Standard Operational Protocols in professional nursing practice: use, weaknesses and potentialities

ABSTRACT Objective: to evaluate the use of Standard Operational Protocols (SOPs) in the professional practice of the nursing team based on the theoretical framework of Donabedian, as well as to identify the weaknesses and potentialities from its implementation. Method: Evaluative research, with quantitative approach performed with nursing professionals working in the Health Units of a city of São Paulo, composed of two stages: document analysis and subsequent application of a questionnaire to nursing professionals. Results: A total of 247 nursing professionals participated and reported changes in the way the interventions were performed. The main weaknesses were the small number of professionals, inadequate physical structure and lack of materials. Among the potentialities were: the standardization of materials and concern of the manager and professional related to patient safety. Conclusion: The reassessment of SOPs is necessary, as well as the adoption of a strategy of permanent education of professionals aiming at improving the quality of care provided.

摘要
研究目的：基于多纳比迪安（Donabedian）理论框架，评估护理团队专业实践中标准作业程序（Standard Operational Protocols，SOPs）的应用现状，并识别其实施过程中的短板与潜在优势。
研究方法：本研究为定量评估类研究，研究对象为圣保罗州某城市的卫生机构护理从业人员，研究分为两个阶段：首先开展文档分析，随后向护理从业人员发放问卷开展调研。
研究结果：共计247名护理从业人员参与本次研究，所有参与者均报告了干预措施实施方式的变化。调研发现的主要短板包括：从业人员数量不足、物理空间结构不合理以及物资供给匮乏。潜在优势则涵盖：物资管理标准化，以及管理者与护理人员对患者安全的重视。
研究结论：亟需对标准作业程序进行重新评估，并应制定针对护理从业人员的持续性教育培训策略，以提升护理服务的整体质量。