Abstract
To understand the perception of nurses in quality management of nursing care at a public health institution in Brazil. Qualitative research was carried out with participation of 18 nurses. Conducted with an interview, open questions with independent variables: characterization of professionals and outcome (perception of quality management, before - 1st phase - and after - 2nd phase - the intervention). Data organized with the help of ATLAS.ti software, Bardin analysis, with the theme “Delivery of value” in the first phase and the theme “Quality indicators focusing on delivering results” in the second phase. The third theme, “Management of care”, in 2 phases. Results showed that the perception of nursing managers about quality management varied between the first and second phases. Considering the revelations about scarce knowledge about quality management, we point out the need to carry out training with a health management approach focused on the management of the quality of care.
Highlights
The conceptual complexity of quality management shows the relevance of the current hospital organization scenario as being one of the most difficult, because of the magnanimity and dimension of its mission, but especially because of the risk of fragmentation of care, even though it has a multidisciplinary team with a high degree of autonomy (Aggarwal, Aeran & Rathee, 2019).Within this context, nursing is essential to achieve an organizational environment strengthened by quality management of the services provided
It is crucial for nurses to understand their role as healthcare managers, since regardless of their hierarchical level in the organization, they exclusively lead the systematization of nursing care and implementation of nursing processes which are configured as management tools for providing management and care articulation; facilitating planning and organization of team actions; and delivering high quality for meeting the patients and nursing team’s needs (COFEN, 2009; Bonato, 2011)
Healthcare management through managerial knowledge should be the main axis in the work routine of these professionals. It is essential for the nursing manager to haves knowledge about action planning and organization, clinical governance tools, where the levels of knowledge and application of practices are correlated with efficiency indicators, listed through technical instruments of the work process that underlie decision making and consist of the elaboration of strategies that aim to achieve a defined objective (Sarchielli et al, 2016; Soares et al, 2016)
Summary
The conceptual complexity of quality management shows the relevance of the current hospital organization scenario as being one of the most difficult, because of the magnanimity and dimension of its mission, but especially because of the risk of fragmentation of care, even though it has a multidisciplinary team with a high degree of autonomy (Aggarwal, Aeran & Rathee, 2019). Within this context, nursing is essential to achieve an organizational environment strengthened by quality management of the services provided. The leadership praxis and the knowledge of the nurse manager are essential for the performance of their activities, since it is their responsibility to administer care in different areas of the hospital, mapping processes focused on improving the quality of care (Silva et al, 2019; Nardini, 2019)
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