NURSING ASSISTANCE FOR INDIVIDUALS WITH BRAIN DEATH: A QUALITY ASSESSMENT

Abstract

Objective: To evaluate the quality of nursing care provided to individuals with brain death admitted to a teaching hospital in the State of Ceará, Brazil. Nursing notes, prescriptions, and procedures were analyzed in face of the referential standard for quality positivity. Material and Methods: This was an evaluative and documentary study with a quantitative approach. A total of 23 medical records from individuals with brain death were analyzed through an instrument adapted from the Nursing Assistance Quality Control Office from an University Hospital in Paraná State. Based on positivity pattern, it was possible to determine the filling profile of the nursing records of the intensive care unit under study. Results: The majority of the individuals with brain death were males (61%), with a predominance of cranio-encephalic trauma (56.5%) as the underlying cause. Of these, 27.93% of the records showed no filling, a value higher than what was considered borderline for good results (5%), or incomplete filling (20.65% - where the expected value should be up to 15%). Conclusion: We identified that the unfilled/missing issue was higher than the desired positivity standard, a situation that affects the continuity of the care provided and the legal support of the assistance. DESCRIPTORS Health Evaluation. Nursing Records. Brain Death