Elaboración de perfiles de indicadores de calidad sensibles a las intervenciones de enfermería en cirugía ambulatorial
DOI:
https://doi.org/10.12707/RVI23.63.31223Palabras clave:
enfermería perioperatoria, atención de enfermería, indicadores de calidad de la atención de salud, técnica DelfosResumen
Marco contextual: La cirugía ambulatoria ha experimentado un fuerte crecimiento en los últimos años. Existe poca literatura relativa a la calidad de los cuidados en este contexto y aún menos sobre indicadores de calidad sensibles a las intervenciones del enfermero.
Objetivo: elaborar un perfil de indicadores de calidad sensibles a las intervenciones de enfermería en cirugía ambulatoria.
Metodología: Para llegar a un consenso, se utilizó la metodología e-Delphi modificada mediante cuestionarios en línea, en dos rondas.
Resultados: Un panel de 27 expertos evaluó 58 indicadores de calidad sensibles a las intervenciones de enfermería en cirugía ambulatoria, divididos por las dimensiones estructura, proceso y resultado.
Se validaron 45 indicadores.
Conclusión: Este estudio evidencia el papel de los enfermeros en este contexto de la prestación de cuidados perioperatorios y puede apoyar el desarrollo de herramientas para evaluar la calidad de los cuidados de enfermería en cirugía ambulatoria.
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Aiken, L., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of American Medical Association, 288(16), 1987-1993. https://doi.org.10.1001/jama.288.16.1987
Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management, 28(3), 28-33. https://doi.org/10.7748/NM.2021.E1982
Amaral, A. F., Ferreira, P. L., & Lake, E. (2012). Validation of the practice environment scale of the nursing work index (PESNWI) for the Portuguese nurse population. International Journal of Caring Sciences, 5(3), 280-288. https://internationaljournalofcaringsciences.org/docs/7.%20%20Original%20Paper.pdf
Bardin, L. (2014). Análise de conteúdo (4th ed.). Edições 70. Beiderbeck, D., Frevel, N., Gracht, H. A. Von Der, Schmidt, S. L., & Schweitzer, V. M. (2021). Preparing, conducting, and analyzing Delphi surveys: Cross-disciplinary practices, new directions, and advancements. MethodsX, 8, 101401. https://doi.org/10.1016/j.mex.2021.101401
Borel, M., Lopes, R., Thofhem, M., Nóbrega, M., Arreguy-Sena, C., & Brandão, M. (2021). Guideline for incorporating the Delphi method in the evaluation of nursing theories. Revista Latino-Americana Enfermagem, 29, e3387. https://doi.org/10.1590/1518-8345.4157.3387
Boulkedid, R., Abdoul, H., Loustau, M., Sibony, O., & Alberti, C. (2011). Using and reporting the Delphi Method for selecting healthcare quality indicators: A systematic review. PLoS ONE, 6(6), e20476. https://doi.org/10.1371/journal.pone.0020476
Brökelmann, J., & Bäcker, K. (2010). Clinical indicators for ambulatory surgery. Ambulatory Surgery, 16(2), 34–37.
David, S. (2012). Why nurses are the unsung heroes of global health. https://www.huffpost.com/entry/international-nurses-week_b_1499802
Donabedian, A. (1992). The role of outcomes in quality assessment and assurance. Quality Review Bulletin, 18(11), 356-360. https://doi.org.10.1016/s0097-5990(16)30560-7
Doran, D., & Pringle, D. (2011). Patient outcomes as accountability. In D. Doran (Ed.), Nursing outcomes: The state of the science (2nd ed., pp. 1-23). Jones & Bartlett Learning. Entidade Reguladora da Saúde. (2022). Resultados da segunda avaliação de 2021. https://apch2.ers.pt/pages/594
Gracht, H. A. (2012). Technological forecasting & social change consensus measurement in Delphi studies review and implications for future quality assurance. Technological Forecasting & Social Change, 79(8), 1525–1536. https://doi.org/10.1016/j.techfore.2012.04.013
Hitchcock, M., & Ogg, T. W. (1994). A quality assurance initiative in day case surgery: General considerations. Ambulatory Surgery, 2(4), 181–192. https://doi.org/10.1016/0966-6532(94)90016-7
Keeney, S., Hasson, F., & McKenna, H. (2010). The Delphi technique in nursing and health research. Wiley Online Library. https://doi.org.10.1002/9781444392029
Kushemererwa, D., Davis, J., Moyo, N., Gilbert, S., & Gray, R. (2020). The association between nursing skill mix and mortality for adult medical and surgical patients: Protocol for a systematic review. International Journal Environmental Research and Public Health, 17(22), 8604. https://doi.org/10.3390/ijerph17228604
Lake, E. T. (2002). Development of the Practice Environment Scale of the Nursing Work Index. Research in Nursing and Health, 25(3), 176–188. https://doi.org/10.1002/nur.10032
Lemos, P., Pinto, A., Morais, G., Pereira, J., Loureiro, R., Teixeira, S., & Nunes, C. S. (2009). Patient satisfaction following day surgery. Journal of Clinical Anesthesia, 21(3), 200–205. https://doi.org/10.1016/j.jclinane.2008.08.016
Nasa, P., Jain, R., & Juneja, D. (2021). Delphi methodology in healthcare research: How to decide its appropriateness. World Journal of Methodology, 11(4), 116–129. https://doi.org/10.5662/wjm.v11.i4.116
Nunes, J., Gomes, R., Povo, A., & Alves, E. (2018). Quality indicators in ambulatory surgery: A literature review comparing Portuguese and international systems. Acta Médica Portuguesa, 31(7-8), 425-430. https://doi.org.10.20344/amp.10416
Ordem dos Enfermeiros. (2017). Padrões de qualidade dos cuidados especilizados em enfermagem médico-cirúrgica: Na área de enfermagem à pessoa em situação crítica: Na área de enfermagem à pessoa em situação paliativa: Na área de enfermagem à pessoa em situação perioperatória: Na área de enfermagem à pessoa em situação crónica. https://www.ordemenfermeiros.pt/media/5681/ponto-2_padroes-qualidade-emc_rev.pdf
Organisation for Economic Co-operation and Development. (2021). Health at a glance: Health at a glance 2021: Ambulatory surgery. https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2021_dd4f4919-en
Pinto, J., Matias, A., & Sarnadas , L. (2020). Avaliação da cultura de segurança do doente em cirurgia ambulatória pelos enfermeiros: Protocolo de scoping review. Revista de Enfermagem Referência, 5(4), e20059. https://doi.org.10.12707/RV20059
Pinto, J., Matias, A. C., Sá, L., & Amaral, A. (2022). Quality indicators in ambulatory care surgery: A scoping review. Nursing Economic$, 40(5), 215–229. http://hdl.handle.net/10400.14/39670
Regulamento n.º 429/2018 da Ordem dos enfermeiros. (2018). Diário da República: II série, n.º 135. https://www.ordemenfermeiros.pt/media/8420/115698537.pdf
Serviço Nacional de Saúde, & Direção-Geral da Saúde. (2016). Norma n.º 018/2016 de 30/12/2016. https://normas.dgs.min-saude.pt/wp-content/uploads/2019/10/reconciliacao-da-medicacao.pdf
Williams, A., Ching, M., & Loader, J. (2003). Assessing patient satisfaction with day surgery at a metropolitan public hospital. Australian Journal of Advanced Nursing, 21(1), 35–41.
