STRATEGIES TO ENHANCE NURSING QUALITY: A PROPOSAL FOR HEALTH SYSTEM SUSTAINABILITY

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dc.coverageDOI: 10.1590/1980-265X-TCE-2024-0153en
dc.creatorSepúlveda-Schaaf, María Idalia
dc.creatorCerón-Mackay, María Consuelo
dc.creatorde Araújo-Püschel, Vilanice Alves
dc.creatorRegina-Secoli, Silvia
dc.date2025
dc.date.accessioned05-01-2026 18:23
dc.date.available05-01-2026 18:23
dc.description<p>Objective: to reflect on the relationship between the quality of nursing care and its costs through initiatives that strengthen the nursing profession. Discussion: Advanced Practice Nursing improves access, coverage, and quality of care. Clinical Ladder Programs promote excellence and professional growth among nurses, with positive impacts on satisfaction and retention, and consequently, on the quality of care. Nursing-sensitive indicators allow for the monitoring of nursing-related outcomes and the impact of programs. Decisions regarding advanced practice and clinical ladder programs should consider opportunity costs and assess long-term cost-effectiveness. Solid evidence such as nursing-sensitive indicators and cost comparisons supports these decisions, including the optimization of nurse staffing. Conclusion: investing in the nursing workforce prevents adverse events, improves satisfaction and quality of care, and reduces costs, achieving institutional sustainability and efficiency. Supporting decision-making with cost-effectiveness studies is essential for the incorporation of such nursing strategies.</p>eng
dc.identifierhttps://investigadores.uandes.cl/en/publications/6b19a1bf-3a95-4b0f-987e-8b71a60911f5
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.34 (2025)
dc.subjectAdvanced practice nursing
dc.subjectNursing
dc.subjectNursing care
dc.subjectShared governance
dc.titleSTRATEGIES TO ENHANCE NURSING QUALITY: A PROPOSAL FOR HEALTH SYSTEM SUSTAINABILITYeng
dc.titleESTRATEGIAS DE CALIDAD DE ENFERMERIA: PROPUESTA PARA LA SOSTENIBILIDAD DE LOS SISTEMAS SANITARIOSspa
dc.typeArticleeng
dc.typeArtículospa
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