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Estratégias de gestão efetuadas pelo enfermeiro gestor na consulta de enfermagem pré-operatória: Scoping review
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Orientador(es)
Resumo(s)
Uma cirurgia é para o indivíduo um fator de stress e ansiedade e encontra-se
associada a um ambiente cirúrgico complexo, muitas vezes, com impacto
negativo no doente e nos seus familiares. O período perioperatório,
caracteriza-se pela elevada complexidade dos cuidados prestados, exigindo
articulação eficaz entre múltiplos profissionais de saúde e uma gestão
rigorosa dos recursos disponíveis. Neste contexto, o enfermeiro gestor,
desempenha um papel determinante na garantia de qualidade e segurança
dos cuidados de enfermagem. Deste modo, torna-se crucial o conhecimento
das estratégias de gestão utilizadas pelos enfermeiros gestores para
assegurar a qualidade dos cuidados, a segurança do doente e a eficiente
gestão dos recursos disponíveis, pelo que se realizou uma scoping review.
Objetivo: Mapear a evidência científica disponível sobre as estratégias
utilizadas pelo enfermeiro gestor, no período perioperatório, para melhorar a
qualidade dos cuidados.
Metodologia: Scoping review de acordo com as orientações do Joanna Briggs
Institute e do PRISMA-ScR checklist. A pesquisa foi realizada em bases de
dados e em literatura cinzenta. A seleção dos artigos foi efetuada por dois
revisores, as divergências resolvidas por consenso, não tendo sido
necessário recorrer um terceiro revisor.
Resultados: O estudo permitiu identificar seis estratégias utilizadas pelo
enfermeiro gestor no período perioperatório, no sentido de garantir a
qualidade dos cuidados prestados, nomeadamente: promoção da qualidade e
segurança; liderança e inovação; gestão organizacional de recursos humanos
e materiais; desenvolvimento e valorização da equipa; ética, deontologia e
relações interpessoais e assessoria.
Síntese conclusiva: As estratégias identificadas vão de encontro às
competências do enfermeiro gestor referidos no Decreto-Lei nº 71/2019, de 27
de maio e no Regulamento n.º 76, de 30 de janeiro de 2018 da Ordem dos
Enfermeiros e visam garantir a qualidade dos cuidados prestados, no sentido
de garantir ao doente uma experiência perioperatória positiva e de garantir os
melhores resultados possíveis, de acordo com os recursos disponíveis.
Surgery represents a source of stress and anxiety for individuals and is associated with a complex surgical environment, often exerting a negative impact on both patients and their families. The perioperative period is characterized by the high complexity of care delivery, requiring effective coordination among multiple healthcare professionals and rigorous management of available resources. Within this context, nurse managers play a pivotal role in ensuring the quality and safety of nursing care. Therefore, understanding the management strategies adopted by nurse managers to guarantee quality care, patient safety, and efficient resource allocation is essential. In light of this, a scoping review was conducted. Objective: To map the available scientific evidence regarding the strategies employed by nurse managers during the perioperative period to enhance the quality of care. Methods: A scoping review was carried out following the Joanna Briggs Institute guidelines and the PRISMA-ScR checklist. Searches were conducted in electronic databases and gray literature. Article selection was independently performed by two reviewers, with disagreements resolved by consensus, without the need for a third reviewer. Results: The review identified six several strategies adopted by nurse managers in the perioperative context to ensure quality of care, namely: promotion of quality and safety; leadership and innovation; organizational management of human and material resources; team development and empowerment; ethics, deontology, and interpersonal relationships; and advisory roles. Conclusion: The strategies identified align with the competencies of nurse managers as established in Decree-Law No. 71/2019 of May 27 and Regulation nº. 76 of January 30, 2018, by the Portuguese Nurses Association, aiming to guarantee the quality of care provided, with the aim of ensuring a positive perioperative experience for the patient and achieving the best possible outcomes, in accordance with the resources available.
Surgery represents a source of stress and anxiety for individuals and is associated with a complex surgical environment, often exerting a negative impact on both patients and their families. The perioperative period is characterized by the high complexity of care delivery, requiring effective coordination among multiple healthcare professionals and rigorous management of available resources. Within this context, nurse managers play a pivotal role in ensuring the quality and safety of nursing care. Therefore, understanding the management strategies adopted by nurse managers to guarantee quality care, patient safety, and efficient resource allocation is essential. In light of this, a scoping review was conducted. Objective: To map the available scientific evidence regarding the strategies employed by nurse managers during the perioperative period to enhance the quality of care. Methods: A scoping review was carried out following the Joanna Briggs Institute guidelines and the PRISMA-ScR checklist. Searches were conducted in electronic databases and gray literature. Article selection was independently performed by two reviewers, with disagreements resolved by consensus, without the need for a third reviewer. Results: The review identified six several strategies adopted by nurse managers in the perioperative context to ensure quality of care, namely: promotion of quality and safety; leadership and innovation; organizational management of human and material resources; team development and empowerment; ethics, deontology, and interpersonal relationships; and advisory roles. Conclusion: The strategies identified align with the competencies of nurse managers as established in Decree-Law No. 71/2019 of May 27 and Regulation nº. 76 of January 30, 2018, by the Portuguese Nurses Association, aiming to guarantee the quality of care provided, with the aim of ensuring a positive perioperative experience for the patient and achieving the best possible outcomes, in accordance with the resources available.
Descrição
Palavras-chave
Gestor em Saúde Enfermeiros Administradores Assistência Perioperatória Qualidade dos Cuidados de Saúde Liderança