Quality improvement programs and the professional nursing practice environment: an integrative review

ABSTRACT Objectives: to analyze the knowledge produced regarding the practice environment in hospitals with quality improvement programs. Methods: integrative literature review performed in the Latin American and Caribbean Literature in Health Sciences databases, US National Library of Medicine/National Institutes of Health, Web of Science, Scopus and CINAHL, consisting in 10 articles. Results: data were presented and discussed using categories: Measures for the professional nursing practice environment; Hospital accreditation as an improvement program; Nursing autonomy, interpersonal relationship between nurse and doctor and the nurse as a manager and leader. Final Considerations: it was possible to analyze that the influence of quality improvement programs can be considered as favorable in the professional nursing practice environment. The survey also brings contributions to administration in implementing strategies aiming at continuous improvement in the environment characteristics.

摘要
研究目的：旨在分析围绕实施质量改进项目的医院护理专业实践环境所产出的相关研究知识。
研究方法：本研究为整合性文献综述，检索了拉丁美洲及加勒比健康科学文献数据库、美国国立医学图书馆/美国国立卫生研究院、Web of Science、Scopus以及CINAHL（护理及相关健康文献累积索引），最终纳入10篇相关文献。
研究结果：通过以下四大类主题对研究数据进行呈现与讨论：护理专业实践环境相关举措；作为质量改进项目载体的医院评审认证；护理自主权、医护人员间的协作关系，以及护士作为管理者与领导者的角色定位。
研究结论：本次分析证实，质量改进项目对医院护理专业实践环境可产生积极影响。本研究同时可为医疗机构制定持续优化实践环境特征的管理策略提供参考依据。