Assessment of the product of nursing care in specialized hospitals

Abstract

Objective: To evaluate the product of care in units of specialized hospitals, identifying the items that most contributed to the score; to compare the product of care among hospitals, units, and shifts; to verify the association between demographic and professionals variables and the product of care. Method: Descriptive study, conducted in eight units of two specialized hospitals in the State of São Paulo. The evaluation of the product of care was performed by applying an instrument to 44 nurses. Results: "Multidisciplinary interaction and performance" obtained the lowest median in both hospitals, and the "Meeting assistance needs" and "Nursing care planning" were the better assessed ones. "Dimensioning of nursing staff" was the item that most contributed to the total score. There was a weak correlation between socio-demographic variables and score. Conclusion: The product of care, as found in both hospitals, was predominantly considered "good." The tool enabled the identification of critical aspects of the nursing work.

The qualitative dimension of Nursing workload: a measurement proposal

“…On the other hand, the inter-professional action was critical in the production of care in these units and corroborates other studies ( 15 , 25 ) . This lack of collaboration among health professionals has been the object of worldwide research and debate proposing interventions in training and in the workplace to improve practice and care ( 26 - 27 ) .…”

“…It was also possible to recognize that the qualifying factors of this product in the IUs and ICUs, that is, the best scored items were: Meeting the care needs and Nursing staff sizing, also pointed out in previous investigations ( 15 , 25 ) . On the other hand, the inter-professional action was critical in the production of care in these units and corroborates other studies ( 15 , 25 ) .…”

“…Validation study of this scale ( 15 ) and another performed in specialized hospitals ( 25 ) also identified good care product - 64.5% and 69.5%, respectively. The findings make it possible to infer that in highly specialized services ( 25 ) and those where patients require high clinical dependence, material conditions, available resources and work organization may favor the care delivered by nursing. …”

Competências do enfermeiro em emergência e o produto do cuidar em enfermagem: revisão integrativa

“…Dos 16 artigos inclusos nesta revisão, 4 estudos (10,(13)(14)(15) abordaram o produto do cuidar em enfermagem, e 12 (16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27) apresentaram as competências mínimas requeridas ao enfermeiro que atua em emergências.…”

“…Os artigos que abordaram o produto do cuidar em enfermagem foram desenvolvidos e publicados no Brasil, entre os anos de 2015 e 2018 (10,(13)(14)(15) , e tiveram em sua população enfermeiros clínicos. Foram encontrados apenas quatro artigos na perspectiva da temática; três deles versam sobre a criação e validação do construto, e o quarto, sobre sua aplicabilidade em hospitais previamente selecionados.…”