"Análise dos indicadores da qualidade na elaboração da prescrição de enfermagem em uma unidade de internação de um hospital universitário público " / D. Analysis of quality indicators over nursing prescription making at a public university hospital admission ward.
AUTOR(ES)
Andreza Daher Delfino Sentone
DATA DE PUBLICAÇÃO
2005
RESUMO
Efforts to assure improvements at nursing quality assistance have been a challenge to nursing services. Management of nursing quality assistance added to nursing care auditorship represents a fundamental strategy to conquer safe nursing with quality. The aim of this study is to analyse quality indicators over nursing prescription making from the neonatal intensive care of the Northern Paraná University Hospital, from 2001 to 2003. It is a descriptive study that made use of the quantitative method and theoric referencial of retrospective auditorship. The analysed data come from 10 trimester reports of nursing quality assistance avaliation, which constitutes retrospective auditorship of nursing prescriptions on patients records. Finally, although the nurses know how to fill in the nursing prescription and believe in the assistance systematization, the established patterns to provide good quality to the prescription were not reached in any of the reports. The highest indicator was Not Filled with 47.7%, followed by Full adding up 34.2%, Incomplete summed up 14.6% and finally Incorrect accounted for 1.7%. The highest amounts of Not Filled items were about cientific knowledge as well as critical and clinical thinking capacity. The items grading whether the prescription was made by the nurse that admitted the patient and if the time was correctly displayed presented 4.7% and 7.4% respectively, which is a concern considering that the acceptable rate should be 0%. Quality control proved to be a precious instrument of assistance practice providing the visualization of favorable and unfavorable situations that will redirect planning and nursing auditorship.
ASSUNTO(S)
prescrição de enfermagem nursing auditorship nursing prescription qualidade em enfermagem auditoria em enfermagem quality in nursing
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