Oliveira João Lucas Campos de, Gabriel Carmen Silvia, Fertonani Hosanna Pattrig, Matsuda Laura Misue
Doctoral student, Universidade Estadual de Maringá, Maringá, PR, Brazil. Assistant Professor, Colegiado de Enfermagem, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil.
PhD, Professor, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2017 Mar 2;25:e2851. doi: 10.1590/1518-8345.1394.2851.
to analyze managers and professionals' perceptions on the changes in hospital management deriving from accreditation.
descriptive study with qualitative approach. The participants were five hospital quality managers and 91 other professionals from a wide range of professional categories, hierarchical levels and activity areas at four hospitals in the South of Brazil certified at different levels in the Brazilian accreditation system. They answered the question "Tell me about the management of this hospital before and after the Accreditation". The data were recorded, fully transcribed and transported to the software ATLAS.ti, version 7.1 for access and management. Then, thematic content analysis was applied within the reference framework of Avedis Donabedian's Evaluation in Health.
one large family was apprehended, called "Management Changes Resulting from the Accreditation: perspectives of managers and professionals" and five codes, related to the management changes in the operational, structural, financial and cost; top hospital management and quality management domains.
the management changes in the hospital organizations resulting from the Accreditation were broad, multifaceted and in line with the improvements of the service quality.
分析管理人员和专业人员对认证所带来的医院管理变化的看法。
采用定性描述性研究。参与者包括五名医院质量管理经理以及来自巴西南部四家不同级别巴西认证体系认证医院的91名其他专业人员，他们来自广泛的专业类别、层级和活动领域。他们回答了“告诉我这家医院在认证前后的管理情况”这一问题。数据被记录、完整转录并传输到ATLAS.ti 7.1软件中进行访问和管理。然后，在阿维迪斯·多纳贝迪安健康评估的参考框架内进行主题内容分析。
归纳出一个大家族，名为“认证带来的管理变化：管理人员和专业人员的观点”，以及五个与运营、结构、财务和成本管理变化；医院高层管理和质量管理领域相关的编码。
认证导致的医院组织管理变化广泛、多方面且与服务质量的提升相一致。
