Newly hired nursing workers in a teaching hospital
direct costs of training and non-productivity
Keywords:
Efficiency, Workforce, Costs and cost analysis, Nursing Economics, Nursing TeamAbstract
Objective: To measure the direct costs of training and non-productivity of newly admitted nursing professionals in a school hospital. Method: Quantitative, exploratory-descriptive research and single case study. The data were obtained during the 30, 60 and 90 days of experience of each newly admitted using instruments to measure non-productivity built according to the specificities of the newly admitted allocation units. The calculation of costs per professional was composed of the training time and the non-productivity of the newly admitted. Results: Sixty-eight hires were made, being 36 nursing auxiliaries, 27 nursing technicians and five nurses. The direct cost of training and non-productivity, during the trial period, was R$160,981.36, being 55.75% related to training and 44.25% to non-productivity. Conclusion: The obtained results contribute to the verticalization of the knowledge on the measurement of the direct costs of the trainings and the non-productivity.
References
Santos APA, Camelo SHH, Santos FC dos, Leal LA, Silva BR da. Nurses in post-operative heart surgery: professional competencies and organization strategies. Rev da Esc Enferm da USP [Internet]. 2016 Jun [cited 2020 Nov 20];50(3):474–81. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000300474&lng=en&tlng=en DOI: https://doi.org/10.1590/S0080-623420160000400014
Ruiz P, Perroca M, Jericó M. People management indicator: Assessment of resignations and turnover rate of nursing. Rev enferm UFPE line [Internet]. 2015 [cited 2020 Apr 10];9(2):643–50. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10383/11131
Santana FLP, De Almeida IFDP, Almeida F de A. Particularidades no treinamento de enfermeiros recém-admitidos. Rev Enferm UFPE line [Internet]. 2019 Nov 14 [cited 2020 Jul 20];13:[1-8]. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/242775/34028 DOI: https://doi.org/10.5205/1981-8963.2019.242775
Caillier JG. Linking Transformational Leadership to Self-Efficacy, Extra-Role Behaviors, and Turnover Intentions in Public Agencies: The Mediating Role of Goal Clarity. Adm Soc [Internet]. 2016 Sep 28 [cited 2020 Oct 11];48(7):883–906. Available from: https://psycnet.apa.org/record/2016-39224-005 DOI: https://doi.org/10.1177/0095399713519093
Chiavenato I. Introdução à moderna Gestão de Pessoas. Gestão Pessoas o novo Pap dos Recur humanos nas Organ. 2008;
Jones CB, Gates M. The costs and benefits of nurse turnover: A business case for nurse retention [Internet]. Online Journal of Issues in Nursing. 2008. Available from: http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NurseRetention.html DOI: https://doi.org/10.3912/OJIN.Vol12No03Man04
Ruiz PB de O, Perroca MG, Jericó M de C. Cost of nursing turnover in a Teaching Hospital. Rev da Esc Enferm da USP [Internet]. 2016 Feb [cited 2020 Jul 5];50(1):101– DOI: https://doi.org/10.1590/S0080-623420160000100014
Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000100101&lng=en&tlng=en8.Yin RK. Case Study Research Design and Methods. 6th ed. Thousand Oaks,CA: Sage Publications; 2018. 282 p.
Vargas G, Filho AM. Consolidação das Leis do Trabalho. Presidência da República Casa Civ [Internet]. 1943 May 1 [cited 2020 Jul 31];139. Available from: http://www.planalto.gov.br/ccivil_03/decreto-lei/del5452.htm
Souza CA de, Jericó M de C, Perroca MG. Nursing intervention/activity mapping at a Chemotherapy Center: an instrument for workload assessment. Rev Lat Am Enfermagem [Internet]. 2013 Apr [cited 2020 Jul 31];21(2):492–9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692013000200492&lng=en&tlng=en DOI: https://doi.org/10.1590/S0104-11692013000200004
Possari JF, Gaidzinski RR, Fugulin FMT, Lima AFC, Kurcgant P. Padronização das atividades em centro cirúrgico oncológico segundo a Classificação das Intervenções de Enfermagem. Rev da Esc Enferm da USP [Internet]. 2013 Jun [cited 2020 Jul31];47(3):600–6. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342013000300600&lng=pt&tlng=pt DOI: https://doi.org/10.1590/S0080-623420130000300011
Nóbrega R, Nóbrega M, Silva K. Diagnósticos, resultados e intervenções de enfermagem para crianças na Clínica Pediátrica de um hospital escola. Rev Bras Enferm [Internet]. 2011 [cited 2020 Jul 31];501–11. Available from: https://www.scielo.br/scielo.php?pid=S0034-71672011000300014&script=sci_arttext&tlng=pt DOI: https://doi.org/10.1590/S0034-71672011000300014
Bulechek MG, Butcher HK, Dochterman JM WC. Nursing Interventions Classification. 6th ed. Rio de Janeiro: Elsevier; 2016. 640 p.
SOBECC. Diretrizes de Práticas em Enfermagem Cirúrgica e Processamento de Produtos para a Saúde. 7th ed. São Paulo; 2017.
Lima AFC. Direct cost of monitoring conventional hemodialysis conducted by nursing professionals. Rev Bras Enferm [Internet]. 2017 Apr [cited 2020 Apr 6];70(2):357–63. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672017000200357&lng=en&tlng=en DOI: https://doi.org/10.1590/0034-7167-2016-0447
Jones CB. Revisiting Nurse Turnover Costs. JONA J Nurs Adm [Internet]. 2008 Jan [cited 2020 Apr 6];38(1):11–8. Available from: http://journals.lww.com/00005110-200801000-00004 DOI: https://doi.org/10.1097/01.NNA.0000295636.03216.6f
Enfermagem em Números Conselho Federal de Enfermagem - Brasil [Internet]. [cited 2020 Jul 20]. Available from: http://www.cofen.gov.br/enfermagem-em-numeros
Peduzzi M, Anselmi ML. O auxiliar e o técnico de enfermagem: categorias profissionais diferentes e trabalhos equivalentes. Rev Bras Enferm [Internet]. 2004 Aug [cited 2020 Jul 25];57(4):425–9. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672004000400008&lng=pt&tlng=pt DOI: https://doi.org/10.1590/S0034-71672004000400008
Hudgins TA. Resilience, job satisfaction and anticipated turnover in nurse leaders. J Nurs Manag [Internet]. 2016 Jan [cited 2020 Aug 18];24(1):E62–9. Available from: http://doi.wiley.com/10.1111/jonm.12289 DOI: https://doi.org/10.1111/jonm.12289
Falatah R, Salem OA. Nurse turnover in the Kingdom of Saudi Arabia: An integrative review. J Nurs Manag [Internet]. 2018 Sep [cited 2020 Jul 5];26(6):630–8. Available from: http://doi.wiley.com/10.1111/jonm.12603 DOI: https://doi.org/10.1111/jonm.12603
Yakusheva O, Weiss M. Rankings matter: nurse graduates from higher-ranked institutions have higher productivity. BMC Health Serv Res [Internet]. 2017 Dec 13 [cited 2020 Jun 3];17(1):134. Available from: http://bmchealthservres.biomedcentral. com/articles/10.1186/s12913-017-2074-x DOI: https://doi.org/10.1186/s12913-017-2074-x
Silva MCN da, Machado MH. Sistema de Saúde e Trabalho: desafios para a Enfermagem no Brasil. Cien Saude Colet [Internet]. 2020 Jan 1 [cited 2020 Aug 3];25(1):7–13. Available from: https://orcid.org/0000-0002-3923-7473 DOI: https://doi.org/10.1590/1413-81232020251.27572019
Roche MA, Duffield CM, Homer C, Buchan J, Dimitrelis S. The rate and cost of nurse turnover in Australia. Collegian [Internet]. 2015 Dec [cited 2020 Sep 11];22(4):353–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1322769614000420 DOI: https://doi.org/10.1016/j.colegn.2014.05.002
North N, Leung W, Ashton T, Rasmussen E, Hughes F, Finlayson M. Nurse turnover in New Zealand: costs and relationships with staffing practises and patient outcomes. J Nurs Manag [Internet]. 2013 Apr [cited 2020 Mar 8];21(3):419–28. Available from: http://doi.wiley.com/10.1111/j.1365-2834.2012.01371.x DOI: https://doi.org/10.1111/j.1365-2834.2012.01371.x
Brooks S. Health Care Leaders’ Strategies to Improve Nurse Retention. Heal Care Leaders’ Strateg to Improv Nurse Retent [Internet]. 2017 Dec [cited 2020 Dec 1];(D.B.A. PG-1-1):1. Available from: https://scholarworks.waldenu.edu/dissertations
Ndayisaba H. Effect of orientation programs on employee performance a case of USIU-AFRICA [Internet]. 2017 [cited 2020 Apr 10]. Available from: http://erepo.usiu.ac.ke/11732/3391
Önder E. Ranking The Strategies of Human Resource Management During Economic Crisis Period Using Analytic Hierarchy Process. Adv Manag Appl Econ. 2013;3:57–72.
Hunt PS, Hartman D. Meeting the measurements of inpatient staffing productivity. Nurs Manag [Internet]. 2018 Jun [cited 2020 Apr 13];49(6):26–33. Available from: http://journals.lww.com/00006247-201806000-00008 DOI: https://doi.org/10.1097/01.NUMA.0000533765.82263.65
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