Evaluating nursing practices beyond our borders
Isabel Cristina Kowal Olm Cunha PhD, RN
Liliane Bauer Feldman PhD, RN
Maria D' Innocenzo PhD, RN

$7.95 		Nursing Management
March 2013 
Volume 44  Number 3
Pages 28 - 36
 
  PDF Version Available!

ABSTRACT
Nurse managers should routinely evaluate the services being rendered within their organizations. Evaluations provide near-instant feedback, which allows managers to immediately modify programs that require change. Evaluations also help determine future program, service, or care model redesign needs. To start, managers should identify improvement opportunities, but also highlight good care practices.1The general objective of this study was to develop and validate an instrument containing outcome criteria for evaluating hospital nursing services in Brazil. Specifically, we sought to create an assessment instrument to measure hospital nursing services. This article reviews the outcome criteria used to develop the instrument.Hospital research involving quality-of-care assessments has been conducted in the United States and Europe since 1913.2,3 In 1960, Avedis Donabedian formulated the triad-structure, process, and outcome-as a means to assess, measure, and analyze healthcare quality.1 Healthcare studies have identified that through the systematic and continuous evaluation and application of standardized methods, principally in patient care, it's possible to improve quality, maintain safety, reduce infections, and increase user satisfaction.4,5In Brazil, beginning in 1935, quality standards in medicine, nursing, and other professional healthcare areas have been developed to enhance patient care and the composition of records and manuals to organize healthcare service evaluation.6-9 These initiatives have changed the healthcare landscape in Brazil and contributed to continuous improvements in the realm of patient care.The strength of this movement in Brazil was enhanced by the National Accreditation Organization (ONA) that has a program for evaluation, similar to The Joint Commission in the United States. In the last 10 years, the ONA along with other accreditation organizations, such as The Joint Commission International, has certified more than 400 Brazilian hospitals.10Evaluation

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