Assuntos
Atitude do Pessoal de Saúde , Ética em Enfermagem , Recursos Humanos de Enfermagem Hospitalar/psicologia , Recursos Humanos de Enfermagem Hospitalar/provisão & distribuição , Admissão e Escalonamento de Pessoal/normas , Qualidade da Assistência à Saúde , Comunicação , Tomada de Decisões Gerenciais , Grupos Focais , Hospitais de Veteranos , Humanos , Avaliação das Necessidades , Pesquisa em Administração de Enfermagem/métodos , Supervisão de Enfermagem/organização & administração , Cultura Organizacional , Inquéritos e Questionários , Estados Unidos , United States Department of Veterans Affairs , Recursos Humanos , Carga de TrabalhoRESUMO
Evaluation of nursing care is being expanded to identify and assure attainment of patient outcomes. Ideally, evaluation of care will occur throughout all phases of treatment and include perceptions of the patient and/or significant others. A framework for patient outcomes as proposed by Marek (1989) was useful in defining outcomes for newly injured and chronically skin-compromised patients with spinal cord injury. Guidelines established by the Joint Commission for Accreditation of Health Organizations also influenced development of the nursing quality assurance approach. A pilot program demonstrated attainment of expected patient outcomes for high-risk and problem-prone aspects of nursing care.
Assuntos
Continuidade da Assistência ao Paciente/normas , Cuidados de Enfermagem/normas , Alta do Paciente , Humanos , Avaliação de Resultados em Cuidados de Saúde , Garantia da Qualidade dos Cuidados de Saúde/organização & administraçãoRESUMO
a comprehensive effort to improve quality and appropriateness of care in a large teaching hospital has been planned and implemented. Fuel for the initiative was gleaned from the combined energies of QA education, infection control, and administration. Challenges for continuous improvement of care for persons who are HIV positive are being anticipated through educational interventions and a program of ongoing evaluation. In concert, movement is toward a safer, more compassionate, cost-effective, and clearly communicated approach to care for patients with HIV/AIDS.
Assuntos
Síndrome da Imunodeficiência Adquirida/enfermagem , Educação Continuada em Enfermagem/normas , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem Hospitalar/educação , Garantia da Qualidade dos Cuidados de Saúde , Síndrome da Imunodeficiência Adquirida/prevenção & controle , Atitude do Pessoal de Saúde , Humanos , Recursos Humanos de Enfermagem Hospitalar/psicologiaRESUMO
Developing and implementing standards of spinal cord injury nursing practice is an essential component of a program for evaluating and ensuring quality patient care. A comprehensive program for monitoring SCI nursing care as developed at the James A. Haley Veterans Hospital is described. Over a 12-month period, nursing staff utilized standards of practice to assure attainment of expected patient outcomes and increased staff involvement in the SCI quality assurance program. Evaluation of the task force project provides implications for use in other nursing practice settings.
