scholarly journals Registros de enfermagem e suas implicações para a qualidade do cuidado

Author(s):  
Beatriz Da Silva Sousa ◽  
Ana Clara Maciel Barroso

Avaliar o registro dos enfermeiros nos prontuários do paciente eletrônico e convencional, com vista à melhoria da qualidade do cuidado. Estudo descritivo, tipo estudo de caso. Foram realizadas entrevistas semiestruturadas com 8 enfermeiros da enfermaria de coronariopatias e a análise dos registros nos dois tipos de prontuários do paciente. Nos 25 prontuários revistos, constatou-se o número de 51 registros, sendo 37 do prontuário eletrônico e 14 do prontuário convencional, média de 31 dias de internação. Atrelou-se a não realização ao número insuficiente de profissionais de enfermagem no setor em comparação à complexidade dos pacientes atendidos. Destaca-se como obstáculo o quantitativo de pessoal da equipe de enfermagem e sua carga de trabalho. Consequentemente, há necessidade de ajustes quantitativo e qualitativo no processo de trabalho relacionados a execução desta e das demais tarefas para que possam ser adequadamente conduzidas.Descritores: Cuidados de Enfermagem, Registros Eletrônicos de Saúde, Carga de trabalho. Nursing records and their implications for the quality of careAbstract: To evaluate nurses' records in the electronic and conventional patient charts, with a view to improving the quality of care. Descriptive study, case study type. Semi-structured interviews were carried out with 8 nurses from the coronary artery disease ward and the analysis of the records in the two types of patient records. In the 25 revised records, the number of 51 records was verified, being 37 of the electronic records and 14 of the conventional medical records, average of 31 days of hospitalization. There was a lack of achievement of the insufficient number of nursing professionals in the sector compared to the complexity of the patients attended. The number of nursing staff and their workload stands out as an obstacle. Consequently, there is a need for quantitative and qualitative adjustments in the work process related to the execution of this and other tasks so that they can be properly conducted.Descriptors: Nursing Care, Eletronic Health Records, Workload. Registros de enfermería y sus implicaciones para la calidad de la atenciónResumen: Evaluar el registro de los enfermeros en los prontuarios del paciente electrónico y convencional, con objetivo la mejora de la calidad del cuidado. Estudio descriptivo, tipo estudio de caso. Se realizaron entrevistas semiestructuradas con 8 enfermeros de la enfermería de coronariopatias y el análisis de los registros en los dos tipos de prontuarios del paciente. En los 25 prontuarios revisados, se constató el número de 51 registros, siendo 37 del prontuario electrónico y 14 del prontuario convencional, promedio de 31 días de internación. La no realización se debe al número insuficiente de profesionales de enfermería en el sector en comparación a la complejidad de los pacientes atendidos. Se destaca como obstáculo el cuantitativo de personal del equipo de enfermería y su carga de trabajo. En consecuencia, hay necesidad de ajustes cuantitativos y cualitativos en el proceso de trabajo relacionados con la ejecución de ésta y de las demás tareas para que puedan ser adecuadamente conducidas.Descriptores: Atención de Enfermería, Registros Electrónicos de Salud, Carga de Trabajo.

Author(s):  
Priscila Sanchez Bosco ◽  
Luiz Carlos Santiago ◽  
Mônica Martins

Avaliar o registro dos enfermeiros nos prontuários do paciente eletrônico e convencional, com vista à melhoria da qualidade do cuidado. Estudo descritivo, tipo estudo de caso. Foram realizadas entrevistas semiestruturadas com 8 enfermeiros da enfermaria de coronariopatias e a análise dos registros nos dois tipos de prontuários do paciente. Nos 25 prontuários revistos, constatou-se o número de 51 registros, sendo 37 do prontuário eletrônico e 14 do prontuário convencional, média de 31 dias de internação. Atrelou-se a não realização ao número insuficiente de profissionais de enfermagem no setor em comparação à complexidade dos pacientes atendidos. Destaca-se como obstáculo o quantitativo de pessoal da equipe de enfermagem e sua carga de trabalho. Consequentemente, há necessidade de ajustes quantitativo e qualitativo no processo de trabalho relacionados a execução desta e das demais tarefas para que possam ser adequadamente conduzidas.Descritores: Cuidados de Enfermagem, Registros Eletrônicos de Saúde, Carga de trabalho. Nursing records and their implications for the quality of careAbstract: To evaluate nurses' records in the electronic and conventional patient charts, with a view to improving the quality of care. Descriptive study, case study type. Semi-structured interviews were carried out with 8 nurses from the coronary artery disease ward and the analysis of the records in the two types of patient records. In the 25 revised records, the number of 51 records was verified, being 37 of the electronic records and 14 of the conventional medical records, average of 31 days of hospitalization. There was a lack of achievement of the insufficient number of nursing professionals in the sector compared to the complexity of the patients attended. The number of nursing staff and their workload stands out as an obstacle. Consequently, there is a need for quantitative and qualitative adjustments in the work process related to the execution of this and other tasks so that they can be properly conducted.Descriptors: Nursing Care, Eletronic Health Records, Workload. Registros de enfermería y sus implicaciones para la calidad de la atenciónResumen: Evaluar el registro de los enfermeros en los prontuarios del paciente electrónico y convencional, con objetivo la mejora de la calidad del cuidado. Estudio descriptivo, tipo estudio de caso. Se realizaron entrevistas semiestructuradas con 8 enfermeros de la enfermería de coronariopatias y el análisis de los registros en los dos tipos de prontuarios del paciente. En los 25 prontuarios revisados, se constató el número de 51 registros, siendo 37 del prontuario electrónico y 14 del prontuario convencional, promedio de 31 días de internación. La no realización se debe al número insuficiente de profesionales de enfermería en el sector en comparación a la complejidad de los pacientes atendidos. Se destaca como obstáculo el cuantitativo de personal del equipo de enfermería y su carga de trabajo. En consecuencia, hay necesidad de ajustes cuantitativos y cualitativos en el proceso de trabajo relacionados con la ejecución de ésta y de las demás tareas para que puedan ser adecuadamente conducidas.Descriptores: Atención de Enfermería, Registros Electrónicos de Salud, Carga de Trabajo.


2016 ◽  
Vol 15 ◽  
pp. 527
Author(s):  
Dorquelina Augusta Maia Rodrigues de Oliveira ◽  
Geilsa Soraia Cavalcanti Valente

This is a Professional Master’s dissertation project on Education in Health, Fluminense Federal University. Aims: to identify the work processes of professionals in the Primary Care context as regards the production and use of health records; to discuss the importance of information management in a healthcare setting and its relevance to the quality of nursing records. Method: this is a descriptive exploratory study using a qualitative approach of three healthcare units in the city of Rio de Janeiro. The subjects are 12 nursing professionals who operate in these units. Data will be collected by semi-structured interviews between December 2015 and January 2016, and will be processed using content analysis.


2020 ◽  
Vol 5 (1) ◽  
pp. 306-324
Author(s):  
Camila Maria Gonçalves de Castro ◽  
Giovana Evangelista Alves ◽  
Cláudio Alves Pereira

Resumo: O artigo apresenta a discussão sobre materiais didáticos que auxiliam na educação inclusiva de alunos que possuem deficiência visual. As pesquisas têm apontado carência de recursos didáticos adaptados ao cotidiano escolar dos alunos com deficiência. O objetivo deste trabalho é apresentar um material didático adaptado que se mostrou eficiente e contribuiu para o avanço do processo de aprendizagem de uma aluna com baixa visão no estudo do conteúdo Sistema Digestório Humano. A pesquisa é do tipo estudo de caso e o seu paradigma é do tipo qualitativo. O desenho metodológico incluiu a organização de duas entrevistas semiestruturadas com uma aluna com baixa visão, sendo uma anterior e outra posterior à prática com o uso do material adaptado. Com o presente estudo, foi possível concluir que a utilização de recursos didáticos demonstra potencial positivo na promoção da aprendizagem significativa de alunos com deficiência visual na disciplina de Ciências.Palavras-chave: Educação Inclusiva; Recursos Didáticos; Ciências. Abstract: This article presents the discussion about the didatic materials that help in inclusive education for students with visual impairment. Research has pointed to a lack of didactic resources adapted to the daily school life of students with disabilities. The objective of this paper is to present an adapted didatic material that proved to be efficient and contributed to the advancement of the learning process of a student with low vision in the study of the Human Digestive System content. The research is of the case study type and its paradigm is of the qualitative type. The methodological design included the organization of two semi-structured interviews with a student with low vision, one before and one after the practice with the use of adapted material. With the present study, it was possible to conclude that the use of didactic resources demonstrates positive potential in promoting the meaningful learning of visually impaired students in the Science discipline.Keywords: Inclusive Education; Didactic Resources; Sciences.


MADRASAH ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 114-125
Author(s):  
Raden Adji Suryo Utomo ◽  
Fitri Nur Mahmudah

The implementation of learning is the most important part in improving the quality of education. The Covid-19 pandemic period is part of the challenge for education so that learning continues. The purpose of this study was to investigate in depth the implementation of distance learning during the Covid-19 pandemic. The method used in this research is qualitative with a case study approach. The research was conducted at Muhammadiyah Pakel Elementary School. The data sources in this study were teachers, parents, and students. Data collection techniques using structured interviews assisted with guidelines that are structured questions systematically. Data analysis using the Denzin Licoln case study model assisted by atlas.ti software version 8. The technique used to improve the quality of research is source triangulation. The results of this study provide information that in the implementation of the implementation of distance learning there are three factors, namely policy, distance learning process, and human resource activeness. These three factors are novelty which can be recommendations for the three education centers in order to be part of improving the quality of distance learning education during the Covid-19 pandemic.


2021 ◽  
Vol 7 (1) ◽  
pp. 95-113
Author(s):  
Andrew M. Gaines

This qualitative case study examined how the therapeutic aspects of drama teaching artistry was conceptualized at an urban lesbian, gay, bisexual, or transgender (LGBT) senior centre by observing and/or participating in 31 creative arts education sessions and conducting two focus groups with the centre’s older adult members. Additionally, 34 semi-structured interviews were held with the centre’s teaching artists (TAs), older adults and administrators. Using constructivist grounded theory, emergent themes led to two primary findings: (1) the conceptual category therapeutic teaching artistry articulated how TAs’ practices promoted health and wellness; and (2) a provisional major concept Being Alive captured how members’ quality of life were perceived to be enhanced by the creative arts education programming. Beyond facilitating reminiscence, preventing decline or merely stimulating older adults, TAs helped older adults internalize a greater sense of agency, affirm their own humanity and improve vitality without unethically conducting creative arts therapy.


2020 ◽  
Vol 12 (17) ◽  
pp. 6836
Author(s):  
Rocío Santo-Tomás Muro ◽  
Carlota Sáenz de Tejada Granados ◽  
Eva J. Rodríguez Romero

Providing conditions for health and well-being, especially for those most exposed to social and environmental inequalities, is a precondition for sustainable development. Green infrastructures in peri-urban areas have the potential to improve the quality of life of locals by fostering healthy practices, providing views, or bringing nature closer to the city. This work explores the local perception of well-being within urban green infrastructures (UGI) in the peri-urban fringe of Madrid (Spain) through a combination of qualitative methods: “go-alongs” and “semi-structured static interviews”. The grounded-theory based codification of the data using NVivo software and their subsequent analysis results in the identification of social, natural, and perceptual elements that prove to play a relevant role in locals’ perception of well-being. Among these, connectivity with other green spaces, panoramic views and place-based memories are aspects that seem to make UGI serve the community at its full potential, including perceived physical and psychological well-being. We identify in each case study both positive characteristics of UGI and dysfunctional aspects and areas of opportunity. Lastly, a methodological, geographical, and theoretical discussion is made on the relevance of the case studies and pertinence of the two interview methods as valuable tools for analysis and intervention in the peri-urban landscape.


2020 ◽  
Vol 11 (4) ◽  
pp. 316
Author(s):  
Puji Rahayu Setyaningsih ◽  
Nengzih Nengzih

This research wants to find out how far internal control, organization culture and the quality of accounting information system will help the small-medium enterprises (SMEs) to prevent fraud. by applying the case study approach in achieving its aims and objectives. This study is done by a used case study from SMEs in the agriculture industry in Lampung province, Indonesia. The data were collected through observations and semi-structured interviews with employed and managerial staff. This research applied a mixed method in collecting and analyzing data, which were document analyses and interviews. Applying more than a single method in collecting data enables the researcher to compare and to verify the information accuracy (Brewer and Hunter 2006). This method can increase the credibility and validity of the findings because the final bias will depend on one method which later can be avoided (Yin 2012). This type of research is quantitative descriptive research. The purpose of this descriptive research is to provide a descriptive, systematic, factual and accurate description of the facts, properties, and relationships between the phenomena investigated. All data that will be used in this study is sourced from the results of respondents' answers to the questionnaire given to employees at PT. XYZ as many as 70 respondents with the unit of analysis are part of Business Control, Human Capital, Finance, Marketing, and Operations. The sampling technique that uses saturated sampling, which is a sampling technique where all members of the population will be used as samples. The results of the study show that some weaknesses of the internal controls have been identified as one of the factors of fraud. The results show that Internal Control Organizational Culture and Quality of Information Accounting have a positive significant effect to prevent fraud.


2018 ◽  
Vol 15 (1) ◽  
pp. 1-11 ◽  
Author(s):  
Taciana De Barros Jerônimo ◽  
Fagner José Coutinho de Melo ◽  
Joás Tomaz de Aquino ◽  
André Philippi Gonzaga de Albuquerque ◽  
Denise Dumke de Medeiros

This article aims to analyze the characteristics of a community of practice focused on the quality of management decision making in a company in the metallurgical industry, which is a company of cutting and bending steel for construction. Quality management requires greater flexibility in the activities, information sharing, skills development of individuals, and engagement among employees. The scientific method adopted was the descriptive cross-analysis case study, whose data was collected through semi-structured interviews conducted with 180 individuals. It was observed that the creation of communities of practice does not occur at random, and its main features are defined identity of shared interest; the way to build the image belonging to a particular social group; and involvement in joint activities that allow them to learn from each other.


2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Elana Maria Ramos Freire ◽  
Valéria Cristina da Silva ◽  
Adriane Vieira ◽  
Selme Siqueira de Matos ◽  
Marília Alves

ABSTRACT Objective: to analyze the communication strategies adopted by a General Hospital, which helped the accreditation’s maintenance with excellence. Method: case study of a Private Hospital in Belo Horizonte, Brazil, accredited with excellence. Data were collected through semi-structured interviews and through analysis of institutional documents. The interviews were transcribed in full and submitted to content analysis. Results: instigating organizational and behavioral changes that have generated insecurity and resistance in employees. The development of strategies to improve internal communication contributed to the uniformity of information and the greater integration of professionals in their actions, promoting the change in the workers’ attitudes, and engaging and involving them in the process. Conclusion: communication plays a prominent role in the consolidation of hospital care and the development of a priority strategy to reach and maintain it, with an emphasis on quality of care and patient safety.


2018 ◽  
Vol 12 (10) ◽  
pp. 2775
Author(s):  
Adriano Da Costa Belarmino ◽  
Larissa Cunha Alves de Holanda ◽  
Antonio Rodrigues Ferreira Junior

RESUMOObjetivo: discutir caso clínico de gestante com síndrome de Vogt-Koyanagi-Harada (SVKH) associada com pré-eclâmpsia (PE) grave. Método: trata-se de estudo qualitativo, do tipo estudo de caso, com dados de prontuário após internação de gestante com SVKH e pré-eclâmpsia grave. Resultados: identificou-se primigesta portadora de SVKH e PE internada por aumento pressórico arterial e amaurose bilateral; instalada a sulfatoterapia e indicada a cesariana após a confirmação laboratorial de síndrome HELLP parcial. A avaliação oftalmológica constatou descolamento de retina e hemorragias oculares leves necessitando de pulsoterapia e com recuperação visual posterior. Conclusão: considerou-se a assistência a gestantes com situações clínicas raras, respaldada no pensamento complexo, que possibilitou a construção de cuidados ampliados, com intervenções direcionadas e resultados positivos, obtendo-se a melhoria da qualidade de vida durante e após o internamento. Descritores: Síndrome Uveomeningoencefálica; Pré-eclâmpsia; Eclâmpsia; Cuidados de Enfermagem; Epistemologia, Filosofia em Enfermagem.ABSTRACT Objective: to discuss the clinical case of pregnant women with Vogt-Koyanagi-Harada syndrome (VKHS) associated with severe pre-eclampsia (PE). Method: this is a qualitative, case-study study with data from the medical records after admission of pregnant women with VKHS and severe pre-eclampsia. Results: primigravid VKHS and PE patients were hospitalized for arterial pressure increase and bilateral amaurosis; sulfate therapy and cesarean section was indicated after laboratory confirmation of partial HELLP syndrome. The ophthalmologic evaluation revealed retinal detachment and mild ocular hemorrhages necessitating pulse therapy and posterior visual recovery. Conclusion: assistance to pregnant women with rare clinical situations, supported by complex thinking, was considered, which enabled the construction of expanded care, with targeted interventions and positive results, resulting in improved quality of life during and after hospitalization. Descriptors: Uveomeningoencephalic syndrome; Preeclampsia; Eclampsia; Nursing care; Epistemology, Philosophy, Nursing.RESUMEN Objetivo: discutir caso clínico de gestante con síndrome de Vogt-Koyanagi-Harada (SVKH) asociada con pre eclampsia (PE) grave. Método: se trata de un estudio cualitativo, del tipo estudio de caso, con datos de prontuario después de la internación de gestante con SVKH y pre eclampsia grave. Resultados: se identificó primigesta portadora de SVKH y PE internada por aumento presórico arterial y amaurosis bilateral; instalada la sulfatoterapia e indicada la cesárea después de la confirmación de laboratorio de síndrome HELLP parcial. La evaluación oftalmológica constató desprendimiento de retina y hemorragias oculares leves necesitando de pulsoterapia y con recuperación visual posterior. Conclusión: se consideró la asistencia a gestantes con situaciones clínicas raras, respaldada en el pensamiento complejo, que posibilitó la construcción de cuidados ampliados, con intervenciones directas y resultados positivos, obteniéndose la mejora de la calidad de vida durante y después del internamiento. Descriptores: Síndrome Uveomeningoencefálico; La preeclampsia; Cuidados de Enfermería; Epistemología; Filosofía en Enfermería.


Sign in / Sign up

Export Citation Format

Share Document