Objective: to identify the actions, undertaken by nurse managers in a risk management program, considered as best practice. Method: a case study undertaken in a private hospital in the south of Brazil. A risk manager and nurse managers working in a risk management program participated in this study. The data was collected between May and September 2011 through analysis of documents, semi-structured interviews and non-participant observation. Based on the triangulation, the data was analyzed through practical measures. Results: educational actions, the critical analysis of the context, and the multiple dimensions of the management were evidenced as best practice.Conclusions: the broadening of understanding regarding risk management best practice offers further support for nurse managers to achieve excellence in their actions and thus provide safe and quality care.
Todo paciente tem direito a ser reconhecido e respeitado como cidadão, o que implica participar das decisões relacionadas ao seu cuidado e tratamento. Visando conhecer como vem ocorrendo o respeito da enfermagem aos direitos de pacientes hospitalizados, pelo Sistema Único de Saúde (SUS) e por convênios privados, foi utilizado como método de coleta a entrevista semi-estruturada com pacientes cirúrgicos hospitalizados e com enfermeiras atuantes em uma Unidade de Clínica Cirúrgica (UCC) e numa Unidade de Convênios Privados (UC), além de observações sistemáticas do cuidado de enfermagem prestado aos pacientes internados nestas duas unidades de um Hospital Universitário. Os resultados apontaram a necessidade das enfermeiras priorizarem seu tempo principalmente para a orientação de pacientes que internam pelo SUS, além de envidarem esforços para assegurar o respeito aos direitos dos pacientes de serem previamente esclarecidos e de darem seu consentimento, com liberdade, antes da realização de qualquer procedimento em si.
Objetivos: caracterizar a los usuarios con VIH que utilizan un servicio de referencia en el Estado de Santa Catarina, Brasil, y comparar la satisfacción entre los usuarios del ambulatorioe internación. Metodología: estudio cuantitativo transversal, realizado con 106 personas con VIH asistidas en un servicio de infectología en la ciudad de Florianópolis (Santa Catarina). La recolección de datos ocurrió de julio a diciembre de 2013 por medio de un formulario compuesto por cuestiones sociodemográficas y satisfacción. Para análisis de datos se utilizó el test chi-cuadrado y el software SPSS®.Resultados: la mayoría de los usuarios demostró satisfacción con el servicio en todos los aspectos: disponibilidad de los cuidados (80,2 %),oportunidad/libertad para dar sugerencias (94,3 %), satisfacción con las relaciones personales (94,3 %), acceso al servicio (87,7 %) y cuidado recibido (90 %). No hubo diferencia entre los grupos (ambulatorio e internación) en la comparación entre los aspectos relacionados con la satisfacción.Conclusión: la satisfacción de las personas viviendo con VIH se mostró positiva para los usuarios del servicio en ambulatorio y para los de la internación.
Objetive: to understand the adherence to treatment of young adults with HIV/AIDS treated in a specialized care service from the perspective of complex thinking. Method: a qualitative study, with the data grounded theory approach. Twelve young adults aged from 15 to 24 years old living with HIV/AIDS, nine health professionals and four mothers participated in the study. Data was obtained from interviews conducted between April and September 2016 and analyzed using the constant comparative method. Results: the adherence to treatment of young adults with HIV/AIDS has been understood as a dynamic, multifactorial and constantly changing phenomenon. This process involves multiple aspects, including fear of becoming ill, physical and social death, discrimination and stigma. It was found that even in the face of these difficulties, young adults decide to continue their treatment in search of normalization of health, a long and common life like other young people who do not live with HIV/AIDS. Conclusion: it was considered that in view of the complex and changing phenomenon, adherence to treatment of young adults with HIV/AIDS should be understood and managed by health professionals.
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