Objectives: to analyze and compare levels of stress and resilience in nurses before and after the assessment for maintenance of the Hospital Accreditation Certification. Methods: quantitative, observational, and longitudinal research, with 53 nurses from a philanthropic hospital, in the Rio Grande do Sul. Data collected in two stages, March, and July 2019, before the assessment visit and 60 days after, using the Bianchi Stress Scale and Resilience Scale. Descriptive and analytical statistics were employed. Results: the majority of participants showed an average stress level before and after the evaluation. The highest stress scores were related to Domains E (coordination of unit activities) and C (activities related to personnel administration). In both moments of the study, the participants had medium and high resilience. Conclusions: managing people, processes, and assistance are stressful activities in the Accreditation process and increase the nurses’ stress levels.
Aim: to describe the process of implementation of the Sistematization of Nursing Assistance (SNA) in a Post Anesthesic Recovering Unit of a general hospital. Methodology: It concerns to an experience report that emerged from the acting as a nurse in the respective unit, allied to the insertion in the Post Graduation lato sensu course in Nursing in a Surgery Center, Anesthesic Recovering and Center of Sterilization material in a private university of the state of Rio Grande do Sul. Results: the implementation of the Sistematization of Nursing Assistance is a process that requires culture change from the old paradigm of practicing Nursing that, sometimes, is reluctant in registrating its actions. In this sense, the nurse performs an important role that goes from the expansion of the scientific knowledge, followed by educational actions directed to the nursing staff, until the implementation, monitoring and evaluation of the quality of the patient assistance, extended to the relatives. Final considerations: during the implementation of the sistematization of the nursing assistance several difficulties emerged from the nurses concerning the execution, knowledge and staff quantity. Besides that, it was evidenced that the use of information technologies can be used as a facilitator factor in the operalization of the daily actions of the nurse and, in this way, contribute to decrease possible errors and to obtain greater reliability to caring. It was evidenced gradual empowerment of the nurses during the implementation of the assistance, and this one, besides contributing to the expansion of quality and safety of the patients, increased their recognition by attended patients. Sistematization of Assistance in Nursing in a Post
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