Costo de la rotatividad del equipo de enfermería en Hospital de Enseñanza

Estudio exploratorio-descriptivo, en la modalidad de estudio de caso, llevado a cabo en hospital de enseñanza del sudeste de Brasil, en el período de mayo a noviembre de 2013. La población estuvo compuesta del equipo de enfermería, utilizándose la metodología para el cálculo de costo de la rotatividad.

RESULTADOS

El costo total de la rotatividad fue de R$314.605,62 y, por colaborador, varió de R$2.221,42 a R$3.073,23. Los costos consecuentes de la pre contratación totalizaron R$101.004,60 (32,1%), siendo que el proceso plazas consumió R$92.743,60 (91,8%). Los costos referentes a la post contratación totalizaron R$213.601,02 (67,9%) y, para el subproceso de disminución de la productividad, R$199.982,40 (93,6%).

CONCLUSIÓN

El estudio permitió identificar la importancia de la gestión del costo de la rotatividad de personal y el impacto financiero del costo del colaborador alejado, que representó tres veces el sueldo medio del equipo de enfermería.

Descriptores:
Grupo de Enfermería; Reorganización del Personal; Administración de Personal en Hospitales; Costos y Análisis de Costo

	May		June		July		August		Total		M (SD)
Category^* * H- Hired; T- Terminated; Tx- Tax; DTS- Diagnostic and Therapeutic Service; NA- Not Answered.	H	T	H	T	H	T	H	T	H	T	H	T
Nurse	-	2	-	1	2	1	3	-	5	4	2.5 (0.5)	1.3 (0.6)
Technician	10	8	10	1	9	5	4	4	33	18	8.3 (2.9)	4.5 (2.9)
Assistant	6	3	8	10	6	2	18	1	38	16	9.5 (5.7)	4 (4.1)
Total	16	13	18	12	17	8	25	5	76	38	19 (3.2)	9.5 (3.7)
N° of employees	1,411		1,479		1,492		1,492		5,050		1,469
Turnover rate (%)	1.03		0.98		0.84		1.06		1.11		0.98
Unit
ICU	8	3	6	9	6	1	15	1	35	14	8.8 (4.3)	3.5 (3.8)
Specialized	6	10	11	2	9	7	8	4	34	24	8.5 (2.1)	5.8 (3.5)
DTS	-	-	-	1	1	-	-	-
NA	2	-	1	-	1	-	2				1.5 (0.6)	-
Total	16	13	18	12	17	8	25	5	76	38

Pre-hire cost	May	June	July	August	Total	%
Recruitment
Application registration	182.21	171.90	367.86	158.14	880.11	54.7
Application selection	221.12	108.80	59.67	161.45	551.04	34.2
Telephone Contact	67.68	36.63	20.09	54.36	178.76	11.1
Total cost	471.01	317.33	447.61	373.95	1.609.90	1.6
Recruitment/employee cost	8.88	6.34	4.18	8.12	6.28
*Vaccancies*
Measure extra working hour	32,771.58	18,098.81	13,694.90	14,316.83	78,882.12	85.1
Measure temp. contract	3.465.37	3.465.37	3.465.37	3.465.37	13,861.48	14.9
Total cost	36,236.95	21,564.18	17,160.27	17,782.20	92,743.60	91.8
Vaccancies/employee cost	2,787.45	1,797.01	2,145.03	3,55.44	2,572.20
*Selection and hire*
Telephone contact	155.98	70.9	60.27	92.17	379.32	5.7
Perform tests	334.90	459.29	334.9	334.9	1.463.99	22.1
Perform group dynamic	415.36	138.45	138.45	138.45	830.71	12.5
Perform Interview	518.99	286.98	522.88	348.27	1.677.12	25.2
Prepare documentation	886.98	484.75	350.66	577.57	2.299.96	34.6
Total cost	2,312.21	1,440.37	1,407.16	1,491.36	6,651.10	6.6
Contract cost/employee	42.81	49.66	82.77	46.60	51.16
*Total pre hire cost*	39,020.17	23,321.88	19,015.04	19,647.51	101,004.60	32.1

Post-hire cost	May	June	July	August	Total	%
Orientation and training
Perform integration PCE	664.29	664.29	687.19	675.76	2.691.53	79.8
Perform integration HR	170.77	170.77	170.77	170.77	683.08	30.2
*Total cost*	835.06	835.06	857.96	846.53	3.374.61	1.6
Training/employee cost	21.91	21.91	21.94	22.04	21.83
*Decreased productivity of newly-hired professional.*
No productivity	16,962.68	18,239.36	17,072.92	18,951.60	71,226.56	35.6
Perform orientation	28,474.57	21,712.72	35,276.22	43,292.33	128,755.84	64.4
Total cost	45,437.25	39,952.08	52,349.14	62,243.93	199,982.40	93.6
No productivity cost/Employee	3,495.17	2,350.12	3,489.94	2,706.25	2,856.89
*Decreased productivity of terminated professionals*
No productivity	3,661.62	2,376.97	2,662.78	1,046.25	9,747.62	4.6
No productivity cost/Employee	305.13	216.08	532.55	209.25	295.38
*Termination*
Perform termination interview	169.82	156.75	104.50	65.31	496.39	0.2
Termination/employee Cost	13.06	13.06	13.06	13.06	46.93
*Total cost post-hire*	50,103.75	43,320.86	55,974.38	64,411.27	213,601.02	67.9

	May	June	July	August	Total	%
Pre-hire costs
Recruitment	471.01	317.33	447.61	373.95	1.609.90	0.5
Vaccancies	36,236.95	21,564.18	17,160.27	17,782.20	92,743.60	29.5
Selection and hiring	2,312.21	1,440.37	1,407.16	1,491.36	6,651.10	2.1
Total cost	39,020.17	23,321.88	19,015.04	19,647.51	101,004.60	32.1
Turnover cost	1,393.57	777.39	760.60	654.91	886.00
*Post-hire costs*
Orientation and training	835.06	835.06	857.96	846.53	3,374.60	1.1
Decreased productivity of newly hired professional	45,437.25	39,952.08	52,349.14	62,243.93	199,982.40	63.6
Decreased productivity of terminated professionals	3,661.62	2,376.97	2,662.78	1,046.25	9,747.62	3.1
Termination	169.82	156.75	104.50	65.31	496.39	0.1
Total cost	50,103.75	43,320.86	55,974.38	64,411.27	213,601.02	67.9
Turnover cost	1,698.92	1.416.19	2.204.65	2.147.04	1.844.09
Pre/post hire costs	89,123.92	66,642.74	74,989.42	84,058.78	314,605.62
Turnover/Employee cost	3,073.23	2,221.42	2.999.57	2.801.95	2.759.69
Termination/employee cost	6,855.68	5,553.56	9.373.67	16,811.75	8,279.09

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author:Paula Buck de Oliveira Ruiz. Praça do Arpoador, 320. CEP 13104052 - Campinas, SP, Brazil. pbuckinha@yahoo.com.br