Abstract

Introduction: An infection control committee is an instance formed by trained professionals committed to patient safety.Objective: to describe the knowledge, attitudes and practices of the nursing staff regarding the functioning of the Infection Committee, as well as the management and leadership of the nursing representative.Methods: An observational, descriptive and cross-sectional study was carried out at the Manuel Sanguinetti Regional Hospital, Comodoro Rivadavia, Chubut (Argentina), in July 2020. The sample consisted of 131 nurses. To obtain data, a perception questionnaire on knowledge, attitudes and practices was applied.Results: 17.6% of professionals with staff in charge. The majority belong to the female gender (87%). The predominant age range was between 36 and 45 (42.7%), with the longest seniority in the hospital being between 5 and 10 years (35.9%). 90% consider that the ECI should establish a network with the hierarchical personnel and the rank and file. 82% respond positively on that the C.I. is integrated by a multidisciplinary group and its purpose is the prevention of hospital infections.Conclusions: Despite the overall knowledge that exists about nosocomial infections, ICs and the role of the nurse in infection control, deficiencies were detected in the knowledge regarding the involvement of the committee in training on the use of the epidemiological method and providing directives to the committee. There is no basis for the election of the nursing representative within the committee.

Abstract

Introduction: The horizontal integration of health services can be strengthened through process management that makes it possible to conceive how to work through systems that cross departmental, service and functional boundaries, by showing the internal relationships of users and providers.Objective: To describe the results of the implementation of the quality management model in the vaccination center of the Hospital el Cruce during the period 2015-2016 compared to subsequent periods (2017-2018).Methods: An analytical, non-experimental study was conducted in health systems and services at the Hospital de Alta Complejidad en Red El Cruce, comprising the evaluation of care quality indicators in the period from 2015 to 2018, a longitudinal and retrospective approach.Results: 57.7% (75) were female and 42.3% (55) were male. Using Spearman's test found only in the case of time and quality of care a statistically significant negative correlation. When it was analyzed that the number of doses discarded by years, in the second period (2017-2018) specifically in 2018 no doses were discarded in any of the vaccines, and secondly in 10 vaccines were not discarded in both periods.Conclusions: The results of the evaluation with a focus on improving the quality of care were evidenced. The multidimensional analysis provided relevant information that helped to find the causes that allowed the setting of objectives, possible solutions to the problem, as well as the evaluation of improvements.