Qualidade no desempenho de técnicas dos trabalhadores de enfermagem de nível médio

Abstract

OBJECTIVE:To assess the quality of nursing care provided in inhalation, peripheral venipuncture, and administration of intra-muscular medication procedures in the context of professional training of nursing assistants. METHODS:A cross-sectional study was carried out in two phases among nursing staff (nurse assistants as well as unlicensed nursing personnel), in three hospitals in the state of Bahia, Northeastern Brazil, in October and December 2001 and 2002. Data was collected by means of direct observation of task performance and analysis of the median values of performance. A convenience sample was stratified according to professional category and work unit. RESULTS:There was a quality improvement or maintenance while performing the procedure of inhalation, with an overall median score equal to or above 70%. Median scores were reduced for peripheral venipuncture and administration of intra-muscular medication. Analysis of the differences in the procedures indicated that performance improved regarding basic procedural steps but worsened regarding the interaction with the patient. As to the nursing teams, those in Hospital 1, where there were better working conditions, had the best performance, and those in Hospital 2, where there were the worst working conditions, showed the worst performance. CONCLUSIONS:Educational processes among nurse assistants implemented per se in poor working conditions are not able to bring about quality improvement of professional performance.

Quality assessment of the wound dressing procedure in patients at a university hospital

“…Another investigation, supported by the Ministry of Health, evaluated the performance of nursing auxiliaries, technicians and attendants for inhalation, venous puncture for medication and intramuscular medication, at three hospital services in Bahia. The same study found unsatisfactory performance for all techniques in the three professional categories (9) .…”

“…The researchers were available at the unit and, as they identified an employee who was going to perform a dressing, they made their observation and at the same time classified the patients at their corresponding dependence level. Based on the consulted literature (8)(9) , the Positivity Index (PI) equal to or higher than 70% was used as the parameter for dressing quality assessment.…”

“…The use of protocols and the development / implementation of training processes that enable both nurses and the other team members to execute this procedure permit the improvement of professional performance and, eventually, assure certain quantitative and qualitative standards of health care (9) .…”

Conhecendo egressos do curso técnico de Enfermagem do PROFAE

“…Students assessed in these studies did not show changes in this respect before and after the course (15,17) .…”

“…To assess the course impact, it is important to take into account the alert (15) that nursing performance quality is mediated by the work context, that is, sites with structural conditions and continuity of educative processes enhance graduates' professional performance. Professional education cannot be detached from the analysis of aspects related to these students/workers' place of work, as inservice education is a relevant part of any health service institution's mission.…”