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Procedimentos operacionais padr?es: valida??o das t?cnicas de fisioterapia respirat?ria em um hospital de refer?ncia do Vale do JequitinhonhaRosa J?nior, Joanito Niquini 30 October 2015 (has links)
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Previous issue date: 2015 / RESUMO
A busca pela melhoria da qualidade dos servi?os constitui grande desafio para os
gestores da ?rea de sa?de, neste sentido, as metodologias utilizadas devem
assegurar a qualidade dos servi?os, conjugando a satisfa??o do cliente com a
otimiza??o dos recursos. Os Procedimentos Operacionais Padr?es (POPs) s?o
instrumentos que expressam o planejamento do trabalho que deve ser executado
para o alcance de uma assist?ncia padronizada. ? a descri??o detalhada de todas
as opera??es necess?rias ? realiza??o de uma atividade e estabelece um roteiro
padronizado para a execu??o da atividade em si mesma. O objetivo do estudo foi
verificar a adequa??o do conte?do dos vinte e nove (29) POPs, confeccionados pelo
setor de fisioterapia de um hospital do Vale do Jequitinhonha, Minas Gerais,
referente ?s t?cnicas de fisioterapia respirat?ria no ?mbito hospitalar. A primeira
etapa foi ? sele??o de nove ju?zes atrav?s de crit?rios espec?ficos que revelam
dom?nio da ?rea e natureza do estudo. A segunda etapa foi avalia??o do conte?do
dos POPs pelos ju?zes atrav?s de um question?rio adaptado com os crit?rios
sugeridos por Pasquali, de abrang?ncia, clareza, coer?ncia, criticidade dos itens,
objetividade, reda??o cient?fica, relev?ncia, sequ?ncia e unicidade. Para avalia??o
dos itens, as respostas seguiram a escala tipo Likert, com quatro n?veis de suporte
e, a partir disto, foi realizada a an?lise de concord?ncia atrav?s da m?dia ponderada.
Os itens que obtiveram percentuais abaixo de 80% foram reformulados, com base
nas sugest?es dos ju?zes, e confrontados com a literatura, com evid?ncias cl?nicas
de pesquisas. Atrav?s do processo de valida??o, v?rias quest?es foram
reformuladas, novas a??es foram inclu?das de modo a tornar os protocolos mais
abrangentes, alguns equipamentos de prote??o individual foram acrescentados e
v?rias particularidades foram adicionadas de acordo com a pr?tica assistencial de
cada juiz. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2015. / ABSTRACT
The quest for improving the quality of services is a great challenge for managers of
health care, in this sense, the methods used by them must ensure the quality of
services, combining customer satisfaction with the optimization of resources. The
Standard Operating Procedures (POPs) are instruments that express the planning of
the work that must be performed to achieve a standardized service. It is a detailed
description of all operations required to carry out an activity and it establishes a
standardized road map for the implementation of the activity itself. The aim of the
study is to verify the adequacy of the content of the twenty nine (29) POPs, made by
the physiotherapy department of a hospital in Jequitinhonha Valley, Minas Gerais,
referring to the respiratory therapy techniques in hospitals. The first step was a
selection, through specific criteria, of nine judges that reveal domain of the area and
nature of the study. The second step was to assess the content of POPs by the
judges through a questionnaire adapted to the criteria suggested by Pasquali, which
encompasses: comprehensiveness, clarity, consistency, critical items, objectivity,
scientific writing, relevance, sequence and uniqueness. For the analysis of items of
POPs by the evaluators, responses followed the Likert scale type, with four levels of
support and, from this, the correlation analysis was performed using the weighted
average. Items that obtained percentage below 80% have been restated based on
the suggestions of the judges, and faced with the literature with clinical evidence of
research. Through the validation process, several issues were recast, new shares
were included in order to make the most comprehensive protocols, some personal
protective equipment have been added and several
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