As potencialidades e fragilidades do processo de acreditação hospitalar na perspectiva dos enfermeiros
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2018-07-04
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Universidade Federal de Goiás
Resumo
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.
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BARBOSA, Valquíria Vicente da Cunha. As potencialidades e fragilidades do processo de acreditação hospitalar na perspectiva dos enfermeiros. 2018. 144 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2018.