Auditoria como ferramenta de qualidade da assistência de enfermagem em ambiente hospitalar: uma revisão integrativa

Abstract

Quality of health care can be defined as the delivery of safe, effective, efficient and patient- centered health care by trained and compassionate professionals. The nursing audit is the

assessment of nursing care through the records made in the patient's medical record. Considered an evaluative instrument, it can be used to determine and quantify the dedicated quality during health care. This work aims to analyze the scientific productions on auditing and quality of health care in the hospital environment. The method used in this study was of a qualitative nature, of the integrative literature review type, using mixed research. The search for articles took place from December 2022 to January 2023, through the Regional Portal of the Virtual Health Library. After analysis considering the inclusion criteria adopted in the study, the review sample consisted of six national manuscripts. The results showed that, using different retrospective audit instruments, the studies elucidated failures with regard to the complete recording of events or their total absence. In the quality assessment, the notes and nursing evolutions were often presented with insufficient or inaccurate description of the patient's condition, with the presence of erasures and the use of confusing, divergent, misspelled or illegible terms. Therefore, it was concluded that the implementation of nursing audits makes it possible to identify problems and point out deviations, supporting health institutions for the creation of strategies in order to improve the care provided, confirming its adjunctive potential with the quality of nursing care in environments hospital.