Algorithm of management actions for the formation and implementation of a resilient health care quality system.

OBJECTIVE: Aim: Development of an algorithm of management actions for the formation of a resilient system of quality of medical care in health care institutions of obstetric and gynecological profile and formalization of its closed structural and logical scheme. PATIENTS AND METHODS: Materials and Methods: A set of theoretical approaches of social medicine and methods of business process reengineering is used, taking into account the dominant ones: systemic and integrated approach and alarm and process approaches; the concept of resilience; quality of medical care; reproductive health care using business ecosystem methods. RESULTS: Results: The algorithm of management actions for the formation of a resilient system of quality of medical care in obstetric and gynecological health care institutions, which is formalized in nine stages: analysis of needs and identification of problems; substantiation of performance requirements; development of a health care quality strategy; involvement of stakeholders; formation of a system of relative indicators; development of an action plan; implementation of a set of measures; monitoring and evaluation; improving the quality of health care. CONCLUSION: Conclusions: The results made it possible: construction of a closed structural and logical scheme of management actions, taking into account the combination of factors of influence, harmonized with the main functions of the resilient system, which determine the peculiarities of its functioning; justification of the boundaries of managerial and social responsibility of management entities according to the binary components of the medical and social justification of the process of improving the quality of medical care.

Desempeño laboral de los enfermeros (a) egresados de la Universidad Francisco de Paula Santander / Job performance of nurses (a) graduates of the University Francisco de Paula Santander / O desempenho do trabalho de enfermeiros (a) graduados da Universidade Francisco de Paula Santander

Objetivo: Determinar el desempeño profesional de los egresados del programa de enfermería que laboran en instituciones hospitalarias. Materiales y métodos: Se realizo estudio cuantitativo descriptivo de corte transversal. Con una muestra de 120 profesionales de enfermería pertenecientes a cuatro (4) Instituciones Hospitalarias del municipio de Cúcuta que cumplieron los criterios de inclusión. Para la recolección de la información se aplico instrumento compuesto por datos de identificación, perfil profesional, condiciones generales de trabajo y desempeño laboral. Resultados: el 85% de los egresados de manera satisfactoria realizan acciones gerenciales, administrativas y del cuidado, y solo el 50% de estos desarrolla actividades de educación e investigación. Conclusión: Los egresados del programa de enfermería de la Universidad Francisco de Paula Santander consideran que los contenidos aprendidos durante su carrera son excelentes y buenos, y les ha permitido en la práctica profesional desempeñar diversidad de cargos y acciones.

Job performance of nurses (a) graduates of the University Francisco de Paula Santander Abstract Objective: To determine the professional performance of the Nursing Program graduates who work in hospitals. Materials and methods: descriptive quantitative study of cross section. With a sample of 120 nurses from four (4) hospitals in Cucuta city who met the inclusion criteria. For data collection instrument was applied comprising identification data, professional profile, working conditions and job performance. Results: 85% of graduates successfully perform management actions, administrative and care, and only 50% of these develops educational and research activities. Conclusion: the graduates of the Nursing Program at the Francisco de Paula Santander University consider the contents learned during his career are excellent or good, and allowed them to play in professional practice diversity of positions and actions.

Objetivo: determinar o desempenho profissional dos Licenciados em Enfermagem do Programa que trabalham em hospitais. Materiais e métodos: estudo descritivo quantitativo de corte transversal. Com uma amostra de 120 enfermeiros de quatro (4) hospitais na cidade de Cucuta que preencheram os critérios de inclusão. Para instrumento de coleta de dados foi aplicado compreendendo dados de identificação, perfil do profissional, condições de trabalho e desempenho no trabalho. Resultados: 85% dos diplomados com sucesso executar ações de gestão, administrativos e de cuidados, e apenas 50% delas desenvolve atividades de ensino e pesquisa. Conclusão: os egressos do Programa de Enfermagem da Universidade Francisco de Paula Santander considerar os conteúdos aprendidos durante sua carreira são excelentes ou boas, e permitiu-lhes jogar na diversidade prática profissional de posições e ações.