Abstract
Aim: Understand the significance of the incorporation of the pressure injury protocol in the care management performed by nurses. Method: Qualitative research using a methodological framework based on the Grounded Theory. Data were collected through a semi-structured interview, with 22 nurses from a university hospital, from July to September 2014. Results: The central phenomenon "Making the Pressure Injury Protocol meaningful as a Nursing Qualification Tool for Managerial Care", composed of the category "Qualifying the professionals for the management of care" and its four subcategories, which are: "Perceiving the professional qualification from the protocol", "Considering the protocol a teaching tool", "Perceiving the protocol as an instrument of education in service", and "Evidencing the importance of protocols in patient safety". Conclusion: The study showed that the protocol is a tool of care, as well as an instrument of education in service, which makes management of care safer and also promotes professional qualification.References
Santos I, Erdmann AL, Santos JLG Klock P, Martins VV, Brandão ES. The education of healthcare management: a view from the graduates – theory based on data. Online braz j nurs (Online). [Internet]. 2012 [Cited 2015 out 25];11(3):621-37. Available from: http://www.objnursing.uff.br/index.php/nursing/article/view/3924.
Lorenzetti J, Oro J, Matos E, Gelbcke FL. Work organization in hospital nursing: literature review approach. Texto & contexto enferm. [Internet]. 2014 [Cited 2016 maio 05];23(4):1104-12. Available from: http://www.scielo.br/pdf/tce/v23n4/0104-0707-tce-23-04-01104.pdf
Soares RSA, Lima SBS, Kessler M, Eberhardt TD, Rorato ARS, Dias CC. Coding and analyzing data from the perspective of the theory based on data: case report . J Nurs UFPE on line. [Internet]. 2015 [Cited 2016 maio 1];9(8):8919-22. Available from:http://www.revista.ufpe.br/revistaenfermagem/index.php/revista/article/view/7894
Santos JLG, Pestana AL, Guerrero P, Meirelles BSH, Erdmann ALl. Práticas de enfermeiros na gerência do cuidado em enfermagem e saúde: revisão integrativa. Rev bras enferm. [Internet]. 2013 [cited 2016 abr 10]; 66(2):257-63. Available from: http://www.scielo.br/pdf/reben/v66n2/16.pdf.
Christovam BP, Porto IS, Oliveira DC. Nursing care management in hospital settings:
the building of a construct. Rev Esc Enferm USP. [Internet]. 2012[cited 2016 abr 07]; 46(3):734-41. Available from: http://www.scielo.br/pdf/reeusp/v46n3/en_28.pdf.
Paes GO, Mello ECP, Leite JL, Mesquita MGR, Oliveira FT, Carvalho SM. Care protocol for clients with respiratory disorder: tool for decision making in nursing. Esc Anna Nery Rev Enferm. 2014;18(2):303-10.
Silva AJ, Pereira SM, Rodrigues A, Rocha AP, Varela J, Gomes LM et al. Economic cost of treating pressure ulcers: a theoretical approach. Rev Esc Enferm USP [Internet]. 2013[cited 03 jul 2015];47(4):967-72. Available from: http://www.scielo.br/pdf/reeusp/v47n4/en_0080-6234-reeusp-47-4-0971.pdf.
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: quick reference guide. Emily Haesler (Ed.). Cambridge Media: Perth; 2014.
Soares RSA, Lima SBS, Eberhardt TD, Kessler M, Fonseca GGP, Saul AMR et al. Protocolos de prevenção e tratamento de úlceras por pressão: análise da produção brasileira. Saúde (Santa Maria). 2016;42:63-72.
Strauss A, Corbin J. Pesquisa qualitativa: técnicas e procedimentos para o desenvolvimento de teoria fundamentada. 2ª ed. Porto Alegre: Artmed; 2008.
Morin EA. Cabeça bem-feita: repensar a reforma, reformar o pensamento. 15ª ed. Rio de Janeiro: Bertrand Brasil; 2008.
Soares RSA. Significando o protocolo de úlcera por pressão como instrumento de qualificação para o cuidado gerencial do enfermeiro. [dissertação]. Santa Maria (RS): Universidade Federal de Santa Maria; 2015.
Nightingale F. Notas sobre Enfermagem: um guia para cuidadores na actualidade. Suiça: Lusociência; 2009.
Bonato VL. Gestão de qualidade em saúde: melhorando assistência ao cliente. Mundo saúde. São Paulo. 2011;35(5):319-31.
Donabedian A. Twenty years of research on quality of medical care: 1965- 1984. Eval Health Prof. 1985;8:243-65.
Quadrado ERS, Tronchin DMR. Evaluation of the identification protocol for newborns in a private hospital. Rev latinoam enferm (Online) [internet]. 2012 [cited 2016 maio 10];20(4):659-67. Available from: http://www.scielo.br/pdf/rlae/v20n4/05.pdf.
Adão RS, Santos MR. Atuação do enfermeiro no atendimento pré-hospitalar móvel. REME rev min enferm. 2012;16(4):601-08.
Orvik A, Vagen SR, Axelsson SB, Axelsson R. Quality, efficiency and integrity: value squeezes in management of hospital wards. J nurs manag. 2015;23:65–74.
REBRAENSP, Rede Brasileira de Enfermagem e Segurança do Paciente, Estratégias para a segurança do paciente: manual para profissionais da saúde / Rede Brasileira de Enfermagem e Segurança do Paciente. – Porto Alegre : EDIPUCRS; 2013.
Sade PMC, Peres AM. Desenvolvimento de competências gerenciais do enfermeiro: diretriz para serviços de educação permanente. Rev Esc Enferm USP. [internet] 2015 [cited 2016 maio 20];49(6):991-8. Available from: www.scielo.br/pdf/reeusp/v49n6/pt_0080-6234-reeusp-49-06-0991.pdf