To assess the impact of three different nursing care strategies for the tunneled central venous catheter (CVC) exit site and compare the costs of each strategy(21)
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Micro-costing to assess the costs and benefits of each CVC/432 exit location care strategy record (procedures) at a single health institution. |
The transparent coverage required weekly care (US$ 51.79/week); the group without coverage, daily care (US$ 56.34/week); and the gauze dressing, every 48 hours (US$ 103.72/week). |
The costs of supplies and labor for the gauze dressing were considerably higher, indicating that there are better financial benefits from discontinuing its use. |
To identify the average direct cost (ADC) of the activities performed by nursing professionals in order to conduct and document the Nursing Process (NP) in the Medical Clinic Ward of a university hospital(22)
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Quantitative, exploratory-descriptive research, in the form of a single case study/1.040 NP conducting and documenting activities. |
The ADC of the patient's admission corresponded to R$ 55.57 (SD = 19.44); among the patient follow-up activities, the documentation of the Nursing Evolution represented the most impacting ADC (R$ 17.70, SD= 14.60); the ADC of descriptive notes corresponded to R$ 1.21 (SD= 1.21), and the ADC of the nursing team for work shift change was R$ 54.23 (SD= 28.95). |
The study contributes to give visibility to the performance of nursing professionals in conducting and documenting the NP, by providing financial elements for consistent arguments regarding the resources suitable for its feasibility. |
To identify the total ADC of conventional hemodialysis performed by nursing technicians on patients with acute kidney injury in an Adult Intensive Care Unit(23)
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Quantitative case study research/57 conventional hemodialysis sessions for 23 patients with acute kidney injury. |
The total ADC (R$ 434.83) was impacted by the costs of the "monitoring" stages R$ 205.58, "preparation of the machine and the extracorporeal circuit", R$ 120.96; and "internal disinfection and cleaning of the machine", R$ 42.10. |
As the study was restricted to measuring only the direct cost. The measure of indirect costs is a major challenge to determine the total costs. |
To identify the ACD for the process of reprocessing double and single cotton fabric fields, which are part of the surgical LAP package(24)
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Quantitative, exploratory-descriptive research, in the form of a single case study/the stages and activities of reprocessing were analyzed |
The ACD with cleaning labor, assistants and nursing technicians and material for making a surgical LAP package totaled US$ 9.72. The "assembly and sterilization of the surgical LAP package" stage was the most representative (US$ 9.39); the ADC for materials suffered a strong impact from the costs of cotton fabric fields (US$ 7.99). |
The knowledge obtained will support the nurse in discussions and in decision making about the economic feasibility of replacing reusable tissue fields with disposable ones. |
To calculate the direct costs of implementing a pressure ulcer (PU) prevention protocol in a university hospital(25)
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Quantitative, exploratory-descriptive study with a single-case study design/the activities that comprise the following stages were mapped: elaboration, implementation and evaluation of the protocol. |
Costs totaled US$ 60,857.38 (100%), with US$ 38,297.64 (62.93%) related to the direct labor of nurses, nursing technicians/assistants and secretary; and US$ 22,559.74 (37.07%) related to the acquisition of products, accessories, and equipment. |
Health professionals need to value the financial aspects of care, understanding that managing them presupposes the increase of resources to guarantee access and equity to users associated with the maintenance of quality of care. |
To compare: (1) bath duration and quality, (2) cost, (3) nurse satisfaction and (4) patient satisfaction with bed baths using traditional basin compared to bed bath with disposable utensils(26)
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Randomized clinical trial, with a group of patients over 19 years of age, awake, conscious, able to speak and understand the local language and who needed to bathe in bed for two consecutive days. |
The bath with disposable utensils lasted less (29 minutes) when compared to the bath using the traditional basin (36 minutes). The bath with disposable utensils cost 11.84 DKK; and the bath using the traditional basin, 11.87 DKK. In both, all nurses were satisfied with the cleanliness and the time spent; and all patients interviewed were satisfied. |
In the case of baths with disposable utensils, the costs are lower, since less time is spent. If the calculation included machines (hot water and washing machine) and electricity, the costs of the basin method would have been even greater than baths with disposable utensils. |
To calculate the average total cost (ATC) related to the direct labor of nursing professionals involved in mobilization activities of patients admitted to a university hospital aiming at the prevention of PUs(27)
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Quantitative, exploratory-descriptive case study/656 preventive mobilizations for PUs prevention in inpatient units (medical, surgical, and intensive care). |
The ATC for the medical clinic corresponded to R$ 5.38 for change of position, R$ 5.26 for positioning the patient in an armchair, R$ 5.55 for helping during walks in the medical clinic; for the surgical clinic, R$ 2.42 for changing position, R$ 2.30 for positioning in an armchair, R$ 2.96 for walking aid; in intensive care, R$ 8.15 for changing position, R$ 7.57 for positioning in an armchair, R$ 15.32 for walking aid care. |
The results may support the cost management related to the human resources involved in the preventive care of patients at risk of developing PUs. |