As potencialidades e fragilidades do processo de acreditação hospitalar na perspectiva dos enfermeiros

• Ano de defesa: 2018
• Autor(a) principal: Barbosa, Valquíria Vicente da Cunha
• Orientador(a): Pereira, Edsaura Maria
• Banca de defesa: Pereira, Edsaura Maria, Souza, Marta Rovery de, Alves, Sergiane Bisnoto
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Saúde Coletiva (PRPG)
• Departamento: Pró-Reitoria de Pós-graduação (PRPG)
• País: Brasil
• Palavras-chave em Português: Acreditação; Enfermeiros; Qualidade em serviços de saúde; Segurança do paciente
• Palavras-chave em Inglês: Accreditation; Nurses; Quality in health services; Patient safety
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::SAUDE COLETIVA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/8804

Health facilities have sought to achieve improvements in their services through quality management, aiming at safer patient care. In this context, the accreditation process emerges as a method to evaluate the resources of these establishments, aiming to guarantee the quality of the assistance through pre- established standards. The objective of this research was to analyze nurses' perceptions about the accreditation process in public hospitals of a state in the Midwest region of the country, to verify the meaning of this process for nurses and to identify the potentialities and fragilities arising from this process from the perspective of the nurses. A descriptive, exploratory qualitative approach was carried out. Data were collected through focal groups in March 2018, with nurses from two public hospitals accredited by the National Accreditation Organization (levels I and III). The Bardin content analysis method was used, considering the following steps: pre-analysis, material exploration and treatment and interpretation of results. The following categories were apprehended, with their respective subcategories: meaning of the accreditation process - premises, organization and tools of this process; potentialities of the accreditation process - advantages of the process for the professional, institution and patient; weaknesses of the accreditation process - negative impact on the professional, for institution and deficient knowledge about this process. It was identified that the nurses had knowledge about the accreditation process; that the most outstanding potentialities were professional development, continuous improvement and safety for the patient and professional; and that the most mentioned weaknesses were an increase in the workload, a lack of professionals' insertion in the process, an increase in bureaucracy and a decrease in the quality of patient care due to this process itself. Another important finding was that, although the participants affirmed, on several occasions, that the accreditation process aims to offer patients more safety, more advantages were scored for the professionals and institution than for the patients themselves. It is concluded that the potentialities seized were more prominent than fragilities, evidencing that the accreditation process offers more benefits to the health sector, than harm.