Research Article

Clinical Supervision in Improving the Quality of Nursing Care: Empowerment of Medical-Surgical Hospitalization Teams

Table 3

Effect of clinical supervision on the dimensions and items of nursing care quality in service A (n = 382). Lisbon, Portugal, 2022.

Dimensions and itemsX2KWP value

Prevention of complications
: properly positioned side protection grids4.4440.035
: call bell within safe reach of the patient4.4620.035
: use of scales in accordance with the patient’s situation4.1370.042
: evidence of the 9 rights of safe medication preparation and administration/galenical8.6440.003
: catheter insertion sites without inflammatory signs7.1700.007
: properly secured and cleaned catheters6.6290.010
: evidence of drainage system optimization3.2220.073

Comfort and well-being for self-care
CWS10: motion limiting systems properly placed, cleaned, and adapted3.2810.070
CWS16: evidence of correct use of dressings/bandages and wound/ostomy collection devices10.5450.001

Functional readaptation
FR6: evidence of information about critical social indicators and community resources10.6290.001
FR7: evidence of information about community resources to meet anticipated hospital discharge needs related to the current situation of disease15.596<0.001
FR8: evidence of information to the patient/significant person about the therapeutic plan3.4010.065
FR9: evidence of information related to the use of supporting medical devices5.2070.022

Organization of care
OC4: planning according to the activated therapeutic attitudes7.8290.005
OC5: planning and execution of intervention “monitor vital signs” at least twice a day8.6610.003
OC6: pain assessment every 8/8 hours14.757<0.001
OC10: consistent justification of the interventions marked as “not executed”5.6600.017

Source: research data, 2022.