Serviços Personalizados
Journal
Artigo
Indicadores
- Citado por SciELO
- Acessos
Links relacionados
- Citado por Google
- Similares em SciELO
- Similares em Google
Compartilhar
Avances en Enfermería
versão impressa ISSN 0121-4500
Resumo
DE LIMA VALE, Érico et al. Improvement of the quality of care for gestational hypertension in intensive care. av.enferm. [online]. 2020, vol.38, n.1, pp.55-65. Epub 16-Mar-2020. ISSN 0121-4500. https://doi.org/10.15446/av.enferm.v38n1.81081.
Objective:
To assess the effect of a cycle of quality improvement on the implementation of evidence-based practices in the treatment of women with gestational hypertensive diseases admitted to the Maternal Intensive Care Unit (MICU).
Method:
Quasi-experimental study, without a control group, performed in a MICU of a university hospital which followed the steps of a cycle of quality improvement. Nine process criteria were assessed in all women admitted with a diagnosis of gestational hypertensive diseases in the periods before (n = 50) and after the intervention (n = 50) in 2015. The compliance was estimated with the confidence interval of 95 %, the non-conformities with Pareto charts and the significance of improvement with one-tailed Z-test (α = 5 %).
Results:
The initial quality level was high in six out of nine criteria (amplitude: 94-100 %), the practices with the lowest adherence were "magnesium sulfate maintenance" (54 %), "fetal ultrasound request" (72 %) and "intravenous fluid restriction" (78 %). There was absolute improvement in five out of nine criteria (amplitude: 2-16 %), which was significant for fetal ultrasound request (absolute improvement: 16 %; p = 0.023) and for the total criteria (4%; p = 0.01).
Conclusion:
The proposed intervention of quality improvement increased the adherence to evidence-based recommendations for the treatment of patients with gestation-al hypertension admitted to a MICU.
Palavras-chave : Quality of Health Care; Quality Improvement; Hypertension, Pregnancy-Induced; Intensive Care Units (source: DeCS, BIREME).