Staff cost in direct nursing care at an intensive care unit

Author:

Telles Sandra Cristina Ribeiro,Castilho Valéria1

Affiliation:

1. University of São Paulo, Brazil

Abstract

This quantitative case study aimed to learn and analyze the personnel cost in nursing direct care in the intensive care unit. We opted to use a therapeutic intervention score index, TISS-28, for the analysis of the indirect gravity of patients and the dimension of the nursing staff working time. Evaluating the cost by a gravity score presented to be a logical and relatively simple method to allocate costs per patient in the intensive care unit. In this exploratory and descriptive study, the average TISS-28 per patient was 31 points, requiring a daily expenditure of care hours of R$ 298.69. It was evidenced in this study that personnel costs are variable since there are patients with different complexities. Therefore is possible to estimate the nursing staff cost by assessing its work load.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

Reference12 articles.

1. Organisation and management of intensive care: a prospective study in 12 european countries;Miranda DR,1998

2. Charging for intensive care using direct nursing hours as the cost marker;Havill JH;Anaesth Intensive Care,1997

3. Manual de custos de instituições de saúde: sistemas tradicionais de custos e sistema de custeio baseado em atividades;Ching HY,2001

4. Simplified Therapeutic Intervention Scoring System: The TISS-28 itens results from a multicenter study;Miranda DR;Crit Care Med,1996

5. Relationship between TISS and ICU cost;Dickie H;Intensive Care Med,1988

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