Estudo de não conformidades no trabalho de enfermagem: evidências que interferem na qualidade de hospitais em Minas Gerais

• Ano de defesa: 2011
• Autor(a) principal: Helen Cristiny Teodoro Couto
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Trabalho; Gestão de Qualidade; Serviço Hospitalar de Enfermagem; Enfermagem; Pesquisa em Avaliação de Enfermagem; Acreditação; Avaliação de Serviços de Saúde; Humanos; Supervisão de Enfermagem/legislação & jurisprudência; Qualidade da Assistência à Saúde
• Link de acesso: http://hdl.handle.net/1843/GCPA-8QSJSH

The State Department of Health in Minas Gerais has identified the need to assess the qualityof hospitals in the Improvement and Strengthening Program of Hospitals in Minas Gerais(Pro-Hosp). In this sense has made, since 2009, the implementation of OrganizationalDiagnostics National Accreditation Organization (DO-ONA). This study aims to analyze thenon-conformities (NC) related to the nursing work presented in the DO-ONA's reports fromPro-Hosp's hospitals evaluated in 2009. The NC in nursing work are situations that do notmeet the standards set by National Accreditation Organization (ONA), interfering in hospitalquality and safety. It is a descriptive, documentary and retrospective research, contemplating asample of 37 (82.22%) of hospitals evaluated in 2009. Data were collected from a secondarysource, that is, from DO-ONA and the information systems from the Ministry of Health, andorganized in tables, with frequency distribution. The NC were classified into three groups:non-conformities related to the process of nursing work Care/Aid; non-conformities related tothe process Administer/Manage; and non-conformities related to the processEducation/Research. The results show that the NC in the first group were the most frequent:"no safe multi-drug application plan", "lack of methodology for the planning of nursing carebased on demonstrated risk, implementation of SAE" and "lack of method for riskstratification of all patients admitted to the institution". The NC more frequent in the secondgroup were "found no policy of risk management", "lack of flow of emergency response invarious assistance areas, comprising professionals, equipment and drugs" and "policy forguarantee and improvement of filling documents and identification of professionals andpatients in the medical records should be strengthened". In the third group the NC thatappeared most were "lack of definition of the training program for employees with a focus onnon-conformities of sectors, with measurement of their effectiveness and efficiency","absence of a qualification and involvement of leaderships program for a effectivemanagement of each business cell" and "lack of actions for raising awareness of medical andnursing staff for the reporting of adverse actions". These results indicate the distance betweenwhich was established by the Brazilian System of Accreditation and nursing practice, beingnecessary to promote an integrated effort of the nursing team with other health professionals,in order to correct the NC found and to increase the quality of hospitals, avoiding risks topatients and professionals. The NC in nursing work are not problems unique to the category,because they reflect the political and organizational commitment of hospitals to the qualityand safety.