Implementation costs of a prevention protocol for pressure ulcers in a university hospital

Authors

  • Antônio Fernandes Costa Lima Nursing School at Universidade de São Paulo
  • Valéria Castilho Nursing School at Universidade de São Paulo
  • Noemi Marisa Brunet Rogenski University Hospital of the Universidade de São Paulo
  • Cleide Maria Caetano Baptista University Hospital of the Universidade de São Paulo
  • Karin Emília Rogenski University Hospital of the Universidade de São Paulo

DOI:

https://doi.org/10.5216/ree.v17i4.31051

Keywords:

Pressure Ulcer, Nursing, Costs and Cost Analysis, Cost Control

Abstract

A quantitative, descriptive, and exploratory case study, aiming to calculate the direct implementation costs of a prevention protocol for pressure ulcers (PUs) in a university hospital. We mapped the activities constituting the creation steps, the implementation, and assessment of the protocol implementation. The hourly salary/professional was multiplied by the time spent in each activity and the costs of each product, accessory and equipment multiplied by the quantity acquired for the protocol feasibility. The Brazilian currency (R$) originally used in the calculations was converted to the North-American currency using the rate US$ 0.49/R$. The costs totalized US$ 60,857.38 (100%), being US$ 38,297.64 (62,93%) referred to the direct labor of nurses, technicians/nursing assistants and secretary, and US$ 22,559.74 (37,07%) referring to the acquisition of products, accessories and equipment. We expect the obtained results to contribute by subsidizing discussions regarding the indispensability of financial investments to implement preventive measures for PUs.

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Author Biographies

Antônio Fernandes Costa Lima, Nursing School at Universidade de São Paulo

Nurse, Ph.D in Nursing. Professor of the Nursing School at Universidade de São Paulo (EE/USP). São Paulo, SP, Brazil. E-mail: tonifer@usp.br.

Valéria Castilho, Nursing School at Universidade de São Paulo

Nurse, Ph.D in Nursing. Associate Professor of the Nursing School at EE/USP. São Paulo, SP, Brazil. E-mail: valeriac@usp.br.

Noemi Marisa Brunet Rogenski, University Hospital of the Universidade de São Paulo

Nurse, Ph.D in Nursing. Director of the Surgical Nursing Division of the Nursing Department at the University Hospital of the Universidade de São Paulo (HU/USP). São Paulo, SP, Brazil. E-mail: noemi@hu.usp.br.

Cleide Maria Caetano Baptista, University Hospital of the Universidade de São Paulo

Nurse, Master in Nursing. Student of the Nursing Graduate Program in Nursing Management (PPGEn), Doctoral level, at EE/USP. Chief of the Surgical Clinical Section at HU/USP. São Paulo, SP, Brasil. E-mail: cleideb@hu.usp.br.

Karin Emília Rogenski, University Hospital of the Universidade de São Paulo

Nurse, Master in Nursing. Student of the PPGEn/EE/USP, Doctoral level. Nurse at the Pediatric Unit at HU/USP. São Paulo, SP, Brazil. E-mail: kaemilia@gmail.com.

Published

2015-12-31

Issue

Section

Original Article