A atuação do enfermeiro auditor na qualidade da assistência à saúde: revisão bibliográfica integrativa

2021 ◽  
Vol 21 (83) ◽  
Author(s):  
Gabriela Marchiori do Carmo Azzolin
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Quality Of Health Care ◽  
Nursing Process ◽  
Inclusion Criteria ◽  
Great Relevance ◽  
Role Of Nursing ◽  
Selection Of

Objetivo: descrever a atuação do enfermeiro auditor na qualidade da assistência a saúde. Método: trata-se de uma revisão integrativa de artigos publicados no período de 2015 a 2020. A pesquisa e seleção dos artigos foi realizada nas bases de dados: BEDENF, LILACS e MEDLINE, por meio dos descritores “Enfermagem”, “Auditoria de enfermagem” , “Registros de enfermagem” e “ Qualidade da assistência à saúde”. Os critérios de inclusão foram artigos online gratuitos, com textos completos, publicados de 2015 a 2020, nos idiomas português e inglês. Resultados: foram selecionados 11 artigos, por cumprirem os critérios estabelecidos no estudo. Na análise dos resultados foi possível evidenciar a importância significativa da qualidade dos registros no processo de enfermagem. Conclusão: a atuação da enfermagem na auditoria tem ganhado notoriedade nos últimos anos, por ser de grande relevância para a qualidade da assistência prestada e abranger muito mais que a gestão de custos.Palavras-chave: Enfermagem; Auditoria de enfermagem; Registros de enfermagem; Qualidade da assistência à saúde. The auditor's nurse's performance in the quality of health care: integrative bibliographic review ABSTRACTObjective: to describe the role of the nurse auditor in the quality of health care. Method: this is an integrative review of articles published from 2015 to 2020. The research and selection of articles was carried out in the databases: BEDENF, LILACS and MEDLINE, using the descriptors “Nursing”, “Nursing audit "," Nursing records "and" Quality of health care ". The inclusion criteria were free online articles, with full texts, published from 2015 to 2020, in Portuguese and English. Result: 11 articles were selected, as they meet the criteria established in the study. In the analysis of the results, it was possible to highlight the significant importance of the quality of the records in the nursing process. Conclusio: the role of nursing in the audit has gained notoriety in recent years, as it is of great relevance to the quality of care provided and covers much more than cost management.Keywords: Nursing; Nursing audit; Nursing records; Quality of health care.

scholarly journals O impacto da pandemia no papel da enfermagem: uma revisão narrativa da literatura

2021 ◽  
Vol 20 (3) ◽  
pp. 502-543
Author(s):  
Thais Cristina Loyola Da Silva ◽  
Ákysa Kyvia de Medeiros Pinheiro Fernandes ◽  
Camila Brito do O’ ◽  
Suênia Silva de Mesquita Xavier ◽  
Eurides Araújo Bezerra de Macedo
Keyword(s):  
Health Care ◽  
Google Scholar ◽  
Protective Equipment ◽  
Inclusion Criteria ◽  
Salud Mental ◽  
Occupational Infections ◽  
Role Of Nursing ◽  
The Impact

Objetivo: Analizar, describir y explicar el impacto de la pandemia en el rol de la enfermería, según la literatura.Método: Revisión narrativa de la literatura basada en búsquedas en bases de datos (Pubmed, BDENF, Scielo, Google Scholar), sección de referencia de artículos y sitios web oficiales con la combinación de descriptores: COVID-19 y Enfermagem y Pandemia y solo COVID- 19.Resultados: Se seleccionaron 44 referencias, de acuerdo al criterio de inclusión, para lo cual se evidenció que la pandemia impacta desde cambios en las rutinas del trabajo de enfermería, actualización de medidas para prevenir infecciones ocupacionales y lesiones por presión por uso de equipo de protección, atención a la salud mental, proporción de infección entre enfermeras para una mayor visibilidad y reconocimiento de la importancia de la categoría en la atención de la salud.Conclusión: La pandemia impuso nuevas condiciones laborales al personal de enfermería, las cuales impactaron en temas personales y laborales que se interrelacionan con la calidad de la atención de salud.   Objective: To analyze, describe and explain the impact of the pandemic on the role of nursing, according to literature.Method: Narrative review of the literature based on searches in databases (Pubmed, BDENF, Scielo, Google Scholar), on the references of articles, and official websites. The search used the combination of descriptors: COVID-19 and Enfermagem and Pandemia and only COVID- 19.Results: 44 references were selected, according to the inclusion criteria. It was shown that the pandemic impact the routines of nursing work in many ways, affecting the updating of measures to prevent occupational infections and protective equipment-related pressure injuries, mental health care, the proportion of infection among nurses, although it brings more visibility and recognition to the importance of nursing workers in health care.Conclusion: The pandemic forced nurses to submit to new working conditions, which caused personal and labor issues that are associated with the quality of health care. Objetivo: Analisar, descrever e explicitar o impacto da pandemia no papel da enfermagem, conforme a literatura. Método: Revisão narrativa da literatura a partir de pesquisas em bases de dados (Pubmed, BDENF, Scielo, Google Scholar), seção de referência dos artigos e sites oficiais com a combinação dos descritores: COVID-19 and Enfermagem and Pandemia e apenas COVID-19. Resultados: Foram selecionadas 44 referências, consoante o critério de inclusão, por quais evidenciou-se que a pandemia impacta desde mudanças nas rotinas do trabalho da enfermagem, atualização de medidas de prevenção de infecção ocupacional e de lesões por pressão por uso de equipamentos de proteção, cuidados para com a saúde mental, proporção de infecção entre os enfermeiros até maior visibilidade e reconhecimento da importância da categoria na assistência à saúde. Conclusão: A pandemia impôs novas condições de trabalho ao pessoal de enfermagem, as quais impactaram em questões pessoais e trabalhistas que se inter-relacionam com a qualidade da assistência à saúde.

The role of electronic medical records in improving the quality of health care services: Comparative study

2019 ◽  
Vol 127 ◽  
pp. 63-67 ◽  
Author(s):  
Omar Ayaad ◽  
Aladeen Alloubani ◽  
Eyad Abu ALhajaa ◽  
Mohammad Farhan ◽  
Sami Abuseif ◽  
...  
Keyword(s):  
Health Care ◽  
Comparative Study ◽  
Electronic Medical Records ◽  
Quality Of Health Care ◽  
Medical Records ◽  
Health Care Services ◽  
Care Services

scholarly journals Quality of Health Care: The Role of Informatics

2003 ◽  
Vol 12 (01) ◽  
pp. 5-7
Author(s):  
Reinhold Haux ◽  
Casimir A. Kulikowski
Keyword(s):  
Health Care ◽  
Quality Of Health Care

scholarly journals A Qualitative Exploration of Weight Bias and Quality of Health Care Among Health Care Professionals Using Hypothetical Patient Scenarios

2018 ◽  
Vol 55 ◽  
pp. 004695801877417 ◽  
Author(s):  
Justine Seymour ◽  
Jennifer L. Barnes ◽  
Julie Schumacher ◽  
Rachel L. Vollmer
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Quality Of Health Care ◽  
Health Care Professionals ◽  
Online Survey ◽  
The United States ◽  
Weight Bias ◽  
Hypothetical Patient ◽  
Qualitative Exploration

The purpose of this study was to determine whether weight bias exhibited by health care professionals (HCPs) impacts quality of health care provided to individuals with obesity. HCPs (n = 220; 88% female, 87% nurses) in the Midwest region of the United States were recruited to complete an online survey. In this within-subjects study design, participants completed the Attitudes Towards Obese Persons (ATOP) scale to assess weight bias and responded to 2 (1 person with obesity and 1 person without obesity) hypothetical patient scenarios to evaluate quality of care. A median split was calculated for ATOP scores to divide participants into high or low weight bias groups. Within these groups, thematic analysis was used to uncover themes in quality of care based on participants’ responses to each scenario. The analysis revealed that HCPs in the high weight bias group gave specific diet and exercise recommendations, offered health advice regarding weight loss, and used less teaching discourse when responding to the patient with obesity. In addition, in both weight bias groups, patients with obesity were started on pharmaceutical therapies sooner. The findings of this study suggest a need to educate HCPs on the importance of empathy and compassion when providing treatment to all patients, regardless of weight, to increase quality of care and ultimately improve patient outcomes.

Informatics for Patient Safety: A Nursing Research Perspective

2006 ◽  
Vol 24 (1) ◽  
pp. 219-254 ◽  
Author(s):  
Suzanne Bakken
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Patient Safety ◽  
Health Information ◽  
Quality Of Health Care ◽  
Critical Role ◽  
Nursing Research ◽  
National Framework

In Crossing the Quality Chasm, the Institute of Medicine (IOM) Committee on Quality of Health Care in America identified the critical role of information technology in designing a health system that produces care that is “safe, effective, patient-centered, timely, efficient, and equitable” (Committee on Quality of Health Care in America, 2001, p. 164). A subsequent IOM report contends that improved information systems are essential to a new health care delivery system that “both prevents errors and learns from them when they occur” (Committee on Data Standards for Patient Safety, 2004, p. 1). This review specifically highlights the role of informatics processes and information technology in promoting patient safety and summarizes relevant nursing research. First, the components of an informatics infrastructure for patient safety are described within the context of the national framework for delivering consumer-centric and information-rich health care and using the National Health Information Infrastructure (NHII) (Thompson & Brailer, 2004). Second, relevant nursing research is summarized; this includes research studies that contributed to the development of selected infrastructure components as well as studies specifically focused on patient safety. Third, knowledge gaps and opportunities for nursing research are identified for each main topic. The health information technologies deployed as part of the national framework must support nursing practice in a manner that enables prevention of medical errors and promotion of patient safety and contributes to the development of practice-based nursing knowledge as well as best practices for patient safety. The seminal work that has been completed to date is necessary, but not sufficient, to achieve this objective.

scholarly journals Effectiveness of UK provider financial incentives on quality of care: a systematic review

2017 ◽  
Vol 67 (664) ◽  
pp. e800-e815 ◽  
Author(s):  
Rishi Mandavia ◽  
Nishchay Mehta ◽  
Anne Schilder ◽  
Elias Mossialos
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Quality Of Care ◽  
Quality Of Health Care ◽  
Financial Incentives ◽  
Healthcare Quality ◽  
Standards Of Care ◽  
Positive Effects ◽  
The Uk

BackgroundProvider financial incentives are being increasingly adopted to help improve standards of care while promoting efficiency.AimTo review the UK evidence on whether provider financial incentives are an effective way of improving the quality of health care.Design and settingSystematic review of UK evidence, undertaken in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations.MethodMEDLINE and Embase databases were searched in August 2016. Original articles that assessed the relationship between UK provider financial incentives and a quantitative measure of quality of health care were included. Studies showing improvement for all measures of quality of care were defined as ‘positive’, those that were ‘intermediate’ showed improvement in some measures, and those classified as ‘negative’ showed a worsening of measures. Studies showing no effect were documented as such. Quality was assessed using the Downs and Black quality checklist.ResultsOf the 232 published articles identified by the systematic search, 28 were included. Of these, nine reported positive effects of incentives on quality of care, 16 reported intermediate effects, two reported no effect, and one reported a negative effect. Quality assessment scores for included articles ranged from 15 to 19, out of a maximum of 22 points.ConclusionThe effects of UK provider financial incentives on healthcare quality are unclear. Owing to this uncertainty and their significant costs, use of them may be counterproductive to their goal of improving healthcare quality and efficiency. UK policymakers should be cautious when implementing these incentives — if used, they should be subject to careful long-term monitoring and evaluation. Further research is needed to assess whether provider financial incentives represent a cost-effective intervention to improve the quality of care delivered in the UK.

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