文章基本信息

标题：Qualidade dos registros de enfermagem em um hospital: auditoria
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作者：Ludimila Cristina Souza Silva ; Marinésia Aparecida do Prado ; Lilian Carla Carneiro 等
期刊名称：Research, Society and Development
电子版ISSN：2525-3409
出版年度：2021
卷号：10
期号：10
页码：1-10
DOI：10.33448/rsd-v10i10.18684
语种：English
出版社：Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ciências
摘要：Objective to evaluate, through auditing, the effectiveness of nursing records in a public hospital in Goiás. Method This is a descriptive and analytical study, carried out on medical records of patients hospitalized in a public hospital in Goiás. hospital stay longer than five days in neonatal, pediatric and maternal intensive care units. For data analysis, we used the comparison of means of continuous variables through the Mann-Whitney test. Results it was verified that the inadequate filling of the medical records compromised the quality criteria, before and after the educational action. However, the means inherent to complete, incomplete and unfilled information in relation to medical records were significantly repaired after the educational action (pConclusion nursing records do not meet the quality criteria, even after the educational action, considering that the effectiveness of the records underwent minor adjustments. It is recommended that educational actions be instituted in the hospital's health policies.
关键词：Nursing records;Quality;Non-compliance;Intervention;Control;Prescription.