Computerized tool to calculate nursing quality indicators: a methodological research

Abstract

Pinto VRS, Ferreira SCM. Computerized tool to calculate nursing quality indicators: a methodological research [internet] 2014 Oct [cited year month day]; 13 (suppl I): 382-5. Available from:ABSTRACT This is a dissertation project undertaken as part of the Professional Masters in Healthcare Nursing, Fluminense Federal University. Aims: To develop a computerized tool for measuring quality indicators of nursing care;to identify indicators of care quality from the viewpoint of nurses in medical clinics; to build a computerized spreadsheet for indicator calculation; to elaborate the standard operating procedure (SOP) for the completion of the worksheet; to test the computerized spreadsheet and its application in the measurement of the proposed indicators. Method: This is a research methodology that refers to the investigations of the methods for obtaining, organizing and analyzing data. The subjects are nurses from clinical units of a university hospital.Ethical aspects will be respected, as required by CNS Resolution 466/2012.

Os desafios dos sistemas de informação em enfermagem: uma revisão narrativa da literatura

“…The lack of the application of indicators is thus a handicap that has been slow to be solved. According to Pinto and Ferreira 11 , "indicators are management tools used to measure, monitor and evaluate the results of a process, project or policy, based on data registered in an organized and structured way as part of the information systems". The structuring documents of the profession, the regulation of the general care nurse's competences, define in chapter C.2 -Quality improvement, point 89, that the nurse "uses valid indicators in the assessment of the quality of nursing practice", as well as in point 90, which says that the nurse also "participates in quality improvement programs and quality assurance procedures" 8 .…”

“…Due to the complexity of a health service, a single indicator is not able to evaluate the quality of the service provided to clients and thus, it is necessary to list a group of indicators of each category for this purpose [15][16][17] or at least one indicator from each category. The use of technology allows the creation of computerized indicators that will subsequently provide nurses with work tools that allow the measurement of indicators and the development of easily managed databases, contributing to the continuous improvement of the quality of care 11,18,19 .…”

“…There is a worldwide consensus that scientific evidence increasingly demonstrates the need to implement results that assess the contribution of care to clinical quality and safety, highlighting the existence of indicators that are sensitive to nursing practice 20 . Studies have estimated that the concomitant use of standardized informatic support and language provides complete and accurate information, contributing to the quality of nursing records 11 . The same authors maintain two preponderant questions; in the first instance, that the quality of care is directly related to the quality of the nursing records and, secondly, that the use of standardized language combined with informatic tools contributes to a better decision-making.…”

Aplicabilidade clínica das intervenções de enfermagem de uma terminologia para assistência no processo de amamentação

“…Neste sentido, uma das estratégias para a mudança comportamental é o investimento em educação continuada direcionada aos aspectos técnicos, éticos e legais dos registros de enfermagem 20 e no uso da informática associado às terminologias padronizadas de enfermagem, o que contribui para um registro de qualidade. [21][22] A falta de prescrição das intervenções atreladas a alguns conceitos da teoriapapel de mãe; sistemas organizacionais de proteção promoção e apoio à amamentação; imagem corporal da mulher; percepção da mulher; percepção da criança; autoridade familiar e social e tomada de decisão da mulher -pode ser reflexo da influência do modelo biomédico no planejamento e implementação dos cuidados de enfermagem. Os cuidados ao binômio mãe-filho compreendem, além de aspectos biológicos e técnicoscientíficos, os aspectos sociais, emocionais, espirituais e culturais.…”

Indicadores para avaliação da qualidade da assistência de enfermagem: estudo descritivo-exploratório

“…Based on the premise that the monitoring of work processes in care, through a comparative analysis of indicators, are important for the evaluation of hospital services, it is understood that the use of quality indicators is valuable in terms of guiding actions as part of the management plans of health units (2) .…”