Clinical supervision in the quality of care provided by portuguese nursing teams in medical-surgical inpatient services
DOI:
https://doi.org/10.5433/anh.2025v7.id49919Keywords:
Nursing audit, Supervisory nursing, Quality indicators, Health care, Nursing care, Practice patterns nursesAbstract
Objective: To compare positivity rates and quality care indicators in medical-surgical inpatient services before, during, and after the implementation of clinical supervision of nursing teams in a private healthcare unit in Lisbon, Portugal. Methods: Observational, retrospective study with a quantitative approach and non-random sampling of nursing care quality audit records (n=543) from September 2019 to December 2022. The independent variable was clinical supervision, and the dependent variables were team characteristics and the dimensions of the audit checklist. The research instruments used were the supervisor's record plan and the audit checklist, as well as descriptive and inferential statistical treatments using ANOVA for repeated measures and the non-parametric Kruskal-Wallis test. Results: The results showed that during the implementation phase of supervision in the surgical service, the average scores increased from 4.06 to 4.43 and then decreased to 4.27, maintaining the desired quality indicator. In the medical service, the average scores increased from 3.82 to 3.97 during implementation and, after implementation, to 4.17, with na increase in the average indicator from adequate quality to desired quality. Conclusion: The supervision of the teams raises the positivity rates and the indicators of the quality of practices in compliance with compliances with a direct impact on the patient.
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