title: Use of Balanced Indicators as a Management Tool in Nursing.
abstract: OBJECTIVE
  To develop a proposal for a nursing panel of indicators based on the guiding principles of Balanced Scorecard.
  
  
  METHODS
  A single case study that ranked 200 medical records of patients, management reports and protocols, which are capable of generating indicators.
  
  
  RESULTS
  We identified 163 variables that resulted in 72 indicators; of these, 32 nursing-related: two financial indicators (patient's average revenue per day and patient's revenue per day by product used); two client indicators (overall satisfaction rate of patient with nursing care and adherence rate to the patient satisfaction survey); 23 process indicators, and five learning and growth indicators (average total hours of training, total of approved nursing professionals in the internal selection process, absenteeism rate, turnover rate and index of performance evaluation).
  
  
  CONCLUSIONS
  Although there is a limit related to the amount of data generated, the methodology of Balanced Scorecard has proved to be flexible and adaptable to incorporate nursing services. It was possible to identify indicators with adherence to more than one area. Internal processes was the area with the higher number of indicators.
authors.affiliation: Escola de Saúde e Biociências, Pontificia Universidade Católica do Paraná, Curitiba, PR, Brazil.
authors.forename: Neidamar Pedrini Arias
authors.initials: NP
authors.lastname: Fugaça
authors.affiliation: Escola de Saúde e Biociências, Pontificia Universidade Católica do Paraná, Curitiba, PR, Brazil.
authors.forename: Marcia Regina
authors.initials: MR
authors.lastname: Cubas
authors.affiliation: Escola Politécnica, Pontificia Universidade Católica do Paraná, Curitiba, PR, Brazil.
authors.forename: Deborah Ribeiro
authors.initials: DR
authors.lastname: Carvalho
mesh_terms: D001938:Brazil; D003325:Coronary Care Units / Q000592:standards; D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D009732:Nursing Care / Q000592:standards*; D019982:Organizational Case Studies; D017060:Patient Satisfaction; D019984:Quality Indicators, Health Care / Q000592:standards*