Quality of nursing care: contributions from expert nurses in medical-surgical nursing





Nursing Care; Specialties, Nursing; Quality Assurance, Health Care; Nursing; Hospitals.


Objective: to identify the performance of activities congruent with the quality standards of nursing care by expert nurses in medical-surgical nursing, in the hospital context. Methods: a descriptive study, carried out in 36 hospitals, in which 259 nurses specialized in medical-surgical nursing participated. For data collection, a questionnaire was used, later analyzed using descriptive statistics. Results: the participating nurses evaluated activities related to the dimensions of responsibility and rigor, customer satisfaction and prevention of complications with better scores; and with lower scores, activities integrated in the dimensions of health promotion, functional readaptation and well-being and self-care. Conclusion: although the findings show the performance of expert nurses in the medical-surgical nursing area that tends to be consistent with quality standards, gaps in professional practice and potentialities that can support the qualification process of these professionals were signaled, alert managers and qualify nursing care.


Silva RM, Luz MD, Fernandes JD, Silva LS, Cordeiro AL, Mota LS. Becoming a specialist: Portuguese nurses’ expectations after completing the specialization program. Rev Ref. 2018; 4(16):147-54. doi: https://doi.org/10.12707/RIV17076

Gaalan K, Kunaviktikul W, Akkadechanunt T, Wichaikhum OA, Turale S. Factors predicting quality of nursing care among nurses in tertiary care hospitals in Mongolia. Int Nurs Rev. 2019; 66(2):176-82. doi: https://doi.org/10.1111/inr.12502

Nilsson J, Johansson E, Egmar AC, Florin J, Leksell J, Lepp M, et al. Development and validation of a new tool measuring nurses self-reported professional competence - The nurse professional competence (NPC) Scale. Nurse Educ Today. 2014; 34(4):574-80. doi: https://doi.org/10.1016/j.nedt.2013.07.016

Wei H, Sewell KA, Woody G, Rose MA. The state of the science of nurse work environments in the United States: a systematic review. Int J Nurs Sci. 2018; 5(3):287-300. doi: https://doi.org/10.1016/j.ijnss.2018.04.010

Ordem dos Enfermeiros (PT). Padrões de qualidade dos cuidados de enfermagem, enquadramento conceptual. Enunciados descritivos [Internet]. 2012 [citado 2020 jan 13]. Disponível em: https://www.ordemenfermeiros.pt/media/8903/divulgar-padroes-de-qualidade-dos-cuidados.pdf

Smeds-Alenius L, Tishelman C, Lindqvist R, Runesdotter S, McHugh M. RN assessments of excellent quality of care and patient safety are associated with significantly lower odds of 30-day inpatient mortality: A national cross-sectional study of acute-care hospitals. Int J Nurs Stud. 2016; 61:117-24. doi: https://doi.org/10.1016/j.ijnurstu.2016.06.005

Ordem dos Enfermeiros (PT). Regulamento nº 429/2018 de 16 de junho. Diário da República nº 135, II Série [Internet]. 2018 [citado 2020 jan 13]. Disponível em: https://dre.pt/home/-/dre/115698617/details/maximized

Ordem dos Enfermeiros (PT). Padrões de qualidade dos cuidados especializados em enfermagem médico-cirúrgica [Internet]. 2017 [citado 2020 jan 13]. Disponível em: https://www.ordemenfermeiros.pt/media/5681/ponto-2_padroes-qualidade-emc_rev.pdf

Coutinho CP. Metodologia de investigação em ciências sociais e humanas: teoria e prática. Coimbra: Almedina; 2014.

Martins MM, Gonçalves MN, Ribeiro OM, Tronchin DM. Quality of nursing care: instrument development and validation. Rev Bras Enferm. 2016; 69(5):864-70. doi: http://dx.doi.org/10.1590/0034-7167-2015-0151

Dempsey C, Assi MJ. The impact of nurse engagement on quality, safety, and the experience of care: what nurse leaders should know. Nurs Adm Q. 2018; 42(3):278-83. doi: http://dx.doi.org/10.1097/NAQ.0000000000000305

Martins MM, Ribeiro OM, Silva JM. The contribution of nurses specialists in rehabilitation nursing to quality of care. Rev Portug Enferm Reabil [Internet]. 2018 [cited Jan 18, 2020]; 1(1):22-9. Available from: https://www.aper.pt/ficheiros/revista/rperv1n1.pdf

Ribeiro OM, Martins MM, Tronchin DM. Nur- sing care quality: a study carried out in Portuguese hospitals. Referência. 2017; 4(14):89-100. doi: http://dx.doi.org/10.12707/RIV16086

Freire RM, Lumini MJ, Martins MM, Martins T, Peres HHC. Taking a look to promoting health and complications’ prevention: differences by context. Rev Latino-am Enfermagem. 2016; 24:e2749. doi: http://dx.doi.org/10.1590/1518-8345.0860.2749

International Council of Nurses. Nurses: a force for change - care effective, cost effective. Genebra: International Council of Nurses; 2015.

Ribeiro OM, Martins MM, Tronchin DM, Forte EC. The perspective of Portuguese nurses on nursing metaparadigmatic concepts. Texto Contexto Enferm. 2018; 27(2):e3970016. doi: http://dx.doi.org/10.1590/0104-070720180003970016

Watson J. Clarifying the discipline of nursing as foundational to development of professional nursing [editorial]. Texto Contexto Enferm. 2017; 26(4). doi: http://dx.doi.org/10.1590/0104-07072017002017editorial4



How to Cite

Ribeiro, O. M. P. L., Martins, M. M. F. P. da S. ., Sousa, P. A. F. de ., Trindade, L. de L. ., Forte, E. C. N. ., & Silva, J. M. A. V. da . (2020). Quality of nursing care: contributions from expert nurses in medical-surgical nursing. Rev Rene, 21, e43167. https://doi.org/10.15253/2175-6783.20202143167



Research Article

Most read articles by the same author(s)