QUALITY OF NURSING CARE FROM THE DONABEDIAN APPROACH IN HOSPITALIZED PATIENTS WITH PAIN

Abstract

Objective: To evaluate the quality of nursing care, from the Donabedian approach, in hospitalized patients with pain. Materials and Methods: Descriptive cross-sectional study carried out in a second level hospital in the municipality of Minatitlán, State of Veracruz, Mexico, between October and November 2018. Non- probabilistic convenience sampling with a sample consisting of 73 female and male nurses, who after prior informed consent, answered the instrument “Estándares e indicadores que miden el procedimiento en el control del dolor-valoración”, made up of sociodemographic and work-related data, as well as 24 items that measure the evaluation of the structure, process and outcome of care, from the Donabedian approach. Descriptive and inferential analysis such as Chi-square, Mann-Whitney U and Kruskal-Wallis, was used. Results: The average age of the participants was 41.22 (± 10,027 SD) and 41.1% showed more than 12 years of length of service. Maximum quality was obtained in the evaluation of the structure (= 90.14±8.68%), process (= 92.97±9.55%), and results (=93.05±9.50%); there was no association between the variable quality of nursing care and age, sex, shift, type of service, length of service, and time in service (p> 0.05), however, there was an association with academic level (p< 0.05). Additionally, it was found that there are statistically significant diferences between the quality of nursing care according to academic level and age (p<0.05). Conclusions: Nursing staff require continuous professional development to improve the quality of nursing care in hospitalized patients with pain that is reflected in the structure, process and outcome of care in health institutions.