Nursing intervention/activity mapping at a Chemotherapy Center: an instrument for workload assessment

Souza, Célia Alves de; Jericó, Marli de Carvalho; Perroca, Márcia Galan

doi:10.1590/s0104-11692013000200004

Cited by 23 publications

(34 citation statements)

References 19 publications

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“…Study (13) developed in a Central Chemotherapy clinic, using the Nursing Intervention Classification (14) , showed the time spent of 5.8 minutes to puncture the port-a-cath, which was mapped as an Intervention 2440 keeping device for venous access and 6.3 minutes for venipuncture performed by nurse (Intervention 4190 -venipuncture access).…”

Section: Discussionmentioning

confidence: 99%

“…It is noteworthy that, in the control of tissue perfusion, better skills of nurses for the selection of site for venipuncture have been required, ensuring greater safety in the use of anticancer drugs (13) . In this direction, the Outpatient field of study, when the nurse notice a problem in relation to venous access, she/he notifies the oncologist responsible for the patient and, together, decide whether there is an indication of the implementation of central venous catheter.…”

Section: Discussionmentioning

confidence: 99%

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Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Nobrega

Lima

2014

Rev. esc. enferm. USP

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Rev Esc Enferm RESUmEnObjetivo: Identificar el costo directo de los procedimientos relacionados con el tratamiento de quimioterapia ambulatoria para las mujeres con cáncer de mama. Método: Investigación cuantitativa, del tipo de estudio de caso, realizada en el ambulatorio de quimioterapia de un hospital privado Se calculó el costo total mediante la multiplicación del tiempo dedicado por los profesionales involucrados en el proceso, por el costo unitario de la mano de obra directa, sumándose al costo de los materiales, fár-macos y soluciones. Para la realización de los cálculos se utilizó la moneda brasileña (R$). Resultados: El costo total medio, por sesión de quimioterapia, correspondió a R$ 1.783,01 (100%), de los cuales R$ 1.671,66 (93,75%) fueron con fármacos, R$ 74,98 (4,21%) con materiales, R$ 28,49 (1,60%) con mano de obra y R$ 7,88 (0,44%) con soluciones. Conclusión: Los resultados logrados podrán servir como base para las discusiones y la toma de decisiones con respecto a la gestión de los costos relacionados con la quimioterapia, con vistas a la reducción de los gastos y la eliminación de los desperdicios, sin perjuicios a la atención prestada. dEScRiPtoRESNeoplasias de la mama Quimioterapia Costos de la Atención en Salud Costos y análisis de costo Enfermería oncológica. RESUmoObjetivo: Identificar o custo direto de procedimentos relacionados ao tratamento quimioterápico ambulatorial de mulheres portadoras de câncer de mama. Método: Pesquisa quantitativa, do tipo estudo de caso, realizada no ambulatório de quimioterapia de um hospital privado. O custo total foi calculado multiplicando-se o tempo despendido pelos profissionais envolvidos nos procedimentos terapêu-ticos, pelo custo unitário da mão de obra direta, somando-se ao custo dos materiais, fármacos e soluções. Para a realização dos cálculos, utilizou-se a moeda brasileira (R$). Resultados: O custo total médio, por sessão de quimioterapia, correspondeu a R$ 1.783,01 (100%), sendo R$ 1.671,66 (93,75%) com fármacos, R$ 74,98 (4,21%) com materiais, R$ 28,49 (1,60%) com mão de obra e R$ 7,88 (0,44%) com soluções. Conclusão: Os resultados obtidos poderão subsidiar discussões e tomadas de decisões em relação à gestão dos custos relativos à quimioterapia visando à redução dos gastos e a eliminação dos desperdícios, sem prejuízos ao atendimento prestado. dEScRitoRESNeoplasias da mama Quimioterapia Custos de cuidados de saúde Custos e análise de custo Enfermagem oncológica AbStRActObjective: To identify the direct cost of procedures related to an outpatient chemotherapy treatment for women with breast cancer. Method: This is a quantitative research, using the case study methodology, performed in an outpatient chemotherapy of a private hospital. The total cost was calculated by multiplying the time spent by professionals involved in therapeutic procedures, the unit cost of direct labor, adding to the cost of materials, drugs and solutions. For performing the calculations, we used the Brazilian currency (R$). Results: The average total cost per chemotherapy...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Nobrega

Lima

2014

Rev. esc. enferm. USP

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“…In the context of the nursing services, the literature appoints that care process mapping can determine the time each work activity consumes; measure the workload; help to truly define the role of nursing professionals, especially nurses; redesign the work process; promote the qualification of actions and increase the productivity 18 .…”

Section: Discussionmentioning

confidence: 99%

Management changes resulting from hospital accreditation

Oliveira

Gabriel

Fertonani

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective: to analyze managers and professionals' perceptions on the changes in hospital management deriving from accreditation.Method: descriptive study with qualitative approach. The participants were five hospital quality managers and 91 other professionals from a wide range of professional categories, hierarchical levels and activity areas at four hospitals in the South of Brazil certified at different levels in the Brazilian accreditation system. They answered the question "Tell me about the management of this hospital before and after the Accreditation". The data were recorded, fully transcribed and transported to the software ATLAS.ti, version 7.1 for access and management. Then, thematic content analysis was applied within the reference framework of Avedis Donabedian's Evaluation in Health.Results: one large family was apprehended, called "Management Changes Resulting from the Accreditation: perspectives of managers and professionals" and five codes, related to the management changes in the operational, structural, financial and cost; top hospital management and quality management domains.Conclusion: the management changes in the hospital organizations resulting from the Accreditation were broad, multifaceted and in line with the improvements of the service quality.

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“…Especially in the context of quality management systems, such as accreditation, service management must be based on the standardization of activities, aiming to minimize risks, and to do so, one of the basic principles is the mapping out of care processes 5,10 . In view of the above, the statement made by QM1H2 indicates that managerial improvements, made possible by accreditation, are also related to the standardization of care processes, understood as a parallel managerial action that is necessary to the provision of care.…”

Section: It Was Management the Managerial Matter Itself That Changedmentioning

confidence: 99%

Benefits and difficulties in the implementation of hospital accreditation: The voice of quality managers

Oliveira¹,

Matsuda²

2016

Escola Anna Nery - Revista De Enfermagem

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Objective: To learn the perceptions of hospital quality managers about the benefits and difficulties that arise from accreditation. Methods:A descriptive, qualitative and exploratory study was developed with five quality managers from hospitals of each of the three levels of national accreditation and one which lost its accreditation. Taped interviews were carried out with the participants, which were guided by the question: Tell us about the benefits and difficulties to obtain and maintain hospital accreditation.Transcribed data were submitted to thematic content analysis. Results: Categories of "benefits" and "difficulties" related to accreditation were created, each of them with two specific subcategories. Conclusion: In spite of the barriers related to the organizational culture and staff turnover, accreditation was mentioned by managers as beneficial to the quality of management and care because, through the standardization of processes and user centralization, the provision of care services is focused on quality.Keywords: Hospital accreditation; Quality management; Hospital administration; Health manager; Nursing. resumoObjetivo: Apreender as percepções de gestores da qualidade hospitalar quanto às vantagens e dificuldades advindas da Acreditação. Métodos: Pesquisa descritivo-exploratória, qualitativa. Participaram cinco gestores de hospitais relacionados em cada um dos três níveis de certificação de Acreditação nacional e de um hospital que perdeu tal título. Aos participantes, fez-se entrevista gravada e norteada pela questão: Conte-me sobre as vantagens e dificuldades de obter e manter a certificação pela Acreditação. Os dados transcritos foram submetidos à Análise de Conteúdo, modalidade temática. Resultados: Foram apreendidas categorias referentes às "vantagens" e às "dificuldades" relacionadas à Acreditação, cada qual com duas subcategorias pontuais. Conclusão: Apesar de empecilhos relacionados à cultura organizacional e à rotatividade de pessoal, a Acreditação foi apontada pelos gestores como vantajosa à qualidade do gerenciamento e também da assistência porque, por meio da padronização dos processos e centralização do usuário no cuidado, a assistência é gerenciada para a qualidade.Palavras-chave: Acreditação hospitalar; Gestão da qualidade; Administração hospitalar; Gestores de saúde; Enfermagem. resumen Objetivo: Comprender las percepciones de los gestores de la calidad del hospital sobre las ventajas y las dificultades derivadas de la Acreditación. Métodos: Estudio descriptivo y exploratorio, cualitativo. Cinco participantes gerentes asociados hospitales en cada uno de los tres niveles de certificación Acreditación Nacional y un hospital que ha perdido este título fueron entrevistados.Los datos transcritos fueron sometidos a análisis de contenido, modalidad temática. Resultados: Categorías fueron incautados en relación con "beneficios" y "dificultades" relacionadas con la acreditación, cada uno con dos subcategorías específicas.Conclusión: A pesar de los obstáculos relacionados con la cul...

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Nursing intervention/activity mapping at a Chemotherapy Center: an instrument for workload assessment

Cited by 23 publications

References 19 publications

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Procedures’ costs related to outpatient chemotherapy treatment of women suffering from breast cancer

Management changes resulting from hospital accreditation

Benefits and difficulties in the implementation of hospital accreditation: The voice of quality managers

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