Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward

Detalhes bibliográficos
Autor(a) principal: Tavares, Tatiana Silva
Data de Publicação: 2013
Outros Autores: Castro, Adriana Silva de, Figueiredo, Adriana Rosa Ferreira Fernandes, Reis, Dener Carlos dos
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Reme (Online)
Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/50235
Resumo: The Systematization of Nursing Care (in Portuguese, SAE) allows quality improvement in the care provided by the nursing staff. However, its implementation is still incipient in health services. The objective of this study was to evaluate the SAE implementation process in a pediatrics unit of a university hospital. It was a case study with a quantitative approach. Data was collected from SAE forms and questionnaires completed by the nursing staff. The results revealed that the SAE implementation process faces difficulties, such as the nurses' heavy workload, the nursing technicians' lack of knowledge on the subject, and the low involvement of the health workers in the process. The implementation was further impaired by the inadequacies of the institutional forms, associated to their improper completion, and to lack of coordination between phases of the nursing process. The nursing technicians' inclusion in the execution of the SAE stages needs to be encouraged. Moreover the results demonstrated that the curriculum of technical courses should offer training on nursing processes and SAE, as well as addressing the technicians' competency. In conclusion, the SAE implementation process should take place in a context of participatory management; it should consider organizational aspects, such as the number of employees and the intensity of care required by the patients in the unit; it should also value the professionals' qualifications and their awareness about SAE.
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spelling Evaluation of the implementation of the systematic organization of nursing care in a pediatric wardEvaluación de la implementación de la sistematización de la atención de enfermería en una unidad pediátricaAvaliação da implantação da sistematização da assistência de enfermagem em uma unidade pediátricaProcesos de EnfermeríaEnfermería PediátricaAtención HospitalariaEvaluación de Proceso (Atención de Salud)Grupo de EnfermeríaGerenciaProcessos de EnfermagemEnfermagem PediátricaAssistência HospitalarAvaliação de Processos (Cuidados de Saúde)Equipe de EnfermagemNursing ProcessPediatric NursingHospital CareProcess Assessment (Health Care)Nursing Management TeamThe Systematization of Nursing Care (in Portuguese, SAE) allows quality improvement in the care provided by the nursing staff. However, its implementation is still incipient in health services. The objective of this study was to evaluate the SAE implementation process in a pediatrics unit of a university hospital. It was a case study with a quantitative approach. Data was collected from SAE forms and questionnaires completed by the nursing staff. The results revealed that the SAE implementation process faces difficulties, such as the nurses' heavy workload, the nursing technicians' lack of knowledge on the subject, and the low involvement of the health workers in the process. The implementation was further impaired by the inadequacies of the institutional forms, associated to their improper completion, and to lack of coordination between phases of the nursing process. The nursing technicians' inclusion in the execution of the SAE stages needs to be encouraged. Moreover the results demonstrated that the curriculum of technical courses should offer training on nursing processes and SAE, as well as addressing the technicians' competency. In conclusion, the SAE implementation process should take place in a context of participatory management; it should consider organizational aspects, such as the number of employees and the intensity of care required by the patients in the unit; it should also value the professionals' qualifications and their awareness about SAE.La Sistematización de la Atención de Enfermería (SAE) permite mejorar la calidad de los cuidados brindados por el personal de enfermería. Sin embargo, su aplicación es aún incipiente en los servicios de salud. Este estudio tuvo como objetivo evaluar el proceso de implementación de la SAE en la unidad pediátrica de un hospital escuela. Se trata de un estudio de caso con enfoque cuantitativo. La recogida de datos se realizó a través de formularios institucionales de la SAE y de cuestionarios a los profesionales de enfermería. Los resultados indican que el proceso de implementación de la SAE enfrenta dificultades tales como sobrecarga de trabajo de los enfermeros, falta de conocimiento de los técnicos en enfermería y poca participación de los profesionales en el proceso. La inadecuación de los formularios institucionales asociada a la manera inadecuada de completarlos y la falta de articulación entre las etapas del proceso de enfermería también son obstáculos para alcanzar el éxito. Se observa la necesidad de mayor inclusión de los técnicos de enfermería en el proceso de sistematización de la atención. Además, los resultados indican que el plan de estudios de los cursos técnicos debe englobar contenidos que traten del proceso de enfermería y de la SAE y asimismo tratar de las competencias de sus técnicos. Se concluye que el proceso de implementación debe producirse dentro de un contexto de gestión participativa, considerar aspectos organizativos como cantidad de empleados e intensidad de los cuidados demandados por los pacientes de la unidad además de valorar la capacitación y concienciación de los profesionales acerca de la SAE.A Sistematização da Assistência de Enfermagem (SAE) possibilita melhorar a qualidade do cuidado prestado pela equipe de enfermagem. Entretanto, sua implantação ainda é incipiente nos serviços de saúde. O objetivo com este estudo foi avaliar o processo de implantação da SAE em uma unidade pediátrica de um hospital universitário. Trata-se de um estudo de caso de abordagem quantitativa, no qual foram coletadas informações nos formulários institucionais destinados à SAE e aplicados questionários aos profissionais da equipe de enfermagem. Evidenciou-se que o processo de implantação da SAE enfrentou dificuldades relacionadas à sobrecarga de trabalho dos enfermeiros, à falta de conhecimento dos técnicos de enfermagem sobre o tema e ao pouco envolvimento dos profissionais da equipe nesse processo. A inadequação dos formulários institucionais destinados à SAE, associado ao seu preenchimento insatisfatório, e a falta de articulação entre as fases do processo de enfermagem também foram fatores que comprometem a implantação da SAE. Identificou-se a necessidade de mais inclusão dos técnicos de enfermagem na realização das etapas da SAE. Além disso, os resultados evidenciaram que o currículo dos cursos dos técnicos precisa contemplar conteúdos sobre o processo de enfermagem e a SAE, abordando as competências dos técnicos. Conclui-se que o processo de implantação da SAE deve ocorrer num contexto de gestão participativa, considerar aspectos organizacionais, como número de funcionários e intensidade de cuidado demandado pelos pacientes da unidade, além de valorizar a capacitação e sensibilização dos profissionais sobre esse sistema.Universidade Federal de Minas Gerais2013-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/plainapplication/pdfapplication/pdfhttps://periodicos.ufmg.br/index.php/reme/article/view/5023510.5935/1415-2762.20130022REME-Revista Mineira de Enfermagem; Vol. 17 No. 2 (2013)REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 2 (2013)REME-Revista Mineira de Enfermagem; v. 17 n. 2 (2013)2316-93891415-2762reponame:Reme (Online)instname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGporenghttps://periodicos.ufmg.br/index.php/reme/article/view/50235/41619https://periodicos.ufmg.br/index.php/reme/article/view/50235/41620https://periodicos.ufmg.br/index.php/reme/article/view/50235/41621Copyright (c) 2013 Reme: Revista Mineira de Enfermageminfo:eu-repo/semantics/openAccessTavares, Tatiana SilvaCastro, Adriana Silva deFigueiredo, Adriana Rosa Ferreira FernandesReis, Dener Carlos dos2024-01-24T13:35:28Zoai:periodicos.ufmg.br:article/50235Revistaremeufmg@gmail.comPUBhttps://periodicos.ufmg.br/index.php/reme/oairemeufmg@gmail.com2316-93891415-2762opendoar:2024-01-24T13:35:28Reme (Online) - Universidade Federal de Minas Gerais (UFMG)false
dc.title.none.fl_str_mv Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
Evaluación de la implementación de la sistematización de la atención de enfermería en una unidad pediátrica
Avaliação da implantação da sistematização da assistência de enfermagem em uma unidade pediátrica
title Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
spellingShingle Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
Tavares, Tatiana Silva
Procesos de Enfermería
Enfermería Pediátrica
Atención Hospitalaria
Evaluación de Proceso (Atención de Salud)
Grupo de Enfermería
Gerencia
Processos de Enfermagem
Enfermagem Pediátrica
Assistência Hospitalar
Avaliação de Processos (Cuidados de Saúde)
Equipe de Enfermagem
Nursing Process
Pediatric Nursing
Hospital Care
Process Assessment (Health Care)
Nursing Management Team
title_short Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
title_full Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
title_fullStr Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
title_full_unstemmed Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
title_sort Evaluation of the implementation of the systematic organization of nursing care in a pediatric ward
author Tavares, Tatiana Silva
author_facet Tavares, Tatiana Silva
Castro, Adriana Silva de
Figueiredo, Adriana Rosa Ferreira Fernandes
Reis, Dener Carlos dos
author_role author
author2 Castro, Adriana Silva de
Figueiredo, Adriana Rosa Ferreira Fernandes
Reis, Dener Carlos dos
author2_role author
author
author
dc.contributor.author.fl_str_mv Tavares, Tatiana Silva
Castro, Adriana Silva de
Figueiredo, Adriana Rosa Ferreira Fernandes
Reis, Dener Carlos dos
dc.subject.por.fl_str_mv Procesos de Enfermería
Enfermería Pediátrica
Atención Hospitalaria
Evaluación de Proceso (Atención de Salud)
Grupo de Enfermería
Gerencia
Processos de Enfermagem
Enfermagem Pediátrica
Assistência Hospitalar
Avaliação de Processos (Cuidados de Saúde)
Equipe de Enfermagem
Nursing Process
Pediatric Nursing
Hospital Care
Process Assessment (Health Care)
Nursing Management Team
topic Procesos de Enfermería
Enfermería Pediátrica
Atención Hospitalaria
Evaluación de Proceso (Atención de Salud)
Grupo de Enfermería
Gerencia
Processos de Enfermagem
Enfermagem Pediátrica
Assistência Hospitalar
Avaliação de Processos (Cuidados de Saúde)
Equipe de Enfermagem
Nursing Process
Pediatric Nursing
Hospital Care
Process Assessment (Health Care)
Nursing Management Team
description The Systematization of Nursing Care (in Portuguese, SAE) allows quality improvement in the care provided by the nursing staff. However, its implementation is still incipient in health services. The objective of this study was to evaluate the SAE implementation process in a pediatrics unit of a university hospital. It was a case study with a quantitative approach. Data was collected from SAE forms and questionnaires completed by the nursing staff. The results revealed that the SAE implementation process faces difficulties, such as the nurses' heavy workload, the nursing technicians' lack of knowledge on the subject, and the low involvement of the health workers in the process. The implementation was further impaired by the inadequacies of the institutional forms, associated to their improper completion, and to lack of coordination between phases of the nursing process. The nursing technicians' inclusion in the execution of the SAE stages needs to be encouraged. Moreover the results demonstrated that the curriculum of technical courses should offer training on nursing processes and SAE, as well as addressing the technicians' competency. In conclusion, the SAE implementation process should take place in a context of participatory management; it should consider organizational aspects, such as the number of employees and the intensity of care required by the patients in the unit; it should also value the professionals' qualifications and their awareness about SAE.
publishDate 2013
dc.date.none.fl_str_mv 2013-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50235
10.5935/1415-2762.20130022
url https://periodicos.ufmg.br/index.php/reme/article/view/50235
identifier_str_mv 10.5935/1415-2762.20130022
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://periodicos.ufmg.br/index.php/reme/article/view/50235/41619
https://periodicos.ufmg.br/index.php/reme/article/view/50235/41620
https://periodicos.ufmg.br/index.php/reme/article/view/50235/41621
dc.rights.driver.fl_str_mv Copyright (c) 2013 Reme: Revista Mineira de Enfermagem
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2013 Reme: Revista Mineira de Enfermagem
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/plain
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de Minas Gerais
publisher.none.fl_str_mv Universidade Federal de Minas Gerais
dc.source.none.fl_str_mv REME-Revista Mineira de Enfermagem; Vol. 17 No. 2 (2013)
REME-Revista Mineira de Enfermagem; Vol. 17 Núm. 2 (2013)
REME-Revista Mineira de Enfermagem; v. 17 n. 2 (2013)
2316-9389
1415-2762
reponame:Reme (Online)
instname:Universidade Federal de Minas Gerais (UFMG)
instacron:UFMG
instname_str Universidade Federal de Minas Gerais (UFMG)
instacron_str UFMG
institution UFMG
reponame_str Reme (Online)
collection Reme (Online)
repository.name.fl_str_mv Reme (Online) - Universidade Federal de Minas Gerais (UFMG)
repository.mail.fl_str_mv remeufmg@gmail.com
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