Abstract
Objective to evaluate the conformity of the assistential practice in the maintenance of the temporary double-lumen catheter for hemodialysis, by means of the use of the process indicator, in the University Hospital of the University of São Paulo. Method a quantitative, exploratory-descriptive and observational study. The sample was made up of 155 observations of persons with temporary double-lumen catheters, in the period March - November 2011, using the Indicator of the Maintenance of the Temporary Double Lumen Catheter for Hemodialysis. Results the rate of general conformity of the assistential practice corresponded to 65.8%. Of the practice's 13 components, 9 (69.2%) attained 100% conformity. The hygienization of hands by the professionals and the use of a mask by the patients during the disconnection from the hemodialysis had the worst rates (83.9%). Conclusion although the actions evaluated are implemented in the unit, it is necessary to propose and apply educational strategies with the health team, as well as to institute periodical assessments, so as to raise the conformity rates, ensuring the quality of the hemodialysis services.
Highlights
In the majority of health institutions, the constant search for quality, through the use of best practice and the offer of the best service so as to meet the service users’ needs and expectations, is a reality
The researcher used two forms: the first, based on the Operational Manual of the MTDLCH Indicator[7], used for assessing the conformity of the assistential practice, containing data referring to the number of the observation, the data, the shift, the 13 components to be evaluated and the result of the evaluation; and the second, to record the data for characterizing the service users by sex, age, and the first three diagnoses on admission to the Hd program
The researchers observed the Hd sessions of 41 service users, among whom the access was the temporary double-lumen catheter (TDLC), and these were characterized in terms of the variables sex, age, and diagnosis on admission to the Hd unit
Summary
In the majority of health institutions, the constant search for quality, through the use of best practice and the offer of the best service so as to meet the service users’ needs and expectations, is a reality. Quality in health care is the obtaining of greater benefits with low risks to the user. In their turn, the benefits are defined in terms of achievability, in line with the resources available and the existing social values. The benefits are defined in terms of achievability, in line with the resources available and the existing social values This is not an abstract attribute; rather, it is constructed by the assistential evaluation; according to Donabedian’s evaluative model, it is proposed that this should be undertaken through the analysis of the structure, the work processes and the results[1,2,3].
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