Evaluation of a training course in infection control for nurses.

OBJECTIVE: To evaluate the effectiveness of a training course in infection control for nurses. MATERIAL AND METHODS: A quasi-experimental study was performed from November 1, 2001 to December 31, 2002. The study was divided into three phases; 1) pre-intervention (November 1-30, 2001) to survey baseline data among participants, 2) intervention (January 1-31, 2002) to establish, develop and conduct the training course, 3) post-intervention (February 1, 2002 to December 31, 2002) to evaluate the effectiveness of the training program, and conduct a workshop for infection control project presentations. The research instruments consisted of questionaires and a focus group discussion guide. RESULTS: Forty-six nurses who had experience of working as infection control nurses (ICN) for more than one year and 46 hospital administrators were enrolled in the pre-interventional phase. Major problems identified among ICNs were inadequate knowledge, multiple simultaneous job descriptions, overwork and lack of collaboration from colleagues. After intervention, significant improvement was observed on their knowledge and confidence among ICNs (rating scale, 4.09 vs. 3.43; p< 0.001). All administrators agreed that the training course was beneficial to ICNs and believed that the problems in practices of IC would be solved. More satisfaction of ICNs among hospital administrators was also observed (97.7% vs. 28.3%; p< 0.001). CONCLUSION: The present study suggested that the training course to provide practical knowledge for ICNs be effective and should be conducted periodically to keep up with the advance in medical technology. An ICN network with other academic institutions should be established.

Quality of nosocomial infection control in Thailand.

OBJECTIVE: To study the quality of nosocomial infection control with respect to structure and process. MATERIAL AND METHOD: Data collection by questionnaire and interview administrators and medical personnel in 57 hospitals in Thailand in 2002. RESULTS: Nosocomial infection control was implemented in all 57 hospitals. In every hospital, there was an infection control committee (ICC) and at least 1 infection control nurse (ICN). The quality of ICNs regarding knowledge, skill and time available for infection control needed to be improved. Surveillance methods of NI were not appropriate in many hospitals. Doctors were not interested in NI control and supply of certain materials was not adequate. Lack of support and co-operation of doctors and nurses was found. Service of certain departments needed to be revised in over 50%. Doctors and nurses not directly involved in NI controlled were not satisfied with current practices. CONCLUSION: Quality of NI control in Thailand has yet to be improved regarding structure and process. Better cooperation between NI control team and healthcare personnel needs to be developed.

O processo de desenvolvimento de sistemas de gestäo em organizaçoes hospitalares e a importância da profissionalizaçäo de seus dirigentes: consideraçoes a partir de um processo de consultoria no Hospital Evandro Chagas, Fundaçäo Oswaldo Cruz / Process of development of the management system in hospitals

Trata do processo de transformaçäo do sistema de gestäo do Hospital Evandro Chagas/FIOCRUZ. Enfoca as características das organizaçoes hospitalares públicas e os desafios de coordenaçäo do trabalho médico e de pesquisa, tomando aquele hospital como referência para reflexäo. Apresenta e discute osprincípios de organizaçäo de sistemas de gestäo a partir das compreensoes do planejamento estratégico-situacional e da teoria das macro-organizaçoes de Carlos Matus. Considera que o processo de desenvolvimento gerencial das organizaçoes hospitalares, a partir da experência em foco, deve ser compreendido em pelo menos duas dimensoes mutuamente condicionantes: a primeira, ao nível do aperfeiçoamento das estruturas e métodos gerenciais; e a segunda, ao nível da profissionalizaçäo dos dirigentes hospitalares

Custo Hospitalar / Hospital costs

Trata de apropriação de custo, custo final, rateio dos custos das salas cirúrgicas, obstétricas, ortopédicas e proteses. Discute implantação de sistema de apropriação. Inclui exercícios, relatórios, tabelas e quadros para treinamento de contabilistas, administradores hospitalares e estudantes (CAC)

O administrador hospitalar / Hospital manager

Apresenta trabalhos de eventos e artigos enfocando diversos temas para educação continuada de profissionais da administração hospitalar e melhoria da qualidade de serviços prestados (CAC)