THE RISKS OF RESPLACING THE NURSING TEAM TO REMEDY DAILY ABSENCE ON THE INTENSIVE CARE UNIT (ICU) SCALE

Abstract

Intensive Care Units (ICU) emerged from the need to provide critical care to critically ill patients in a differentiated and intensive manner. This specificity of care requires high standards of technical and scientific knowledge from its workers, in addition to several other skills for teamwork. In this scenario, to achieve excellence in the quality of care, optimizing existing resources in the Intensive Care Unit (ICU) and allocating a qualified team for assistance are fundamental requirements as they require high institutional expenditures on physical, technological and human resources to offer adequate assistance. and safe. To achieve quality in the care provided in the ICU, it is extremely important to consider that the number of nursing workers and their qualification by professional category must be predicted by the coordinating nurse, through the nursing staff dimensioning methodology, respecting at least recommended by the Ministry of Health through the National Health Surveillance Agency (ANVISA), as well as the Federal Nursing Council (COFEN), and this definition consists of a managerial instrument for planning quality care, due to assisting in adequacy of the staff to the needs of the clientele and the characteristics of the institution's Nursing Service. The American Nurses Association (ANA) defines Quality in Nursing Care as “possible nursing procedures, without errors, that serve the patient in the most appropriate way possible, following ethical ^p2rinciples, aiming for balance and ensuring client and family satisfaction ” (VIEIRA, 2010). The quality of care is not only guaranteed by the qualifications of its professionals, but also by their quantification for the development of legally foreseen activities. Therefore, an adequate number of professionals who have patient care demands as a guideline is an essential premise for quality care, as it favors a healthy environment, due to the reduction of work overload and, consequently, offers less risk to the clientele ( ANDOLHE; PADILHA, 2012). In hospital institutions, the nursing service plays a fundamental role in the care process. Therefore, the dimensioning of nursing staff is defined as a systematic process, which underpins the planning and evaluation of the quantitative and qualitative number of professionals, necessary to provide assistance, in accordance with the uniqueness of health services, which guarantee the safety of users. and workers (FUGULIN, 2010).