The quality of nursing care In na emergency care unit of adults: the perception of usuers / A qualidade da assistência de enfermagem em uma unidade de emergência de adultos: a percepção do usuário

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

This study aims at assessing the quality of nursing care at an Adult Emergency care unit affiliated with a university hospital, as perceived by its users. A three-component evaluation model was proposed, comprising the users view on the emergency care structure, processes and outcome. The research was carried out in a densely populated city in the state of São Paulo Brazil, between August and October 2008. An exploratory descriptive methodology was chosen within a quantitative framework and a Likert-type scale questionnaire was applied to the 260 patients studied. Reliability was ensured by a 0, 88 Cronbachs Coefficient Alpha. The mean age of the patients was 46,9, 52% of them were male and most had finished elementary school and graduated from high school. The structure component was defined as the articulation between nursing care and human and material resources at the emergency center and its organizational structure; a favorable perception was shown regarding comfort, equipment, cleanliness of lavatories, access to the center, internal signage, and availability of medicines. The process component involved all procedures carried out by the nursing staff; highest scores were given to safety of procedures, accuracy of procedures, promptness in emergency care and respect towards patients. The outcome component was concerned with the impact of nursing intervention in the health of the patients; a positive perception of humanization of care, after-care general health, and the treatment offered by the nursing staff was reported. When the results for all components were tabulated and compared, the component of the result obtained better scores in favorability, with an average of 39.84 (SD ± 4.66) and structure had the worst score, average of 36.48 (SD ± 4.23). The structure component thus deserves a special emphasis for further research. It is hoped this study may offer a contribution towards improved nursing care at the Adult Emergency Unit

ASSUNTO(S)

enfermagem em emergência qualidade dos cuidados em saúde avaliação em saúde health evaluation nursing enfermagem health care quality emergency nursing

ACESSO AO ARTIGO

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