Gestão da Qualidade Total e enfermagem hospitalar: uma revisão integrativa de literatura

Abstract

Rev Bras Enferm. 2015 sept-oct;68(5):660-7. http://dx.How to cite this article: Vituri DW, Évora YDM. Total Quality Management and hospital nursing: an integrative literature review. Rev Bras Enferm. 2015;68(5):660-7. DOI: http://dx.ABSTRACT Objective: to identify the available evidence in the literature on Total Quality Management in nursing administration. Method: integrative literature review of full text articles in Portuguese, English and Spanish, published between 2000 and 2011 in the LILACS, MEDLINE, SciELO and PubMed databases. Results: the sample comprises 24 periodical articles grouped by the following thematic categories: Theoretical assumptions; Practical application and Quality indicators. Despite the criticism of models derived from classic administration theories, experiences of success with the deployment of TQM have already marked the health and nursing setting in Brazil. Conclusion: Total Quality Management in managing of nursing care has being fully used in some health institutions, while others have adopted several of its principles. Two of the twenty four articles are intervention studies, which characterizes the necessity for clinical research in this area.

Intervenção domiciliar como ferramenta para o cuidado de enfermagem: avaliação da satisfação de idosos

“…The emerging themes were submitted to analysis using the theoretical framework for assessing the quality of care proposed by Donabedian (12) . Although this framework has three evaluative components, namely structure, process, and result, in this study the only adopted component was focus (7,12) . This component had to be conceptualised in the context of the study, and the result was conceived as the consequences of home nursing interventions with regard to the changes the elderly perceived in their state of health or related to altered knowledge and behaviours, motivated by the interventions, and satisfaction with the interventions.…”

“…Moreover, the elderly evaluated the home nursing interventions as positive and highlighted improvements to their state of health and well-being: The healthcare quality assessment model (12) used in this study reveals the importance of educational activities, risk prevention, promoting quality and control, and motivating and contacting users to reflect on the positive result of their evaluation (7) . Home interventions are highlighted as a pertinent technology to achieve this quality (5) .…”

“…Here, it is possible to subjectively perceive user satisfaction as an indicator of quality, according to the expectations and experiences of the elderly during home interven-Rev Gaúcha Enferm. 2016;37(spe):e68351 tions that sought to meet their real and symbolic needs (7,12) . Consequently, bonding is presented as the main determinant of satisfaction and as the result of a light technological resource -home visit -enabling more welcoming and remedial healthcare actions (5) .…”

“…In general, the evaluation of the elderly of home interventions is related with two dimensions of the Donabedian model (12) , namely: 1) technical performance translated by the application of their experienced knowledge, which maximises the benefits and reduces the risks; 2) the improved relationship of the workers with the assisted individuals assisted (7) . These dimensions were verified in the evaluations of the elderly in the form of improvements in their living habits -revealing the appropriate technical performance of the team that brought health benefits and reduced hazards -and the bonding between the health workers and members of the project -demonstrating transformations in these relationships.…”

“…Use of these interventions broadens access to healthcare because they include the home as a point in the healthcare network (6) . The growing elderly population, the increasing demand for healthcare due to the prevalence of chronic conditions, physical limitations or educational disabilities and requirements (3) , and the importance of home interventions and the use of light technologies for this population (5) permeated by quality (7) led to the creation of a university extension project in 2014, in partnership with the primary care team. The goal of this project is to offer home care to the 116 elderly who live outside the ESF coverage area, and who are therefore unable to access primary care.…”