Avaliação do trabalho da equipe de enfermagem em uma CME : implantação de fluxogramas de processos

• Ano de defesa: 2018
• Autor(a) principal: Silva, Luciana de Santana Lôbo
• Orientador(a): Campos, Maria Pontes de Aguiar
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Programa de Pós-Graduação: Pós-Graduação em Enfermagem
• Palavras-chave em Português: Indicadores de qualidade; Esterilização; Avaliação de desempenho profissional; Controle de qualidade; Prática profissional; Assistência à saúde
• Palavras-chave em Inglês: Quality indicators; Health care; Sterilization; Employee performance appraisal; Quality control; Professional practice
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://ri.ufs.br/jspui/handle/riufs/9080

Introduction: the processing of items in the Center of Material and Sterilization is a complex activity, thus the nursing within its mission plans, executes, monitors and uses quality indicators in order to ensure a safe, standardized, indirect and systematized assistance. Purpose: Analyze the working process of the nursing staff in a CMS of a teaching hospital in the northeast of Brazil; perform situational diagnoses in the areas of cleaning, preparation, sterilization, packaging and distribution; calculate the index of conformity related to technical and operational resources and work procedures of hospital doctors articles and identify which structure and process indicators were applied by nurses for the services of cleaning, preparation, sterilization, custody and distribution of PPS. Methods: quantitative research exploratory in nature, cross, observational. The sample of convenience, provided opportunities for observation of the physical structure and processes of work developed by 13 and 11 technical nursing assistants and six (06) nurses. The data were collected through two checklists for systematic observation and a questionnaire applied to nurses to identify which indicators of structure and processes were used for that category. For data analysis, the SPSS 21.0 software program to calculate the rates of compliance, followed by assistance classification according to the index of positivity of Carter considering safe assistance the index equal to or greater than the 80 %. Results: From work processes, compliance rates were higher in the custody and distribution of products, sealing, full dress in the cleaning area and use of personal protective equipment in the guard and distribution, to 56.94%, 90.28%, 66.67%, and 58.33% respectively, however all indexes are classified as poor by the IPC, except when classified as a sealing process adequate assistance. The technical resources that achieved greater conformity in accordance with the infrastructure were disinfecting and arsenal, both with 66.67% in relation to the inputs, was preparing to 66.67%. According to the responses of the nurses were more conformant to sterilization, guard and distribution (50.69%) on application and control quality indicators, classified by IPC as poor assistance. Conclusion: compliance with regard to operational technical resources about the work processes and quality indicators applied by nurses crowded in Center of Sterile Material presented indexes of less than 70%, featuring a poor assistance by the IPC. There were still lack of periodic training, disabilities in physical structure and oversight of nurses in favour of quality, safety and good practice to PPS processing in CMS, reflecting in no standardization, no collective participation and no interaction in the application of the indicators.