Banca de DEFESA: ALBERTINA PROENÇA RODRIGUES ALVES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ALBERTINA PROENÇA RODRIGUES ALVES
DATE: 22/07/2024
TIME: 16:00
LOCAL: Plataforma Meet
TITLE:

QUALITY IMPROVEMENT CYCLE IN PALLIATIVE CARE IN AN OUTPATIENT ONCOLOGY SERVICE

KEY WORDS:

palliative care; oncology; total quality management; continuous quality improvement; social work; patient-centered care; multidisciplinary team.

PAGES: 61
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUBÁREA: Saúde Pública
SUMMARY:

Introduction: part of comprehensive care for cancer patients is prevention, early detection, diagnosis, treatment and the provision of palliative care for those who need it. Objective: to evaluate the impact of interventions carried out in the quality improvement cycle on care for patients identified with the Palliative Performance Scale (PPS) equal to or less than 50% in an outpatient oncology service. Methodology: this is a multi-method study that sought to develop a quality improvement cycle in the palliative care service provided in an outpatient oncology institution. The research was developed in two stages: first, a longitudinal study was carried out with a quantitative approach with the aim of identifying opportunities for improvement that require intervention. The second stage was a quasi-experimental before-and-after study, without a control group, with the aim of evaluating the effectiveness of the implemented actions. The results were evaluated through a comparative analysis of the initial assessment with two other assessments (in August 2023 and the first quarter of 2024). Results: analysis of the first and third assessment identified a reduction in non-conformities from 15 to 8 (46.7%). After implementing the planned improvement actions, criterion 1 had a 50% reduction in non-conformities. Criterion 4 showed statistical improvement (0.28%) but requires further analysis due to being associated with multifactors. Conclusions: Different approaches and expectations of patients, staff and families regarding Palliative Care are identified depending on the context and culture in which they are inserted. Therefore, successful practices in other countries may not adapt to the Brazilian northeastern reality and vice versa. However, it is noteworthy that the study suggests that analysis using the Improvement Cycle tool can be efficient in other health organizations regardless of their location or the type of patient they serve, by helping to identify and implement multifaceted actions in modifiable causes of any type of improvement opportunity presented.

COMMITTEE MEMBERS:
Presidente - 2330137 - VILANI MEDEIROS DE ARAUJO NUNES
Interna - 1195933 - ANA CAROLINA PATRICIO DE ALBUQUERQUE SOUSA
Externa à Instituição - SUSANA CECAGNO - UFPel
Externo à Instituição - SUSANE DE FÁTIMA FERREIRA DE CASTRO - FATESP
Externo à Instituição - VICTOR GRABOIS - Fiocruz - RJ