Nursing supervision records in a tertiary care institution

Registros de supervisión de enfermería en una institución de tercer nivel de atención

Abstract

Introduction: the transformations from globalization and the consequent increase in competitiveness have called for changes by organizations. The Nacional Institute of Neurology and Neurosurgery (INNN) Nursing Subdirector should be kepta at the forefront of the supervisory area in particular.

Objective: to develop a nursing supervision model that structures, standardizes and simplifies management functions to ensure quality care and warmth to INNN dependent care agent.

Material and methods: a descriptive analysis was carried out. The information gathering was divided into two stages, together with a pilot test only for the general supervisors, who developed the model. The other was the restructuring of the formats and  training of the nursing heads of service and those in charge of the service, from May 28 to June 3, 2018. This work was carried out at INNN, in coordination with the supervisors of the morning, evening, nigth shifts in its two evenings, special day at night.

Results: it was perceived that 56% said that the new format of the critical area has more observations. Meanwhile, the leading nursing staff cites that the spaces of the hospitalization and critical area formats are very small with 64%.

Discussion: in the Specific Organization Manual of the Institute's Nursing Subdirectorate, mention is made of the general and specific functions and responsibilities of general nursing supervision.

Given the above context, we see a need for an update of the supervision model, for innovation that allows systematizing the performance of the nursing professional who exercises the managerial function at different levels of care, contributing to the continuous improvement of the quality of care for the person.

Conclusion: we are aware that the supervision model leads us to success in all its forms, offering better patient care led by the supervisor and thus, maximizing health promotion opportunities and complying with standards and protocols.