Auditoria em enfermagem: revisão sistemática da literatura

Abstract

RESUMOEste estudo teve como objetivo analisar a produção científi ca acerca da auditoria em enfermagem publicada em artigos nacionais entre 1998 e 2008. Realizou-se uma revisão sistemática da literatura, com os artigos sendo pesquisados nas bases de dados LILACS e SciELO, a partir dos descritores auditoria, auditoria de enfermagem, qualidade da assistência à saúde e supervisão de enfermagem. A amostra constituiu-se de dez trabalhos. As publicações analisadas descrevem as principais distorções e não conformidades presentes nas anotações de enfermagem, relacionando-as, principalmente, com a qualidade da assistência de enfermagem e com os prejuízos fi nanceiros às instituições. As publicações também destacam a função administrativa do enfermeiro, sobretudo a função de liderança junto à equipe de enfermagem; e a auditoria de enfermagem, como um processo educativo. Descritores: Enfermagem; Auditoria de enfermagem; Qualidade da assistência à saúde; Supervisão de enfermagem. ABSTRACTThis study aimed to analyze the scientifi c production about audit in nursing, published in national papers, between 1998 and 2008. A systematic review of the literature was conducted, with articles being searched in the databases LILACS and SciELO, from the key words: audit, nursing, quality health care and nursing supervision. The sample consisted of ten works. The analyzed publications describe the main distortions and non-conformities found in nursing records, relating them mainly with the quality of nursing care and with the fi nancial damage to the institutions. The publications also include the administrative role of the nurse, especially her/his leadership role in the team of nursing; and nursing audit as an educational process Key words: Nursing Audit; Quality of Health Care; Nursing, Supervisory. RESUMENEste estudio tuvo el objetivo de analizar la producción científi ca sobre la auditoría en enfermería publicada en artículos nacionales entre 1998 y 2008. Esta es una revisión sistemática de la literatura. Los artículos fueron buscados en las bases de datos LILACS y SciELO a partir de los descriptores auditoría, la auditoría de enfermería, atención de salud de calidad y supervisión de enfermería, constituyéndose una muestra de 10 trabajos. Las publicaciones analizadas describen las principales distorsiones e inconformidades presentes en las notas de enfermería relacionándolas, principalmente, con la calidad de los cuidados de enfermería y los prejuicios fi nancieros. También destacan la función administrativa de los enfermeros, en especial su papel como líder del equipo de enfermería y la auditoría en enfermería como un proceso educativo. Palabras clave:

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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].…”

“…It is a tool that contributes to the improvement of health services and practices, mainly in diverse and complex structures such as the SUS system. At the same time, it should be emphasized that the quality of the nursing record contributes positively to multidisciplinary communication, but often the shortage of nursing staff in hospitals makes it difficult to record information [13,17,23].…”

“…This standardization supports the facilitation of evaluation in a practical way in obtaining the results. It is observed that the audit has become an essential practice in the transformation of work processes that has been happening in hospitals and health plan operators, aiming at the restructuring to guarantee the quality of care and at the same time maintain a competitive position in the labor market [12,13]. In this way, the nurse auditor, when playing his role within the ethical and legal principles of the profession, becomes fundamental in the management of health services, since it can guarantee quality of care, reduce costs, eliminate fraud, through the effectiveness of the quality of service delivery.…”

O papel do enfermeiro frente à auditoria hospitalar

“…Esta reflexão é capaz de gerar novas idéias e possibilidades para as atividades diárias de cuidado. A participação do enfermeiro como educador, no que tange a auditoria, confere empoderamento a este profissional no ambiente hospitalar 19 . Realizar educação permanente é fundamental, porém também se faz necessário que o enfermeiro tenha uma conduta de adequada frente suas atividades para que seja visto como exemplo pela equipe, afinal a função do enfermeiro não se resume apenas em supervisionar a equipe 20 .…”

Nursing Audit: An Integrating Review in Theses and Dissertations

“…It is observed that the audit has become an essential practice in the transformation of work processes that has been happening in hospitals and health plan operators, aiming at the restructuring to guarantee the quality of care and at the same time maintain a competitive position in the labor market. 12,13 In this way, the nurse auditor, when playing his role within the ethical and legal principles of the profession, becomes fundamental in the management of health services, since it can guarantee quality of care, reduce costs, eliminate fraud, through the effectiveness of the quality of service delivery. It is understood that the graduate programs contribute to the qualification of the professionals with the accomplishment of researches that innovate and provoke the expansion of the knowledge.…”