The nursing team represents 40.6% of the hospital's professionals, being the largest workforce in patient care, therefore, the certification of this service supports the repositioning of nurses, as well as the development of the team, integrating them into the strategy of high care performance in pursuit of excellence in management. The objective is to demonstrate the perception that Nursing undergoes a restructuring of its knowledge through the management tools of the Certification Program for Nursing Services Distinction. Information from assessments in a digital model, followed between January 2021 and June 2022, in three hospitals with different profiles, funding and complexity, was gathered. The experience report was carried out through the collection of information using focus groups with Governance, Nursing Leadership and Nurses. It was identified by the development of the program a greater integration of the assistance team with the leadership, autonomy of the nurse in the management of the sector and involvement of the nursing technician in the multidisciplinary team. Professionals reported greater professional recognition, empowerment and personal fulfillment, reflected in the climate of safety and satisfaction at work. Communication about the patient's condition with the doctor improved, bringing good results in care, such as the identification of early signs of clinical deterioration. Changes were identified in the position of nurses as clinical care managers. It is therefore concluded that this Program made it possible to observe the advancement of nurses' performance in patient-centered care, with information and data that helped in decision-making, favoring greater autonomy and action, based on the ethical principles of the profession.
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