RESUMO
Background: Technology reduces the nursing workload, improve the quality care processes, patient's safety, and avoid staff burnout. Innovative technologies are disrupting healthcare systems by improving the efficiency of processes and management. There is a discussion on the benefits, challenges, and barriers of these technologies and considering human factors of nursing management. The aim was to analyze the influence of technologies on the distribution of workload for nursing care management. Methods: An integrative literature review was performed. Four databases were searched: Scopus, Scielo, PUBMED, and CINALH following PRISMA guidelines. Articles published from January 2016 to December 2020, published in English, Spanish and Portuguese were included. Studies were excluded when they were not original research, did not met the quality criteria or they did not answer the research questions. Quality appraisal was performed using the Crowe Critical Appraisal Tool version 1.4 (CCAT). Two reviewers independently examined the title and abstract for eligibility according to the inclusion and exclusion criteria. Results: 2818 potentially relevant articles were found, but once the inclusion and exclusion criteria in the abstracts were analyzed, 177 remained for evaluation. After following the PRISMA Guidelines, 35 studies were included in the review. Three categories were identified: Nursing workload; Information technologies and technological means for management; Technology acceptance. Conclusions: Technology has the potential to improve care management by estimating nurse workload in ICUs and non-critical units, but scientific evidence is more detailed in the former type of services. The literature provides insights about the factors that factors and the barriers that promote the technology acceptance and usability. We did not find studies comparing technologies and no scientific evidence proving improvements in care.
Assuntos
Humanos , Gestão em Saúde , Papel do Profissional de Enfermagem , Cuidados de Enfermagem , ChileRESUMO
La expresión "gestión del cuidado" que utiliza el legislador chileno en su concepción -función profesional y estructura en los establecimientos de salud estatal- ha presentado dificultades en su interpretación. Con fines aclaratorios se ha recurrido a la Contraloría General de la República (CGR) entidad que, al efecto, ha emitido dos dictámenes. El objeto de esta presentación es analizar críticamente el Dictamen N° 79.481, de 2010, relacionarlo con los pronunciamientos anteriores y dar a conocer el estado actual de la materia. Este artículo trata en forma especial el derecho preferente que este último dictamen reconoce a la profesión enfermera para ejercer la dirección y administración de las Unidades de Gestión del Cuidado. Se entregan antecedentes legislativos y administrativos para una mejor comprensión del texto. Con el mismo fin se revisan los conceptos de: titulación, profesión y regulación de los actos propios de una profesión.
The term "care management" used by the Chilean legislature from its conception -professional role and structure in state health facilities- has presented difficulties in interpretation. For clarification, have resorted to the Republic General Comptroller (CGR) an entity, which in effect, has issued two opinions. The purpose of this presentation is to critically analyze the Opinion No. 79,481, 2010, relate it to previous statements to present the current state of art. This article deals in a special way with the preferential right in which the last opinion recognizes the nursing profession to exercise leadership and management of the Care Management Units. Legislative and administrative background for a better understanding of the text, are delivered. For the same purpose the concepts of qualification, profession and regulation of a profession's own acts are reviewed.
Assuntos
Humanos , Masculino , Feminino , Administração em Saúde , Políticas, Planejamento e Administração em Saúde , Legislação como Assunto , Enfermagem , ChileRESUMO
El diálogo entre enfermos o usuarios de algún servicio de salud logra formar un grupo de interlocutores. "Escuchar a muchos, es incluirse, conscientemente o no, en una sociedad...". Es decir, la palabra tiene el poder de formar una comunidad y en la comunidad las voluntades individuales se aúnan en un esfuerzo común
