Gestión de la calidad en la pandemia de COVID-19: plan de acción de enfermería

Braga, Fabiana Aparecida Corrêa de Oliveira; Lins, Sílvia Maria de Sá Basilio; Christovam, Bárbara Pompeu; Souza, Odilon Adolfo Branco de

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Brasil

Revista Brasileira de Enfermagem

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Sumário

EXPERIENCE REPORT • Rev. Bras. Enferm. 76 (Suppl 1) • 2023 • https://doi.org/10.1590/0034-7167-2022-0272 copiar

Gestión de la calidad en la pandemia de COVID-19: plan de acción de enfermería

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivos:

describir la implementación de un plan de acción de enfermería para enfrentamiento de la pandemia de COVID-19 en un hospital universitario del estado de Rio de Janeiro.

Métodos:

tratase de un relato de experiencia, en lo cual fueron utilizadas dos herramientas de gestión: el Diagrama de Ishikawa, para el levantamiento de los problemas; y la hoja de cálculo 5W2H, para seguir las acciones de acuerdo con las situaciones presentadas.

Resultados:

fueron enumeradas cuatro categorías en dos grupos: 1) Actuación del enfermero gestor en la organización de logística, infraestructura y asistencia: materiales y medio ambiente; y 2) Gestión de los recursos humanos de enfermería y educación permanente: método y recursos humanos.

Consideraciones Finales:

el plan elaborado evidenció el protagonismo de la gestión de enfermería, con búsqueda por las mejores prácticas asistenciales, elaboración de protocolos, realización de entrenamientos multiprofesionales y gestión de insumos.

Descriptores:
Gestión de la Calidad; Enfermería; COVID-19; Pandemia; Atención Terciaria de Salud.

What	Why	Where	When	Who	How	How much
ORGANIZATION OF LOGISTICS, INFRASTRUCTURE AND ASSISTANCE
Control of medical supplies and medications	Market shortage and inflated prices	In the whole hospital	During the first year of the pandemic, especially the first six months	Assistance Coordinators	Through evidence-based contingency plan of utilization	Unestimated Expense
Availability of a nurse to monitor the materials (standardization of PPE^* * PPE - personal protection equipment; )	To keep track of the quality and quantity required for material assistance	Warehouse and Purchasing Sector	In the acquisition of materials for assistance use	Nurse in partnership with the administrative sector	Through the assessment of the real needs for usage in the sectors and the product’s quality opinion	Unestimated Expense
Adequacy of the number of beds to the necessary distance and quantity of nursing professionals	Mandatory distance of 2 meters between beds	In all locations with inpatients	During the entire period	Assistance Coordinators	Reducing the number of beds	Unestimated Expense
CONTINUING EDUCATION AND HUMAN RESOURCES
Organization with the University rectory of transportation for the hospital’s personnel and hotel accommodations	Allow transport of the health teams for care and accommodate the professionals	Several daily routes were established for the professionals’ attendance	During the lockdown period at some locations	University Drivers and Nursing Division	Routes established by necessity demands, due to transportation restriction	Unestimated Expense
Request for emergency professionals to attend COVID-19 to the competent body	Adequate the COVID dimensioning, established by COFEN† and compensate for the exit of vulnerable professionals	In all sectors intended for COVID-19 service	During the pandemic	Nursing Division and Hospital Superintendent	Reports demonstrating the need for personnel	Unestimated Expense
Provide effective communication between the nursing teams	Spreading the knowledge of the elaborated processes and the changes in the assistance protocols	Inside the hospital	After each decision making with changes in routine and care processes	Team managers and nurse coordinators	Through registrations in order books and sectoral occurrences, electronic mail, and social networks	Unestimated Expense
Organization of incoming and outgoing flows of professionals and patients	Avoid cross flow between suspected and contaminated patients, with professionals and other patients	In the COVID-19 service sectors and outpatient areas	During the pandemic	Risk Management Team, HICC‡ and Nursing Division	Signs on the floor with green and red stripes and seats inside the hospital	Unestimated Expense

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Fabiana Aparecida Corrêa de Oliveira Braga, E-mail: fabiana.correa@ebserh.gov.br