科研之友
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摘要
objective: this study aimed at proposing a new model of environmental management for nephrology services through a situational diagnosis made in three services. methods: this work is an exploratory descriptive research that used quantitative methodology and multicase techniques. three different instruments were used for data collection, and answered by nurses, managers, nursing technicians and cleaning servants, as well as patients with chronic renal insufficiency submitted to hemodialysis. results: the detailed analysis of the processes and the application of the evaluation instruments showed that they are efficient tools in the identification of non-conformity factors, which enabled the elaboration of an environmental management proposal applicable to nephrology services. conclusion: the implementation of the proposed system in the services brought several benefits such as reduction of residue and liquid effluents; preservation of natural resources, use of more environmentally correct materials and inputs; cost reduction as well as the preservation of human health and the environment.
