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Indicadores sensíveis aos cuidados de enfermagem no cuidado ao doente renal crónico em programa regular de hemodiálise: Instrumento de apoio à gestão
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| 2.42 MB | Adobe PDF |
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Abstract(s)
A produção de indicadores em saúde permite apoiar os processos de tomada de decisão dos Enfermeiros na sua prática clínica. É reconhecido que os Enfermeiros Gestores “precisam de sistemas de informação”, de “dados” e “indicadores” relativos aos cuidados de enfermagem e a progressiva incorporação de informação fiável, sob a forma de indicadores, nos seus processos de governação dos cuidados de enfermagem, aspeto crucial para os programas de melhoria contínua da qualidade.
Pretende-se com este estudo obter um painel de indicadores-chave de desempenho, altamente sensíveis aos cuidados de enfermagem, que possa ser aplicado na prática e que apoie os processos de gestão das unidades de Hemodiálise.
O estudo aqui reportado foi concretizado em três fases. Numa primeira fase foi realizada uma Scoping Review, com vista a mapear a evidência disponível sobre indicadores relacionados com a temática, sendo que, para a sua elaboração, foi utilizado o referencial do Joanna Briggs Institute. Desta revisão emergiram 192 indicadores, os quais foram agrupados, dentro das categorias definidas por Donabedian, em subcategorias. Na segunda fase foi realizado um Grupo Focal, durante o qual foram analisadas as categorias e subcategorias de indicadores emergentes da scoping review, sendo discutidas quais poderiam integrar o painel de indicadores objetivado. Do Grupo Focal resultaram 100 indicadores de qualidade. Na terceira fase, recorreu-se a uma Técnica de Consenso, culimando num painel de quinze indicadores-chave de desempenho.
Concluiu-se que a utilização do painel de indicadores obtido facilita a análise da qualidade dos cuidados prestados em unidades de Hemodiálise e a comparação com padrões estabelecidos, contribuindo para a excelência da prestação de cuidados de enfermagem.
Developing health indicators may inform nurses' decision-making processes within their clinical practice. It is known that nurse managers “require information systems”, suitable “data” and performance “indicators” related to nursing care. Governing in nursing care must rely on continuous incorporation of reliable information, based upon these indicators, which is crucial for the continued improvement of care. The goal of this study is to obtain a panel of key performance indicators, highly sensitive to nursing care, that can be applied in practice and support the management processes of Hemodialysis units. This study was carried out in three phases. As a first phase, a Scoping Review was carried out, with the goal of mapping the available evidence on indicators related to the subject, using the Joanna Briggs Institute framework. In a second phase, a Focus Group was held. The starting material for this session were the results of the scoping review which categories and subcategories of indicators were analyzed, selecting those which could be included in the target indicator panel. As a third phase, a Consensus Technique was used, in which participants analyzed a list of indicators – those resulting from the previous phases – and carried out an individual vote, the results of which were subsequently discussed. From the scoping review, 192 indicators arose, which were grouped into subcategories, within the categories defined by Donabedian. The Focus Group results was a list of 100 quality indicators. The indicators contained in the subcategories resulting from the previous phase were presented to a panel of experts, culminating in a panel of fifteen key performance indicators. It was concluded that the use of the attained panel facilitated the analysis of the quality of care provided in Hemodialysis units as well as the comparison with established standards, thus contributing to the excellence of care and practices.
Developing health indicators may inform nurses' decision-making processes within their clinical practice. It is known that nurse managers “require information systems”, suitable “data” and performance “indicators” related to nursing care. Governing in nursing care must rely on continuous incorporation of reliable information, based upon these indicators, which is crucial for the continued improvement of care. The goal of this study is to obtain a panel of key performance indicators, highly sensitive to nursing care, that can be applied in practice and support the management processes of Hemodialysis units. This study was carried out in three phases. As a first phase, a Scoping Review was carried out, with the goal of mapping the available evidence on indicators related to the subject, using the Joanna Briggs Institute framework. In a second phase, a Focus Group was held. The starting material for this session were the results of the scoping review which categories and subcategories of indicators were analyzed, selecting those which could be included in the target indicator panel. As a third phase, a Consensus Technique was used, in which participants analyzed a list of indicators – those resulting from the previous phases – and carried out an individual vote, the results of which were subsequently discussed. From the scoping review, 192 indicators arose, which were grouped into subcategories, within the categories defined by Donabedian. The Focus Group results was a list of 100 quality indicators. The indicators contained in the subcategories resulting from the previous phase were presented to a panel of experts, culminating in a panel of fifteen key performance indicators. It was concluded that the use of the attained panel facilitated the analysis of the quality of care provided in Hemodialysis units as well as the comparison with established standards, thus contributing to the excellence of care and practices.
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Keywords
Enfermagem Hemodiálise Indicadores de Qualidade Qualidade dos Cuidados de Saúde