Abstract
to analyze the strategies implemented by nurses to reconfigure palliative oncological care due to the hospital accreditation process in Hospital do Câncer IV (Hospital of Cancer IV). qualitative research of historical-social approach, whose direct sources in use were written documents and four spoken accounts. implemented strategies were: creation of the Nursing Division; nursing staff management; consolidation of Continuing Education sector; creation of Internal Nursing Bylaws through development of norms and routines; meetings; discussion of clinical cases; training and classes; creation of Núcleo de Assistência de Enfermagem (Nursing Assistance Core); creation of a tumoral and ostomy wound-dressing ambulatory; and organization of the 5th Vital Sign Forum. Final considerations: nurses, supported by an alliance with the institution directors, implemented effective strategies and reached significant advancement. As they took part in this endeavor, they became legitimate spokespeople of an authorized discourse in the field of oncological nursing care in Brazil.
Highlights
Since the 1990’s, in Brazil, there have been important alterations to oncological care, which aimed at promoting quality of life to patients and their families through comfort and pain relief measures, treatment of pain and of other problems of physical, psychosocial and spiritual nature, all of them able to bring forth conditions for understanding the finitude of patients’ lives, decreasing the negative effects of the disease and planning life quality[1,2].Due to that, care to patients with advanced cancer and without pharmacological answers was strengthened in 1990, with the first definition of a palliative care concept given by the World Health Organization (WHO)(1)
Throughout the 1990’s, it was used by Consórcio Brasileiro de Acreditação (CBA – Brazilian Accreditation Consortium), the local partner of Joint Commission International (JCI), and the proposed process resulted in the concession of an international certification as an accredited institution
This study aims to analyze the strategies implemented by nurses in order to reconfigure palliative oncological care within the process of hospital accreditation of HCIV
Summary
Care to patients with advanced cancer and without pharmacological answers was strengthened in 1990, with the first definition of a palliative care concept given by the World Health Organization (WHO)(1). Throughout the 1990’s, it was used by Consórcio Brasileiro de Acreditação (CBA – Brazilian Accreditation Consortium), the local partner of Joint Commission International (JCI), and the proposed process resulted in the concession of an international certification as an accredited institution. This certification allows hospital bylaws to be recognized by organizations of other countries[4]
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