Gestão por Padronização de Processos: A percepção dos Enfermeiros de Centro Cirúrgico

Abstract

RESUMO:Objetivo: revelar a visão de Gestores Enfermeiros de Centro Cirúrgico sobre o modelo de gestão por padronização de processos. Método: pesquisa exploratória, descritiva, com abordagem qualitativa, realizada no segundo semestre de 2011. A população-alvo deste estudo foram 19 alunos do Curso de Pós-Graduação de Enfermagem em Centro Cirúrgico da Universidade Luterana do Brasil (ULBRA), dos quais sete participaram por meio de entrevistas com perguntas abertas, analisadas pelo método de Bardin. Resultados: após a análise emergiram seis categorias: o entendimento sobre processo de trabalho; a relevância da padronização de processos; os resultados obtidos com a padronização; a adesão e o envolvimento da equipe; as ferramentas aplicadas, e o monitoramento através de indicadores. Conclusão: todos os entrevistados reconhecem que padronizar promove o desenvolvimento orientado de seu trabalho, refletindo diretamente nos resultados. Este estudo abre espaço para maiores discussões no que diz respeito ao pouco tempo dedicado às atividades gerenciais em detrimento da necessidade da atuação assistencial. PALAVRAS-CHAVE:Centro Cirúrgico. Padronização de processos. Gestão.ABSTRACT: Objective: to reveal the vision of Surgical Center nurse-administrators on the management model by standardization processes. Method: an exploratory, descriptive study with qualitative approach carried out in the second half of 2011. Nineteen nurses from the Surgical Nursing Graduate program at Universidade Luterana do Brasil -ULBRA were the target population of this study; nine of them participated through interviews conducted with open questions analyzed by the Bardin method. Results: the following six categories emerged after analysis: understanding the work process, the importance of process standardization, results obtained with standardization, membership and staff involvement; applied tools; and monitoring by indicators. Conclusion: all respondents recognize that standardization motivates the whole team to develop their work, reflecting directly in the results. This study paves the way for further discussion regarding the short time devoted to management activities over the need for assistance.KEYWORDS: Surgical Center. Standardization Process. Management. RESUMEN:Objetivo: conocer la visión de los Enfermeros Directores del Centro Quirúrgico acerca del modelo de gestión por estandarización de procesos. Método: investigación exploratoria, descriptiva, con enfoque cualitativo, realizada en el segundo semestre de 2011. La población objeto de estudio fue de 19 alumnos del Curso de Postgrado de Enfermería en el Centro Quirúrgico de la Universidade Luterana do Brasil (ULBRA), siete de los cuales participaron a través de entrevistas con preguntas abiertas, que posteriormente fueron analizadas por el método de Bardin. Resultados: tras el análisis, surgieron seis categorías: entendimiento del proceso de trabajo; importancia de la estandarización de procesos; resultados obtenidos con la estandarización; adhesión y participación del equipo; herramient...

Workflow and decision making of operating room nurses: integrative review

“…The category "factors with positive implications" included data collected in the preoperative period (14) ; detection of the client's clinical disorders during the operation (14) ; use of computational algorithm for surgical programming (15) ; adoption of a managerial model (17) ; standardization of processes (5) ; creation of the equipment technician function (24) ; adequate time spent in cleaning (25) ; possibility of relocation of…”

“…Decision making is influenced by the management model adopted in the operating room (17). If the management chooses, for example, to standardize processes, this will reduce costs, facilitate workflow and improve the quality of care (5) . A uniform and shared work process favors nurses' autonomy and, consequently, their decision making.…”

“…Perioperative nursing care goes beyond the physical space of the operating room, as it occurs in outpatient and inpatient surgical units, hemodynamics and endoscopy services, in order to provide high quality care to surgical clients (4) . For this purpose, nurses must coordinate care practice and management activities (5), which requires strategies to overcome difficulties related to the health institution, the staff and the clients (6) . It is expected that these professionals have a dynamic profile, technical, scientific and technological knowledge (4) , as well as leadership skills, decision making ability, adaptability, flexibility and teamwork (7) .…”

Gestão em centro cirúrgico: identificação de desperdícios*

“…The nurse has an important role as the communicator in these processes, as they share information with all professionals involved and act as the link between the different health professionals and administrative personnel, and between these professionals and the patients. Therefore, the nurse increasingly acts as a change agent in achieving the balance between the quality, quantity, and costs of surgical material 5 .…”

“…Therefore, standardization is an important management tool, which provides uniformity of actions, prevents dispersion, and also allows the professionals to perform their duties in a safe, guided manner 5 .…”