Planning Nursing Workforce in Primary Health Care in Brazil

Friday, 24 July 2015: 3:30 PM

Daiana Bonfim, PhD, RN1
Ana Maria Laus, PhD, RN2
Fernanda Maria Togeiro Fugulin, PhD, RN1
Raquel Rapone Gaidzinski, PhD, RN1
(1)Escola de Enfermagem, Universidade de São Paulo, São Paulo, Brazil
(2)Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brazil

Purpose: to propose standard references for duration of nursing interventions / activities at Primary Care Units (PCU) and to calculate nursing workforce. 

Methods: It was conducted a methodological research field, multicenter with a quantitative approach and purposive sampling in 27 PCUs, in 12 states in all 5 geographical regions. The work sampling technic was applied. The standard references were calculated based on interventions / activities proposed by Workload Indicators Staffing Need. 

Results: 32.613 observations were conducted, and 15% was sample retest, 27.846 observations were regular. Furthermore, 9.198 (33%) were observations of nurses and 18.648 (67%) were observations of nurse assistants. Nurses, in Brazil, spend their working time as following: 59.1% in interventions (30.5% direct care and 28.7% indirect care), 7% in unit-related activity, 13.2% in personal activity, 3% standby time, 14.7% absence and 3% was not observed. Nurse assistants, in Brazil, spend their working time as following: 40.7% in interventions (24.7% in direct care and indirect care in 16%), 13.7% unit-related activity, 15.8% in personal activity, 15.6% standby time, 11.7% absence and 2.5% was not observed. The current productivity and potential productivity of nurses, in Brazil, were 66% and 84% respectively; and of Nurse Assistants were 55% of actual productivity and 83% of potential productivity


These results can support an eventual redesign of some practices and process optimization of nursing workforce in order to better meet the needs of users.