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Quality of nursing documentation before and after the Hospital Accreditation in a university hospital

OBJECTIVE: to analyze the quality of nursing documentation by comparing the periods before and after the preparation for the hospital accreditation, using the Quality of Nursing Diagnoses, Interventions and Outcomes - Brazilian version (Q-DIO- Brazilian version). METHOD: observational study of inter...

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Detalles Bibliográficos
Autores principales: Nomura, Aline Tsuma Gaedke, da Silva, Marcos Barragan, Almeida, Miriam de Abreu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5173297/
https://www.ncbi.nlm.nih.gov/pubmed/27878216
http://dx.doi.org/10.1590/1518-8345.0686.2813
Descripción
Sumario:OBJECTIVE: to analyze the quality of nursing documentation by comparing the periods before and after the preparation for the hospital accreditation, using the Quality of Nursing Diagnoses, Interventions and Outcomes - Brazilian version (Q-DIO- Brazilian version). METHOD: observational study of interventions conducted in a university hospital. Nursing documentation of 112 medical records for the period before and 112 for the period after the hospital accreditation were compared using the Q-DIO instrument - Brazilian version. Data were statistically analyzed. RESULTS: there was a significant improvement in the quality of nursing documentation. When the total score of the instrument was evaluated, a significant improvement was observed in 24 out of the 29 items (82.8%). CONCLUSION: there was commitment to the shift of culture by means of the interventions carried out, which resulted in the conquest of the quality seal ensured by the Joint Commission International.