Nurse interventions in clinical management that promote quality of care: scoping review

Abstract

Introduction: Nurse interventions in clinical management can take different forms, and there is a connection between management and care provision. Despite the recognised importance of clinical management for the quality of care, there are still gaps in knowledge about the most effective and efficient interventions in this field.

Objective: Map the available scientific evidence about nurse interventions in clinical management that promote the quality of care in hospital health organizations.

Methods: Scoping review with research carried out in the following databases: CINAHL Complete; Medline; Web of Science; Cochrane Library and Scopus, with the free full limiter text. The selection criteria were defined according to the PCC methodology, Participants – nurses in clinical practice, Concept – the interventions in the field of clinical management and Context – hospital health organizations.

Results: Nine articles that describe nurse interventions in clinical management that promote quality of care. The evident interventions are related to self- agency, care management, evidence-based practice, resource management, risk management and results management.

Conclusions: Clinical management promotes the search for excellent results, the appreciation and implementation of creative decisions taken as a team, the development of awareness of multidisciplinarity and interdependence and a common vision of interest in the objectives of services and institutions. Therefore, nurse interventions in clinical management are reflected in the quality of care.