Relação entre gravidade clínica e horas de cuidados de enfermagem em um pronto socorro / Relationship between clinical severity and hours of nursing care in an emergency room

RESUMO

RESUMO Objetivo avaliar a relação entre a gravidade clínica de pacientes e as horas de cuidados dos profissionais de enfermagem em um pronto socorro. Métodos estudo correlacional, que se utilizou dos instrumentos Nursing Activities Score e Acute Physiology and Chronic Health Evaluation I. Resultados incluíram-se 338 pacientes. As médias mais altas foram identificadas no grupo óbitos sendo (22,0%) para Acute Physiology and Chronic Health Evaluation II e (56,8%) para Nursing Activities Score, (p=0,000). Obteve-se relação moderada entre esses escores. Ademais, os dois instrumentos utilizados se mostraram capazes de predizer o óbito. Conclusão as avaliações do agravamento dos pacientes e da demanda por cuidados, podem contribuir com a adequação do número de pessoal, a redução do tempo de permanência nas salas de emergência e o planejamento assistencial de qualidade elevada.

ABSTRACT

ABSTRACT Objective to evaluate the relationship between the clinical severity of the patients and the hours of care of nursing professionals in an emergency room. Methods correlational study, which used the Nursing Activities Score and Acute Physiology and Chronic Health Evaluation I instruments. Results we included 338 patients. The highest averages were identified in the group related to deaths, with (22.0%) for Acute Physiology and Chronic Health Evaluation II and (56.8%) for Nursing Activities Score, (p=0.000). We obtained a moderate relationship between these scores. Moreover, the two instruments used proved to be capable of predicting deaths. Conclusion evaluations of the worsening of patients and the demand for care can contribute to the adequacy of the number of personnel, the reduction of the length of stay in the emergency rooms and the high-quality care planning.