Ensinando a Escala de Braden como estratégia para melhoria da qualidade da assistência em enfermagem

Abstract

Background: The rates of adverse events are used as indicators of quality of healthcare services. One of the indicators of healthcare quality is the absence or presence of Pressure Ulcer, which causes physical and emotional disorders to the patient, presenting a huge challenge for health institutions due to the long recovery time and permanence required by the injury, raising the costs of the hospital stay. Description of the experience: This is a descriptive study, based on a experience report about the activities developed in an Extension Project and the main goal of this study was to enable the nursing team to correctly fill the Braden Scale, in order to ensure safe patient care to the patients treated at a clinic in a public hospital in Belem-PA. It was developed from March/2016 to February/2017. A total of 43 nursing professionals were trained in the morning, afternoon and evening shifts, with 8 nurses, 16 technicians and 19 nursing assistants. First, a quantitative and qualitative analysis of the scales was carried out to evaluate if they were being correctly filled. Subsequently the team training was carried out, and then a new analysis was made to evaluate the impact of the training. Final considerations: After the training, there was a significant improvement in the Braden score, since the number of patients evaluated incorrectly reduced by 20%, and the number of non-evaluated scales reduced by 14%. It was found a slightly evolution of the partial filling of the scales of only 2.6%. These numbers show that scales are not only being filled, they also allow us to state that the quality of this assessment has also improved. Therefore, it was concluded that the permanent education in health is of fundamental importance and must be a constant in the hospital services, so that more and more professionals become aware and committed to develop a safer nursing care, guaranteeing higher quality of care to the patients.