Estudo da atividade da equipe de limpeza e liberação dos leitos de internação hospitalar : a pressão de tempo na origem do absenteísmo

Abstract

The study emerged from the demand of the Hospitality sector of the health institution related to the difficulties experienced in the management of human resources and in meeting the time targets for releasing hospital beds. The objective of the study was to analyze the activity of the hospital cleaning team, focusing on the survey of factors that generate delas in the release of beds and time pressure. In the demand statement phase, data and testimonials were collected that enabled a greater understading of the challenge experienced by the Hospitality sector. The interviews with the cleaning team revealed points of difficulty existing in the activity of cleaning the beds and that interfered in the time of release, such as, for example, the difference between the areas of the hospital beds, differences between the types of floor, number of items furniture, bed model, etc. In addition to the aforementioned factors, the unpredictability of hospital discharges and corrective maintenance were also mentioned. After the instruction stage, the hypothesis was raised that all the listed factors, together, would contribute to the increase in cleaning time and, consequently, to the pressure for results, time pressure and absenteeism (a factor that fed back into the cycle and further worsened the difficulties in managing the release of beds within the deadline established by the health institution). To confirm the hypothesis raised, the methodology used was the ergonomic analysis of the work and the specific techniques were the systematic observation of the workers' activity, with regular visits to the hospitalization units, filming and photographs, non-structured interviews and self-confrontation interviews. The follow-up of the workers and the data obtained in the study confirmed the raised hypothesis and the observed points were the basis for the proposal of solutions. The recommendations presented focus on addressing the factors that cause delays in cleaning the beds and, consequently, the origin of time pressure and absenteeism in the sector.