<i>In loco</i> nursing practice inspection costs in a Brazilian setting

Alves, Vera Lucia de Souza; Lima, Antônio Fernandes Costa

doi:10.1590/1980-220X-REEUSP-2021-0382

Brasil

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 56 • 2022 • https://doi.org/10.1590/1980-220X-REEUSP-2021-0382 linkcopy

In loco nursing practice inspection costs in a Brazilian setting

Costes de la inspección in loco de la supervisión de la práctica profesional de enfermería en una realidad brasileña

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective: To identify the average direct cost related to the direct labor of the inspectors involved in the “in loco inspection” step of the inspection process carried out at the Headquarters of the Regional Nursing Council of São Paulo.

Method: Quantitative, exploratory-descriptive research, in the form of a single case study. The non-probabilistic convenience sample consisted of records of initial and return “in loco inspections”, carried out by inspectors working at the Headquarters of The Regional Nursing Council of São Paulo, from January 13, 2020 to March 13, 2020.

Results: The average direct cost of initial in loco inspection (N = 182) corresponded to BRL 331.67 (SD = 140.32), ranging from BRL 115.80 to BRL 1071.15, and that of return in loco inspection (N = 98) to BRL 256.16 (SD = 130.90), ranging from BRL 77.20 to BRL 694.80. Time and cost variables analysis of initial and return in loco inspections showed an alpha significance level of 0.05, and it was possible to statistically state that the time (p ≤ 0.001) and the cost of initial in loco inspection (p ≤ 0.001) are higher than those for return in loco inspection.

Conclusion: the cost of the step of “in loco inspection” will support the Nursing Council in the decision-making process aiming at allocating efficiency of human resources required in the inspection process.

DESCRIPTORS Professional Review Organizations; Health Care Coordination and Monitoring; Administrative Claims; Healthcare; Nursing Services; Nursing Staff; Costs and Cost Analysis

Variable	Type of in loco inspection	Position, central tendency and variability measures
Time in minutes	Initial (N = 182)	Mean	171.85
		Median	155
		Standard deviation	72.71
		Minimum – Maximum	60 – 555
	Return (N = 98)	Mean	132.72
		Median	120
		Standard deviation	67.82
		Minimum – Maximum	40 – 360

Variable	Type of in loco inspection	Position, central tendency and variability measures
Cost	Initial (N = 182)	Mean	331.67
		Median	299.15
		Standard deviation	140.32
		Minimum – Maximum	115.80 – 1071.15
	Return (N = 98)	Mean	256.16
		Median	231.6
		Standard deviation	130.9
		Minimum – Maximum	77.20 – 694.8

Variables		Total of inspections (N = 1)	Initial in loco inspection N = 182 (65%)	Return in loco inspection N = 98 (35%)	p-value
Time in minutes	Mean ± SD	158.2 ± 73.3	171.9 ± 72.5	132.7 ± 67.8	≤0.001
	Median	142.5	155	120
	Min – Max	40 – 555	60 – 555	40 – 360
Cost in Reais	Mean ± SD	305.24 ± 141.54	331.67 ± 140.32	256.16 ± 130.90	≤0.001
	Median	275.03	299.15	231.6
	Min – Max	77.20 – 1071.15	115.80 – 1071.15	77.20 – 694.80

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[TFN3] Mann-Whitney U Test.