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Assignments of Nurses in the Hospital Accreditation Process Available online at http://www.journalijdr.com International Journal of Development Research ISSN: 2230-9926 Vol. 10, Issue, 08, pp. 39489-39494, August, 2020 https://doi.org/10.37118/ijdr.19611.08.2020 RESEARCH ARTICLE OPEN ACCESS ASSIGNMENTS OF NURSES IN THE HOSPITAL ACCREDITATION PROCESS *1Rosane da Silva Santana, 2Rosa Irlania do Nascimento Pereira, 3Elis Jordana Crispim Alencar, 2Cynthia Araújo Frota, 2Francisca Ellen Bantim Sousa Cunha, 3Midian Viana Dias, 4Nanielle Silva Barbosa, 4Amanda Karoliny Meneses Resende, 4Kauan Gustavo de Carvalho, 5Cristiana Pacífico Oliveira, 6Gabriela Oliveira Parentes da Costa and 7Ricardo Clayton Silva Jansen 1PhD student in Public Health - Federal University of Ceará - (UFC) Fortaleza, Ceará, Brazil 2Nurse. Maurício Nassau University Center - (UNINASSAU) - Teresina, Piauí, Brazil 3Nurse. Santo Agostinho University Center (FSA) Teresina, Piauí, Brazil 4Nurse. State University of Piauí - (UESPI) - Teresina, Piauí, Brazil 5Postgraduate in Family Health. Federal University of Piauí - (UFPI) Teresina, Piauí, Brazil 6Postgraduate degree in Urgency and Emergency - Multiple Higher Education Institute (IESM) 7Nurse. Master in Biodiversity, Environment and Health – UEMA ARTICLE INFO ABSTRACT ArticleArticle History: History: Introduction: The effective performance of nurses in care and administrative actions subsidizes th ReceivedReceived 17xxxxxx, May 20192020 the Hospital Accreditation process, which is a certification for health institutions through ReceivedReceived inin revisedrevised formform compliance with established goals and rules. Thus, the objective was to identify the th 09xxxxxxxx, June 2020 201 9 th administrative and care attributions of nurses in the Hospital Accreditation process. Materials AcceptedAccepted 20xxxxxxxxx July 2020, 20 19 and Methods: descriptive study with qualitative approach, conducted in August and September Published online 30th August 2020 Published online xxxxx, 2019 of 2018 with 14 nurses. A semi-structured script was used to collect the data and the Technique of Key Words: Discourse Analysis of the Subject was used for data analysis. Results: Grouped into two categories - Competencies of nurses in the hospital accreditation process and contributions of Hospital Accreditation. Professional Competence. hospital accreditation for nurse professional development. Discussion: The results of this study Nurses. Quality management. Patient safety. indicate administrative, operational, structural and managerial organizational changes that occurred with the obtaining of the accredited seal. Accreditation provided broad and positive changes for nurses. Conclusions: From the application of the hospital accreditation process, *Corresponding author: nurses began to develop specific competencies and skills to work in an accredited hospital and Rosane da Silva Santana thus contribute to a humanized care focused on quality and promotion of patient safety. Copyright © 2020, Rosane da Silva Santana et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Citation: Rosane da Silva Santana, Rosa Irlania do Nascimento Pereira, Elis Jordana Crispim Alencar et al. “Assignments of nurses in the hospital accreditation process”, International Journal of Development Research, 10, (08), 39489-39494. INTRODUCTION (ONA), The International Joint Commission (JCI); Canadian accreditation, the National Integratend accreditation for helatheare (NIAHO). Other names used in several hospitals With the persevering competitiveness of hospital institutions in with quality certification are ISO 9,001, 14,000, 31,000 remaining in the market and the requirements established by certification, consisting of standards related to the quality customers, Hospital Accreditation (HA) in Brazil appears with management model. Even with so many models to improve the a proposal for changes in the models of care and management, quality of service delivery in the hospital environment, there improving care resources, allowing humanized care, with user are still few hospitals involved in quality certification2. The satisfaction and reduction of financial expenses. However, in most adopted certification in Brazil is classified into three order to maintain the quality of care and administrative actions levels: accredited, fully accredited and accredited with in the hospital service, periodic training with health excellence. The National Accreditation Organization created in professionals is necessary1. The Hospital Accreditation models 1999, is responsible for the certification of the quality process adopted in Brazil are: the National Accreditation Organization by evaluating the quality of services provided in the hospital 39490 Rosane da Silva Santana et al., Assignments of nurses in the hospital accreditation process institution. institutions classified as accredited; meet formal, research. Data collection occurred in August and September of technical requirements, present adequate physical and 2018, after the authorization of the Research Ethics Committee logistical structure for operation, identify specific risks and (CEP) of the Piauiense Association to Combat Cancer with manage them with a focus on safety. Institutions as a seal of opinion N0 2,848. 972. To capture the data, a semi-structured full accreditation; present principles of standardization of script containing questions was used to characterize the subject processes, in order to organize for quality, presents training and to answer the objectives of the study. The interviews were programs and continuing education. And institutions with conducted in the hospital premises, in a private room. The accredited seal with excellence; has a quality system with participants' statements were recorded using an MP4® device global results aligned with the best practices of the area of to ensure the authenticity of the statements. As a form of operation in national and international terms3. The security for the interviewees, the ethics that govern the achievement of the quality of the service offered involves research on secrecy and anonymity, the initials 9 ENF was many actors and within the hospital the manager is responsible used in the upper box, followed by the numbering from 01 to for motivating all professionals who perform any activities on 14, which was determined from the order of the interviews, so site, especially health professionals who are in direct contact that all the subjects of the research could make sure that their with patients. The mobilization of all is fundamental for the identities would remain anonymous. For the analysis of the purpose of improvement to continue with a focus on the participants' discourses, the "Content Analysis" technique was quality and safety of the patient in the hospital accreditation used, which according to Bardin9, is a set of techniques for process4. With the quality certification process, health services analyzing communications. Then, the data followed the are able to identify the inadequacies of the environment and following steps: Pre-analysis, floating reading, from which it the services offered by health professionals, favoring the was possible to analyze and know the text letting it be invaded quality and safety of patient care, establishing effective by impressions and orientations, in order to identify the communication and greater interaction between the discursive categories; Exploration of the material, with multidisciplinary team with the use of standardized techniques exhaustive readings of the contents for organization and used in care5. systematization of discourses, allowing grouping into categories; Analysis of the contents of the subjects' statements, The role of nurses in this process provides actions related to gathered by categories, a stage in which units of meanings care and administrative issues that subsidize efficiency and were identified; Treatment of the results, with the analyzed effectiveness in the management processes that are necessary discourses were interpreted in a critical and reflexive way, in the quality of care, in the management of processes and allowing the description of the results and meanings that goals to launch and maintain certification, it also acts in consolidated the theme. continuing education, which is a fundamental tool for professional training, items necessary in the care process and 6 RESULTS AND DISCUSSION operational models for the provision of care . The intense participation of nurses in organizational decisions and the Fourteen nurses participated in the study, of which 78.6% were interaction between sectors involved in hospital accreditation of sex. 42.9% of the sample completed nursing degrees more favor the provision of quality care contributing to than 7 years ago. Of the nurses interviewed, in addition to comprehensive care. Nurses should seek qualification and graduation, 92.9% had lato sensu post-graduation, of which professional training, especially in the managerial aspects that 28.5% were directed to hospital management and accreditation 7 are allocated in hospital accreditation . The nurse's and 85.7% of the nurses participated in some training course management activities include nursing team dimensioning, directed to the hospital accreditation process. Regarding motivational leadership, planning, training and training of working time, 28.5% of the interviewees have been
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