Internal audit for the stratification of the quality problem of nursing teams at COVID-19

Detalhes bibliográficos
Autor(a) principal: Ferreira, Alexandra Oliveira Matias
Data de Publicação: 2020
Outros Autores: Silvino, Zenith Rosa
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/8381
Resumo: Objective: to describe the management of the routine of day-to-day work for analysis of the quality of nursing teams, through an internal audit, to determine the non-conformities in the care of the severely ill patient with COVID-19. Method: this is an experience report of the application of the routine routine model of day-to-day work in the internal audit of the ICU of a university hospital in Rio de Janeiro. The study had four phases, data collection was performed through interview with form, by a nurse specialized in the japanese total quality management model.  The Plan, Do, Check and Act (PCDA) cycle, descriptive analysis and Pareto analysis were used. Results: even after the supervision of the interprofessional nursing teams by the nursing care coordinators, 94% of the teams did not modify their behavior and were in non-conformities, evaluated by nursing evolutions, compliance with medical prescriptions, script of shift and notifications of adverse events sensitive to nursing care. Final considerations: although the quality control of nursing care by the nurse managers is effective, the internal audit showed that, directly or indirectly, the anomalies were related to: direct supervision of nursing with uninterrupted use of Personal Protective Equipment (PPE); use of ineffective communication strategies; lack of rigor in the process of evaluating the admission of new nursing professionals; standard operating procedures in non-conformity and poor training performed in the admission of interprofessional teams to act in the treatment of COVID-19 in the ICU.
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spelling Internal audit for the stratification of the quality problem of nursing teams at COVID-19Auditoría interna para la estratificación del problema de calidad de los equipos de enfermería en COVID-19Auditoria interna para a estratificação do problema da qualidade das equipes de enfermagem na COVID-19Auditoria de enfermagemCOVID-19Admissão e escalonamento de pessoalCuidados críticosPesquisa em administração de enfermagem.Nursing AuditCOVID-19Personnel staffing and schedulingCritical careNursing administration research.Auditoría de EnfermeríaCOVID-19Cuidado críticoAdmisión y programación de personalInvestigación en administración de Enfermería.Objective: to describe the management of the routine of day-to-day work for analysis of the quality of nursing teams, through an internal audit, to determine the non-conformities in the care of the severely ill patient with COVID-19. Method: this is an experience report of the application of the routine routine model of day-to-day work in the internal audit of the ICU of a university hospital in Rio de Janeiro. The study had four phases, data collection was performed through interview with form, by a nurse specialized in the japanese total quality management model.  The Plan, Do, Check and Act (PCDA) cycle, descriptive analysis and Pareto analysis were used. Results: even after the supervision of the interprofessional nursing teams by the nursing care coordinators, 94% of the teams did not modify their behavior and were in non-conformities, evaluated by nursing evolutions, compliance with medical prescriptions, script of shift and notifications of adverse events sensitive to nursing care. Final considerations: although the quality control of nursing care by the nurse managers is effective, the internal audit showed that, directly or indirectly, the anomalies were related to: direct supervision of nursing with uninterrupted use of Personal Protective Equipment (PPE); use of ineffective communication strategies; lack of rigor in the process of evaluating the admission of new nursing professionals; standard operating procedures in non-conformity and poor training performed in the admission of interprofessional teams to act in the treatment of COVID-19 in the ICU.Objetivo: describir la gestión de la rutina del trabajo diario para el análisis de la calidad de los equipos de enfermería, a través de una auditoría interna, para determinar las inconformidades en la atención del paciente gravemente enfermo con COVID-19. Método: este es un informe de experiencia de la aplicación del modelo rutinario rutinario del trabajo diario en la auditoría interna de la UCI de un hospital universitario de Río de Janeiro. El estudio tuvo cuatro fases, la recopilación de datos se realizó a través de la entrevista con la forma, por una enfermera especializada en el modelo de gestión de calidad total japonés.  Se utilizó el ciclo Plan, Do, Check and Act (PCDA), el análisis descriptivo y el análisis de Pareto. Resultados: incluso después de la supervisión de los equipos de enfermería interprofesional por parte de los coordinadores de enfermería, el 94% de los equipos no modificó su comportamiento y se encontraban en inconformidades, evaluados por las evoluciones de enfermería, el cumplimiento de las prescripciones médicas, el guión de turno y las notificaciones de eventos adversos sensibles a la atención de enfermería. Consideraciones finales: aunque el control de calidad de la atención de enfermería por parte de los enfermeros es eficaz, la auditoría interna demostró que, directa o indirectamente, las anomalías estaban relacionadas con: supervisión directa de la lactancia con el uso ininterrumpido de equipos de protección personal (EPP); el uso de estrategias de comunicación ineficaces; falta de rigor en el proceso de evaluación de la admisión de nuevos profesionales de enfermería; procedimientos operativos estándar en materia de inconformidad y poca formación realizados en la admisión de equipos interprofesionales para actuar en el tratamiento del COVID-19 en la UCI.Objetivo: descrever o gerenciamento da rotina do trabalho do dia a dia para análise da qualidade das equipes de enfermagem, por meio de uma auditoria interna, para determinar as não conformidades no cuidado ao doente grave com a COVID-19. Método: trata-se de um relato de experiência da aplicação do modelo de gerenciamento da rotina do trabalho do dia a dia, na auditoria interna da UTI de um hospital universitário, no Rio de Janeiro. O estudo contou com quatro fases, a coleta de dados foi realizada por meio de entrevista com formulário, por uma enfermeira especialista no modelo de gestão da qualidade total japonês.  Foi empregado o ciclo de Plan, Do, Check e Act (PCDA), a análise descritiva e a análise de Pareto. Resultados: mesmo após a supervisão das equipes interprofissionais de enfermagem pelas coordenadoras da assistência de enfermagem, 94% das equipes não modificaram seu comportamento e estavam em não conformidades, avaliadas pelas evoluções de enfermagem, aprazamento das prescrições médicas, roteiro de passagem de plantão e notificações de eventos adversos sensíveis à assistência de enfermagem. Considerações finais: apesar do controle de qualidade da assistência de enfermagem pelas enfermeiras gerentes ser efetivo, a auditoria interna mostrou que, direta ou indiretamente, as anomalias tinham relação com: a supervisão direta de enfermagem com uso ininterrupto de Equipamento de Proteção Individual (EPI); uso de estratégias de comunicação inefetivas; falta de rigor no processo de avaliação da admissão de novos profissionais de enfermagem; procedimentos operacionais padrões em desconformidade e a péssima capacitação realizada na admissão das equipes interprofissionais para atuar no tratamento da COVID-19 na UTI.Research, Society and Development2020-09-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/838110.33448/rsd-v9i10.8381Research, Society and Development; Vol. 9 No. 10; e2789108381Research, Society and Development; Vol. 9 Núm. 10; e2789108381Research, Society and Development; v. 9 n. 10; e27891083812525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/8381/7604Copyright (c) 2020 Alexandra Oliveira Matias Ferreira; Zenith Rosa Silvinohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFerreira, Alexandra Oliveira MatiasSilvino, Zenith Rosa2020-10-31T12:03:23Zoai:ojs.pkp.sfu.ca:article/8381Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:30:52.149540Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Internal audit for the stratification of the quality problem of nursing teams at COVID-19
Auditoría interna para la estratificación del problema de calidad de los equipos de enfermería en COVID-19
Auditoria interna para a estratificação do problema da qualidade das equipes de enfermagem na COVID-19
title Internal audit for the stratification of the quality problem of nursing teams at COVID-19
spellingShingle Internal audit for the stratification of the quality problem of nursing teams at COVID-19
Ferreira, Alexandra Oliveira Matias
Auditoria de enfermagem
COVID-19
Admissão e escalonamento de pessoal
Cuidados críticos
Pesquisa em administração de enfermagem.
Nursing Audit
COVID-19
Personnel staffing and scheduling
Critical care
Nursing administration research.
Auditoría de Enfermería
COVID-19
Cuidado crítico
Admisión y programación de personal
Investigación en administración de Enfermería.
title_short Internal audit for the stratification of the quality problem of nursing teams at COVID-19
title_full Internal audit for the stratification of the quality problem of nursing teams at COVID-19
title_fullStr Internal audit for the stratification of the quality problem of nursing teams at COVID-19
title_full_unstemmed Internal audit for the stratification of the quality problem of nursing teams at COVID-19
title_sort Internal audit for the stratification of the quality problem of nursing teams at COVID-19
author Ferreira, Alexandra Oliveira Matias
author_facet Ferreira, Alexandra Oliveira Matias
Silvino, Zenith Rosa
author_role author
author2 Silvino, Zenith Rosa
author2_role author
dc.contributor.author.fl_str_mv Ferreira, Alexandra Oliveira Matias
Silvino, Zenith Rosa
dc.subject.por.fl_str_mv Auditoria de enfermagem
COVID-19
Admissão e escalonamento de pessoal
Cuidados críticos
Pesquisa em administração de enfermagem.
Nursing Audit
COVID-19
Personnel staffing and scheduling
Critical care
Nursing administration research.
Auditoría de Enfermería
COVID-19
Cuidado crítico
Admisión y programación de personal
Investigación en administración de Enfermería.
topic Auditoria de enfermagem
COVID-19
Admissão e escalonamento de pessoal
Cuidados críticos
Pesquisa em administração de enfermagem.
Nursing Audit
COVID-19
Personnel staffing and scheduling
Critical care
Nursing administration research.
Auditoría de Enfermería
COVID-19
Cuidado crítico
Admisión y programación de personal
Investigación en administración de Enfermería.
description Objective: to describe the management of the routine of day-to-day work for analysis of the quality of nursing teams, through an internal audit, to determine the non-conformities in the care of the severely ill patient with COVID-19. Method: this is an experience report of the application of the routine routine model of day-to-day work in the internal audit of the ICU of a university hospital in Rio de Janeiro. The study had four phases, data collection was performed through interview with form, by a nurse specialized in the japanese total quality management model.  The Plan, Do, Check and Act (PCDA) cycle, descriptive analysis and Pareto analysis were used. Results: even after the supervision of the interprofessional nursing teams by the nursing care coordinators, 94% of the teams did not modify their behavior and were in non-conformities, evaluated by nursing evolutions, compliance with medical prescriptions, script of shift and notifications of adverse events sensitive to nursing care. Final considerations: although the quality control of nursing care by the nurse managers is effective, the internal audit showed that, directly or indirectly, the anomalies were related to: direct supervision of nursing with uninterrupted use of Personal Protective Equipment (PPE); use of ineffective communication strategies; lack of rigor in the process of evaluating the admission of new nursing professionals; standard operating procedures in non-conformity and poor training performed in the admission of interprofessional teams to act in the treatment of COVID-19 in the ICU.
publishDate 2020
dc.date.none.fl_str_mv 2020-09-26
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://rsdjournal.org/index.php/rsd/article/view/8381
10.33448/rsd-v9i10.8381
url https://rsdjournal.org/index.php/rsd/article/view/8381
identifier_str_mv 10.33448/rsd-v9i10.8381
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/8381/7604
dc.rights.driver.fl_str_mv Copyright (c) 2020 Alexandra Oliveira Matias Ferreira; Zenith Rosa Silvino
https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2020 Alexandra Oliveira Matias Ferreira; Zenith Rosa Silvino
https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 10; e2789108381
Research, Society and Development; Vol. 9 Núm. 10; e2789108381
Research, Society and Development; v. 9 n. 10; e2789108381
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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