Larissa Gutierrez da Silva

PRÁTICAS DE ENFERMAGEM EMPREENDEDORAS E AUTÔNOMAS

This descriptive study with a quantitative approach aimed to characterize the business practices in nursing in the state of Parana. An intentional sample was undertaken by invitation to 11 nurses with businesses in the health area, the data collected via an online questionnaire. The results point to a young adult population; with a predominance of females and with varying professional experience. The interest in entrepreneurship arose from the search for professional satisfaction; business management was emphasized as the skill necessary to run a business. In relation to the easy aspects and difficulties for opening one’s own business, support from other professionals and bureaucratic issues stand out; the participants showed themselves to be satisfied with their businesses. It is concluded that nursing has sought and explored a new market, promoting the profession as able to conduct its practice autonomously and innovatively.

A estrutura de um serviço de urgência público, na ótica dos trabalhadores: perspectivas da qualidade

This qualitative, exploratory-descriptive study was performed with the objective to understand the perception of workers in a public emergency care service regarding the quality of the local structure. Data collection was performed in April of 2010 by means of individual interviews, and then analyzed according to the Thematic Content Analysis method, which permitted the identification of one category supported by the following subcategories: material resources, human resources, physical resources, financial resources, normative instruments, and information systems. The results demonstrated that the subjects made a positive evaluation of the structure, highlighting the availability of material resources, renovations and adjustments that were made, professional qualification and training, the transfer of financial resources according to the institutional goals, protocol-guided services, and supervision of the information using quality indicators. In conclusion, despite the existing weaknesses in the sector, such as high temperature of the environment and a personnel shortage, workers consider that the structure is effective in meeting the principles of quality. DESCRIPTORS: Quality of health care. Quality management. Emergency service hospital.This qualitative, exploratory-descriptive study was performed with the objective to understand the perception of workers in a public emergency care service regarding the quality of the local structure. Data collection was performed in April of 2010 by means of individual interviews, and then analyzed according to the Thematic Content Analysis method, which permitted the identification of one category supported by the following subcategories: material resources, human resources, physical resources, financial resources, normative instruments, and information systems. The results demonstrated that the subjects made a positive evaluation of the structure, highlighting the availability of material resources, renovations and adjustments that were made, professional qualification and training, the transfer of financial resources according to the institutional goals, protocol-guided services, and supervision of the information using quality indicators. In conclusion, despite the existing weaknesses in the sector, such as high temperature of the environment and a personnel shortage, workers consider that the structure is effective in meeting the principles of quality. DESCRIPTORS: Quality of health care. Quality management. Emergency service hospital.

The structure of a public emergency care service, from the workers' view: perspectives on quality

This qualitative, exploratory-descriptive study was performed with the objective to understand the perception of workers in a public emergency care service regarding the quality of the local structure. Data collection was performed in April of 2010 by means of individual interviews, and then analyzed according to the Thematic Content Analysis method, which permitted the identification of one category supported by the following subcategories: material resources, human resources, physical resources, financial resources, normative instruments, and information systems. The results demonstrated that the subjects made a positive evaluation of the structure, highlighting the availability of material resources, renovations and adjustments that were made, professional qualification and training, the transfer of financial resources according to the institutional goals, protocol-guided services, and supervision of the information using quality indicators. In conclusion, despite the existing weaknesses in the sector, such as high temperature of the environment and a personnel shortage, workers consider that the structure is effective in meeting the principles of quality. DESCRIPTORS: Quality of health care. Quality management. Emergency service hospital.This qualitative, exploratory-descriptive study was performed with the objective to understand the perception of workers in a public emergency care service regarding the quality of the local structure. Data collection was performed in April of 2010 by means of individual interviews, and then analyzed according to the Thematic Content Analysis method, which permitted the identification of one category supported by the following subcategories: material resources, human resources, physical resources, financial resources, normative instruments, and information systems. The results demonstrated that the subjects made a positive evaluation of the structure, highlighting the availability of material resources, renovations and adjustments that were made, professional qualification and training, the transfer of financial resources according to the institutional goals, protocol-guided services, and supervision of the information using quality indicators. In conclusion, despite the existing weaknesses in the sector, such as high temperature of the environment and a personnel shortage, workers consider that the structure is effective in meeting the principles of quality. DESCRIPTORS: Quality of health care. Quality management. Emergency service hospital.

Estructura de un servicio público de urgencias en la visión de los trabajadores: perspectivas de calidad

This qualitative, exploratory-descriptive study was performed with the objective to understand the perception of workers in a public emergency care service regarding the quality of the local structure. Data collection was performed in April of 2010 by means of individual interviews, and then analyzed according to the Thematic Content Analysis method, which permitted the identification of one category supported by the following subcategories: material resources, human resources, physical resources, financial resources, normative instruments, and information systems. The results demonstrated that the subjects made a positive evaluation of the structure, highlighting the availability of material resources, renovations and adjustments that were made, professional qualification and training, the transfer of financial resources according to the institutional goals, protocol-guided services, and supervision of the information using quality indicators. In conclusion, despite the existing weaknesses in the sector, such as high temperature of the environment and a personnel shortage, workers consider that the structure is effective in meeting the principles of quality. DESCRIPTORS: Quality of health care. Quality management. Emergency service hospital.This qualitative, exploratory-descriptive study was performed with the objective to understand the perception of workers in a public emergency care service regarding the quality of the local structure. Data collection was performed in April of 2010 by means of individual interviews, and then analyzed according to the Thematic Content Analysis method, which permitted the identification of one category supported by the following subcategories: material resources, human resources, physical resources, financial resources, normative instruments, and information systems. The results demonstrated that the subjects made a positive evaluation of the structure, highlighting the availability of material resources, renovations and adjustments that were made, professional qualification and training, the transfer of financial resources according to the institutional goals, protocol-guided services, and supervision of the information using quality indicators. In conclusion, despite the existing weaknesses in the sector, such as high temperature of the environment and a personnel shortage, workers consider that the structure is effective in meeting the principles of quality. DESCRIPTORS: Quality of health care. Quality management. Emergency service hospital.

Assessment of quality of nursing prescriptions in public teaching hospital

A multicenter, cross-sectional study took place from December 2009 to June 2010 and aimed to assess the quality of Nursing Prescription (NP) in two public teaching hospitals. The sample consisted of 1,307 NP and data were processed using the G-test and chi-square. The determination of the quality of NP was based on the classification indices reported in literature. Among the results, 1,083 (82.8%) correct and appropriate NP, 154 (11.8%) inadequate NP and 52 (3.9%) incomplete NP were found. In 18 (1.37%) patient charts, the NP was nonexistent. There was statistic signficance (alpha < 0.05) for incomplete and absent NP between the two hospitals (0.00), as well as inappropriate NP between age groups (0.03). It was concluded that, in the hospitals under study, the NP needs to be improved both in terms of quantity and quality.Estudo multicentrico, transversal, realizado entre dezembro de 2009 e junho de 2010, que teve como objetivo avaliar a qualidade das Prescricoes de Enfermagem (PE) em dois hospitais de ensino publico. A amostra se constituiu de 1.307 PE, e os dados foram tratados por meio dos testes G e Qui-quadrado. A determinacao da qualidade das PE se baseou nos Indices de Classificacao abordados na literatura. Dentre os resultados foram obtidas 1.083 (82,8%) PE corretas e adequadas, 154 (11,8%) inadequadas e 52 (3,9%) incompletas. Em 18 (1,37%) prontuarios, as PE eram inexistentes. Houve significância estatistica (α<0,05) para PE incompletas e ausentes entre os dois hospitais (0,00), assim como PE inadequadas entre as faixas etarias (0,03). Conclui-se que, nos hospitais investigados, a PE necessita ser melhorada, seja em termos de quantidade como de qualidade.

Evaluación de la calidad de las prescripciones enfermeras en hospitales de enseñanza pública

A multicenter, cross-sectional study took place from December 2009 to June 2010 and aimed to assess the quality of Nursing Prescription (NP) in two public teaching hospitals. The sample consisted of 1,307 NP and data were processed using the G-test and chi-square. The determination of the quality of NP was based on the classification indices reported in literature. Among the results, 1,083 (82.8%) correct and appropriate NP, 154 (11.8%) inadequate NP and 52 (3.9%) incomplete NP were found. In 18 (1.37%) patient charts, the NP was nonexistent. There was statistic signficance (alpha < 0.05) for incomplete and absent NP between the two hospitals (0.00), as well as inappropriate NP between age groups (0.03). It was concluded that, in the hospitals under study, the NP needs to be improved both in terms of quantity and quality.Estudo multicentrico, transversal, realizado entre dezembro de 2009 e junho de 2010, que teve como objetivo avaliar a qualidade das Prescricoes de Enfermagem (PE) em dois hospitais de ensino publico. A amostra se constituiu de 1.307 PE, e os dados foram tratados por meio dos testes G e Qui-quadrado. A determinacao da qualidade das PE se baseou nos Indices de Classificacao abordados na literatura. Dentre os resultados foram obtidas 1.083 (82,8%) PE corretas e adequadas, 154 (11,8%) inadequadas e 52 (3,9%) incompletas. Em 18 (1,37%) prontuarios, as PE eram inexistentes. Houve significância estatistica (α<0,05) para PE incompletas e ausentes entre os dois hospitais (0,00), assim como PE inadequadas entre as faixas etarias (0,03). Conclui-se que, nos hospitais investigados, a PE necessita ser melhorada, seja em termos de quantidade como de qualidade.