DOTAÇÕES SEGURAS NA QUALIDADE DOS CUIDADOS DE ENFERMAGEM: REVISÃO SISTEMÁTICA

Abstract

The quality of the work environment for professionals, in health organizations, contributes to the quality of care and services as well as excellence in performance. The International Council of Nurses entitled the environments that lead to that excelience as Positive Practice Environments. The leaders and managers of these organizations should know the determinant factors of those environments, in order to provide conditions that will support a high quality practice. To describe the strategic factors that determine the existence of an organizational development model based on positive practice environments for nursing care in a hospital environment is the primary objective of this research. Tbis is a descriptive-correlative study based on a questionnaire, being the target population nurses. We obtained a set of factorial standards that characterize lhe profile of successful critical factors in positive practice environments for nursing care: Organization [management practices, support structures, human resource policies, fault management policies; conditions for obtaining human resources, safe donations], Nurses [management and leadership, organizational communication; professional ethic; education and professional development]; Govemment [government policies]; Professional Association / Nurses National Council (OE) [profession guidelines; profession control]. It was evident also lhat there is difference in perception between nursing managers and care providers regarding the factors that determine the positive environment for nursing ptactice and tthat the different contexts of care (hospitalization, emergency and ambulatory care) did not influence the perception that nurses have on these factors.