universitário Lauro Wanderley da Universidade Federal da Paraíba: relatório. João Pessoa, 1990, v.1.
²²
STEINEY, B.H.; LIDQUIST, N.E. Surprise find of staffing study: nurses have too much spare time. Mod Hosp., v.1 14, p.108-10,1970.
²³
STIMSON, D.H.; STIMSON, R.H. Operations research in hospitals: diagnosis and prognosis, Hospital Research and Educational Trust, Chicago, 1972.
²⁴
WOLFE, H.; YOUND, J.P. Staffing the nursinf unit, Part I: controlled variable staffing. Nurs.Res., v.14, n.3, p.236-43,1965.

Datas de Publicação

Publicação nesta coleção
Dez 1992

This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

[1] ¹
BARR, A.; MOORES, B.; RHYS-HEARN, C. A review of the various methods of measuring the dependency of patients on nursing staff. InLJ.Nurs.Stud, v.10, n.3, p.195-208,1973.

[2] ²
BARTSCHT, K.G. An analitycal approach to nursing scheduling. Hosp.Top., v.41, n.9, p.44-5.1963.

[3] ³
CAMPEDELLI, M.C.; TAKITO, C; SANCINETTI, T.R.; BENKO, M.A Cálculo de pessoal de enfermagem: competência da enfermeira. Rev.Esc.Enf.USP, v.21, n.1, p.3-15,1987.

[4] ⁴
CARPENITO, LJ. Developments in nursing classification. In: AMERICAN NURSES ASSOCIATION. Classification systems for describing nursing practice: working papers. Kansas City, 1989. (Publ. NP. 74).

[5] ⁵
CLARK, E.; DIGGS, W. Quantifying patient care needs. Hospitals, v.48, n18, p.96-100,1971.

[6] ⁶
CLAUSSEN, M.E. Categorization of patients according to nursing care needs. Milit.Med, v.116, p.209-14,1955.

[7] ⁷
CONNOR, R J. Effective use of nursing resources: a research report. Hospitals, v.35, n.9, p.30-9, 1961.

[8] ⁸
DE GROOT, H.A Patient classification system evaluation. Part I: essencial system elements. J.Nurs. Adm., v.19, n.6, p.30-5,1989.

[9] ⁹
DES ORMEAUX, S.P. Implementation of the C.AS.H.: patient classification system for sttafing determination. Superv. Nurse, v.8, n.4, p.28-30,1977.

[10] ¹⁰
FETTER, R.B.; SHIN, Y.; FREEMAN, J.L; AVERILL, R.F.; THOMPSON, J.D. Case mix definitions by diagnosis-related groups. Med. Care, v.18, p1-53. Supplement 2.

[11] ¹¹
FLAGE, C.D. The problem of organization for hospital inpatient care. In: CHURCHMAN, C.W.; VERHULST, M. Management sciences: models and techniques. New York, Pergamon Press, 1960. v.2, cap.25, p.275-87,1960.

[12] ¹²
GEORGE, F.L.; KUEHN, R.P. Patterns of patient care. New York, Macmillan, 1985.

[13] ¹³
GIOVANNETI, P. Patient classification systems in nursing: a description and analysis. Hyatssville, US Department of Health, Education, and Welfare. 1978. (Publication HRA 78-22, HRPO-500-501).

[14] ¹⁴
GIOVANNETI, P. Understanding patient classification systems. J.Nurs.Adm., v.9, n.2, p.4-9,1979.

[15] ¹⁵
HAAS, S.A Patient classification systems: a self-fulfilling prophecy. Nurs.Manage, v. 19, n.5, p.56-62, 1988.

[16] ¹⁶
HAUSEN, K.E. How to measure nursing care time. Mod.Hosp., v.100, n.4, p.93-6,1963.

[17] ¹⁷
HORN, S.D. Severity indices: potencial uses in quality measurement. Top. Health Rec. Manage, v.10, n.2, p.45-55,1989.

[18] ¹⁸
HORN, S.D.; HORN, R.A. Reliability and valitidy of the severity of illness index. Med. Care, v.24, n.2, p.159-78,1986.

[19] ¹⁹
RODRIGUES FILHO, J. Hospital utilizations and reimbursement method in Brazil. Int.J.Health Plann.Manage, v.4, n.1, p.3-15,1989.

[20] ²⁰
RODRIGUES FILHO, J. Método de pagamento hospitalar no Brasil. Rev.Adm.Públ, v.24, n.4, p.78-86,1990.

[21] ²¹
RODRIGUES FILHO, J.; LOPES, M.A.A.; SANTOS, S.R. dos. Avaliação da distribuição de recursos humanos no Hospital Universitário Lauro Wanderley da Universidade Federal da Paraíba: relatório. João Pessoa, 1990, v.1.

[22] ²²
STEINEY, B.H.; LIDQUIST, N.E. Surprise find of staffing study: nurses have too much spare time. Mod Hosp., v.1 14, p.108-10,1970.

[23] ²³
STIMSON, D.H.; STIMSON, R.H. Operations research in hospitals: diagnosis and prognosis, Hospital Research and Educational Trust, Chicago, 1972.

[24] ²⁴
WOLFE, H.; YOUND, J.P. Staffing the nursinf unit, Part I: controlled variable staffing. Nurs.Res., v.14, n.3, p.236-43,1965.

Brasil

Brasil

SISTEMA DE CLASSIFICAÇÃO DE PACIENTES - PARTE I: DIMENSIONAMENTO DE PESSOAL DE ENFERMAGEM

Patient classification systems - Part I: nursing personnal determination

Resumos

REFERÊNCIAS BIBLIOGRÁFICAS

Datas de Publicação