The negative impact on the audit process in health services due to the deficit of nursing records

Bibliographic Details
Main Author: Lima, Ana Luiza Barbosa
Publication Date: 2022
Other Authors: Aguiar, Clívia Mycaelle Conceição, Freitas, Maria da Glória
Format: Article
Language: por
Source: Research, Society and Development
Download full: https://rsdjournal.org/index.php/rsd/article/view/38757
Summary: Abstract Introduction: In nursing, auditing seeks to thoroughly identify information that is recorded in patients' charts, thus seeking to evidence quality of care and cost control. Objective: to analyze the scientific production regarding the impact on the auditing process in health services by the absence or failures of nursing records as a measure of the quality of nursing care. Results/Discussion: 10 articles were selected.The nurse has gained autonomy to carry out the audit process in the institutions together with other sectors, aiming to identify a priori the quality of the care provided to the patient and to orient as to the deficits occurring during this process, providing estimated data for improving the quality of care. Final considerations: the importance that auditing has within healthcare institutions is well known, aiming to be an effective measurer in the process of patient care and good billing management.   Keywords: "Nursingaudit"; "Nursing processes"; "Nursingrecords".
id UNIFEI_e59223ebcc8572e0ebd4844d657105ea
oai_identifier_str oai:ojs.pkp.sfu.ca:article/38757
network_acronym_str UNIFEI
network_name_str Research, Society and Development
repository_id_str
spelling The negative impact on the audit process in health services due to the deficit of nursing recordsEl impacto negativo en el proceso de auditoria en los servicios de salud por el déficit de registro de enfermeríaO impacto negativo no processo de auditoria nos serviços de saúde pelo déficit dos registros de enfermagemAuditoria de enfermagemProcessos de enfermagemRegistros de enfermagem.Auditoría de enfermeríaProcesos de enfermeríaRegistros de enfermería.NursingauditNursing processesNursing records.Abstract Introduction: In nursing, auditing seeks to thoroughly identify information that is recorded in patients' charts, thus seeking to evidence quality of care and cost control. Objective: to analyze the scientific production regarding the impact on the auditing process in health services by the absence or failures of nursing records as a measure of the quality of nursing care. Results/Discussion: 10 articles were selected.The nurse has gained autonomy to carry out the audit process in the institutions together with other sectors, aiming to identify a priori the quality of the care provided to the patient and to orient as to the deficits occurring during this process, providing estimated data for improving the quality of care. Final considerations: the importance that auditing has within healthcare institutions is well known, aiming to be an effective measurer in the process of patient care and good billing management.   Keywords: "Nursingaudit"; "Nursing processes"; "Nursingrecords".Resumen   Introducción: En enfermería, la auditoría busca identificar la información detallada que se registra en las historias clínicas de los pacientes, buscando así evidenciar la calidad de los cuidados y el control de los costes. Objetivo: analizar la producción científica en relación con el impacto en el proceso de auditoría en los servicios de salud por la ausencia o fallos de los registros de enfermería como medidor de la calidad de los cuidados de enfermería. Resultados/Discusión: Se seleccionaron 10 artículos. El enfermero ganó autonomía para realizar el proceso de auditoría en las instituciones en conjunto con otros establecimientos con el fin de identificar a priori la calidad de la asistencia prestada al paciente y orientar en cuanto a los déficits ocurridos durante dicho proceso proporcionando datos estimados para la mejora de la calidad del cuidado. Consideraciones finales: es notoria la importancia que tiene la auditoría dentro de las instituciones de salud, buscando ser un medidor efectivo en el proceso de atención al paciente y la buena gestión de la facturación.   Palabras clave: "Auditoría de enfermería"; "Procesos de enfermería"; "Registros de enfermería".Introdução: Na enfermagem, a auditoria busca identificar minuciosamente informações que são registradas nos prontuários de pacientes, buscando assim evidenciar qualidade do cuidado prestado e controle de custos. Objetivo: analisar a produção científica em relação ao impacto no processo de auditoria nos serviços de saúde pela ausência ou falhas dos registros de enfermagem como mensurador da qualidade da assistência de enfermagem. Resultados/Discussão:foram selecionados   10 artigos. O enfermeiro ganhou autonomia para realizar o processo de auditoria nas instituições em conjunto com outros setores visando identificar a priori a qualidade da assistência prestada ao paciente e orientar quanto aos déficits ocorridos durante esse processo fornecendo dados estimados para melhoria da qualidade do cuidado. Considerações finais: é notória a importância que a auditoria tem dentro das instituições de saúde, visando ser um mensurador efetivo no processo de assistência ao paciente e na boa gestão de faturamento.   Palavras-chave: “Auditoria de enfermagem”; “Processos de enfermagem”; “Registros de enfermagem”Research, Society and Development2022-12-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3875710.33448/rsd-v11i16.38757Research, Society and Development; Vol. 11 No. 16; e568111638757Research, Society and Development; Vol. 11 Núm. 16; e568111638757Research, Society and Development; v. 11 n. 16; e5681116387572525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/38757/31959Copyright (c) 2022 Ana Luiza Barbosa Lima; Clívia Mycaelle Conceição Aguiar; Maria da Glória Freitashttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLima, Ana Luiza Barbosa Aguiar, Clívia Mycaelle Conceição Freitas, Maria da Glória 2022-12-18T18:26:42Zoai:ojs.pkp.sfu.ca:article/38757Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:52:20.733434Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv The negative impact on the audit process in health services due to the deficit of nursing records
El impacto negativo en el proceso de auditoria en los servicios de salud por el déficit de registro de enfermería
O impacto negativo no processo de auditoria nos serviços de saúde pelo déficit dos registros de enfermagem
title The negative impact on the audit process in health services due to the deficit of nursing records
spellingShingle The negative impact on the audit process in health services due to the deficit of nursing records
Lima, Ana Luiza Barbosa
Auditoria de enfermagem
Processos de enfermagem
Registros de enfermagem.
Auditoría de enfermería
Procesos de enfermería
Registros de enfermería.
Nursingaudit
Nursing processes
Nursing records.
title_short The negative impact on the audit process in health services due to the deficit of nursing records
title_full The negative impact on the audit process in health services due to the deficit of nursing records
title_fullStr The negative impact on the audit process in health services due to the deficit of nursing records
title_full_unstemmed The negative impact on the audit process in health services due to the deficit of nursing records
title_sort The negative impact on the audit process in health services due to the deficit of nursing records
author Lima, Ana Luiza Barbosa
author_facet Lima, Ana Luiza Barbosa
Aguiar, Clívia Mycaelle Conceição
Freitas, Maria da Glória
author_role author
author2 Aguiar, Clívia Mycaelle Conceição
Freitas, Maria da Glória
author2_role author
author
dc.contributor.author.fl_str_mv Lima, Ana Luiza Barbosa
Aguiar, Clívia Mycaelle Conceição
Freitas, Maria da Glória
dc.subject.por.fl_str_mv Auditoria de enfermagem
Processos de enfermagem
Registros de enfermagem.
Auditoría de enfermería
Procesos de enfermería
Registros de enfermería.
Nursingaudit
Nursing processes
Nursing records.
topic Auditoria de enfermagem
Processos de enfermagem
Registros de enfermagem.
Auditoría de enfermería
Procesos de enfermería
Registros de enfermería.
Nursingaudit
Nursing processes
Nursing records.
description Abstract Introduction: In nursing, auditing seeks to thoroughly identify information that is recorded in patients' charts, thus seeking to evidence quality of care and cost control. Objective: to analyze the scientific production regarding the impact on the auditing process in health services by the absence or failures of nursing records as a measure of the quality of nursing care. Results/Discussion: 10 articles were selected.The nurse has gained autonomy to carry out the audit process in the institutions together with other sectors, aiming to identify a priori the quality of the care provided to the patient and to orient as to the deficits occurring during this process, providing estimated data for improving the quality of care. Final considerations: the importance that auditing has within healthcare institutions is well known, aiming to be an effective measurer in the process of patient care and good billing management.   Keywords: "Nursingaudit"; "Nursing processes"; "Nursingrecords".
publishDate 2022
dc.date.none.fl_str_mv 2022-12-17
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/38757
10.33448/rsd-v11i16.38757
url https://rsdjournal.org/index.php/rsd/article/view/38757
identifier_str_mv 10.33448/rsd-v11i16.38757
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/38757/31959
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv 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. 11 No. 16; e568111638757
Research, Society and Development; Vol. 11 Núm. 16; e568111638757
Research, Society and Development; v. 11 n. 16; e568111638757
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
_version_ 1797052801179713536