Ensuring the quality of health services basically means an effort to find and overcome problems, developing professionals, institutions and systems’ performance and behavior towards more appropriate and acceptable practices in terms of health outcomes and costs . Nevertheless, health service assessment can only be based on previously established criteria, standards and indicators.
In the nursing context, nurses should consider the continuous improvement of the quality of assistance as a dynamic and exhaustive process, in which the factors that affect the nursing team’s work process are identified. This process requires systematic evaluation of the quality of care through fully developed by nursing professionals. Nurses need to analyze the results of care in order to (re)define management strategies, based on information that reflects the reality of healthcare .
As quality depends on different factors, there is no universal and comprehensive definition to be used for all health services. Quality means obtaining the best benefits with the lowest risks . To evaluate the quality of health services, the main aspects to be considered are structure, process and outcome. Structure is related to the means by which care is rendered. The process is the way that care is provided. The outcome measures the improvement of patient health status .
In the evaluation process, actions are needed based on indicators and parameters appropriate to each situation .
As regards the development of indicators of nursing services, guiding axes need to be established, indicating the need to take into account healthcare, education and management policies, the organizational structure and the mission of the organization, as well as the work process, the human, materials and financial resources available and the customers’ expectations. These factors are very important for nursing quality indicators and they should be clear, objective, measurable and useful, promoting the direction of quality improvements.
For full text: click here
(Author: Carmen Silvia Gabriel, Daniele Ramos, Andrea Boldrini, Silvana Silveira Kempfer, Andrea Bernardes, Fernanda Ludmila Rossi Rocha