Auditoria do método de assistência de enfermagem

Abstract

Este estudo descreve o desenvolvimento de um processo de auditoria do Método de Assistência de Enfermagem em uma unidade de internação de um Hospital Universitário. Identificados os padrões, elaborou-se o instrumento, sob a forma de indicadores, no qual foram examinados, aleatoriamente, cinco prontuários com exame do usuário "in loco". Os dados foram mensurados e classificados numa quanti-qualificação da assistência de Enfermagem. Os resultados encontrados indicam a necessidade de revisão dos Padrões do Método de Assistência de Enfermagem e da retomada imediata do programa de auditoria da assistência de Enfermagem.

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“…It should be emphasized that it is a legal obligation of the nursing professional to correctly record their activities, and the institution should establish norms and routines that guide both the correct record and the correction of an inadequate record. It was verified the need to implement educational measures to obtain quality in the registries and care provided, with the awareness of the professionals to the reliable registry which favors the continuity of patient care and safety [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

“…The performance of the auditor nurse is based on his reflective critical vision, on the capacity to face the challenges within the managerial scope, on the search for new guidelines of the quality programs with focus on the audit work.8 In addition, the audit guides the process of continuing and permanent education, guides the activities of professionals, as well as measuring the quality of nursing care [10].…”

“…In this sense, it directs suggestions and solutions based on service analysis and gaps analysis, allowing corrective and preventive decisions to be taken to restructure the service [4,10,11].…”

Auditoria concorrente de enfermagem em prestadores de assistência à saúde: uma revisão integrativa da literatura

“…Em primeiro lugar, podemos afirmar que este método de avaliação corrobora com as afirmativas deste estudioso, o qual cita que tal método de avaliação pode ser utilizado, pois a auditoria em enfermagem permite que a qualidade do serviço prestado seja observada por meio da avaliação dos prontuários, do acompanhamento do cliente "in loco" e da verificação da conformidade entre a execução das atividades e os elementos que constituem a conta hospitalar cobrada (16) .…”

Nursing Audit: An Integrating Review in Theses and Dissertations

“…The performance of the auditor nurse is based on his reflective critical vision, on the capacity to face the challenges within the managerial scope, on the search for new guidelines of the quality programs with focus on the audit work.8 In addition, the audit guides the process of continuing and permanent education, guides the activities of professionals, as well as measuring the quality of nursing care. 10 In this way, it is seen as an instrument for quality control of nursing professionals' work, being used with the intention of improving care when performed in the nursing records, after discharge from the patient. In this sense, it directs suggestions and solutions based on service analysis and gaps analysis, allowing corrective and preventive decisions to be taken to restructure the service.…”