Intensive Therapy

The work in Unit of Tratamento Intensivo (U.T.I) is complex and intense, having the nurse to be prepared for at any time, to take care of patients with important hemodinmicas alterations, which require specific knowledge and great ability to take decisions and to implement them in skillful time. In such a way, it can be assumed that the nurse plays important role in the scope of the Unit of Intensive Therapy. Had to its characteristics, they are units of high cost that demand continuous evaluation of the results so that they keep its survival. Thus, the challenge that if places is to conciliate high standards of assistance to a low cost, for what the quantitative one of nursing staff concurs, a time that the budget of this team constitutes 50% of the total costs in UTI (MIRANDA, 2003). Thus being, the adequacy of the human resources of nursing, according to necessities of the serious patients, and the evaluation of its effect in the results of the assistance constitutes subject of interest in UTIs (KURCGANT, 2006). In the context of the quality of the services of health of one it forms generality and of the UTIs, in particular, the nursing assumes role of prominence for constituting the biggest group of health professionals, as well as for keeping daily and uninterrupted contact with the patient, promoting the maintenance, recovery and whitewashing of the health by means of the care and, being able to influence in the judgment of the patients on the quality of the given services (IT HISSES, 2001). However, the installment of individualizado attendance, with technician-scientific ability, carried through by means of work integrated and cooperative, directed to the security of the patients, depends on some organizacionais factors, between them the quantitative one of the nursing staff (GAIDZINSKI, 1998). Revision of literature carried through since the decade of 70, concluded that the load of work of nursing in the UTIs is one of the main factors that contribute for the security of the patients (CARAYON, 2005).

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