title: Determining workload and size of nursing team in the pediatric emergency department.
abstract: OBJECTIVE
  To identify indicators of required nursing workload for pediatric patients care in an emergency department.
  
  
  METHODS
  This cross-sectional quantitative study was carried out in a pediatric short-stay unit at a public hospital in São Paulo (SP), Brazil. The patient classification system and activity times of nursing care proposed by the Brazilian Federal Nurse Council were applied to all patients admitted over a 1-month period. The instruments were applied by two nurses in populations of 500 and 453 patients, respectively. Nursing workload was calculated in terms of hours and by nurse/patient ratio. Data were analyzed by descriptive statistics, and inter- and intraobserver reliability was assessed by using Kappa coefficient. Confidence intervals were measured to verify differences in numbers of patient among work shifts.
  
  
  RESULTS
  The average daily workload was 108.7 hours and the average amount of time spent on nursing care per patient was 7.9 hours. The nurse-patient ratio was 1:2.6.
  
  
  CONCLUSIONS
  The application of the standardized classification instrument was adequate. It enabled the classification of pediatric patients and the measurement of amount of time needed for nursing care. The average number of nursing work hours per patient met the average time for semi-intensive care established by the Brazilian Federal Nurse Council.
authors.affiliation: Sociedade Beneficente Israelita Brasileira Albert Einstein, Hospital Municipal Dr. Moysés Deutsch ? M?Boi Mirim, São Paulo, SP, Brazil.
authors.forename: Ana Cristina
authors.initials: AC
authors.lastname: Rossetti
authors.affiliation: Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Raquel Rapone
authors.initials: RR
authors.lastname: Gaidzinski
authors.affiliation: Sociedade Beneficente Israelita Brasileira Albert Einstein, Hospital Municipal Dr. Moysés Deutsch ? M?Boi Mirim, São Paulo, SP, Brazil.
authors.forename: Mario Maia
authors.initials: MM
authors.lastname: Bracco
mesh_terms: D000293:Adolescent; D001938:Brazil; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D008297:Male; D009741:Nursing Staff, Hospital; D009746:Nursing, Team; D010557:Personnel Administration, Hospital; D015203:Reproducibility of Results; D000078329:Workforce; D016526:Workload