Construção de um instrumento para avaliar a qualidade do cuidado hospitalar prestado nas unidades de queimados brasileiras

Abstract

Introduction: Initially, the sole quality of care measure used for burn patients was mortality. As certain care standards evolved and improved, the survival hability of these patients increased significantly. This led to the need to include new indicators. In the literature, it is possible to find instruments for evaluating the care provided to these patients, however, they are not specific for hospital care. Moreover, there is no Brazilian standard for assessing the quality of care for burn victims, leading to a practical need for this assessment, which would enable the implementation of improvement programs. Objective: To develop an instrument to evalute the quality of hospital care provided to patients with acute burns in Brazil. Methods: This project is aligned with the research line of Quality in Adult Health Care and is a production carried out in conjunction with the Brazilian Burn Society. The first step was to conduct a scoping review to identify quality indicators already described in the literature. The second stage involved validating a conceptual model, by obtaining a consensus among experts, using the Delphi methodology. The panel of experts was consisted of Brazilian professionals, from different categories, with experience in burn patients care, linked to the communication lists of the Brazilian Burn Society. A consensus was set at an agreement of 75% or higher. The third stage consisted of developing the quality assessment instrument and a proposed set of indicators based on the content validation established in the previous phase. Results: This study identified 106 aspects for evaluating hospital care provided to patients with acute burns. This conceptual model served as the foundation for the development of an instrument and a proposal for indicators, that can be used to assess the care provided in Brazilian Burn Units, with the potential to influence the care practices of all health professionals involved in the care of these patients, at a national level, and impact the quality of care provided. Developed Products: Two technical/technological products, producing an important instrument for services management (Technological Maturity Level 3), a proposal for quality indicators and two scientific articles. The first article resulted from the scoping review and the second covered the process and results obtained with the Delphi panel, for content validation.