An analysis of triage process in a public hospital in Brazil: an approach basing in nurses work (original) (raw)
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Revista gaúcha de enfermagem / EENFUFRGS, 2012
This present study aimed at identifying and assessing available literature regarding the activities of the nurse involved in assessing risk classification in emergency services. The integrative review carried out searches in the following databases: Science Direct, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), Latin-American and Caribbean Health Sciences Database (LILACS), and Scientific Electronic Library Online (SCIELO). Twenty-two articles that met inclusion criteria were selected. Results indicated that the major attributions of this professional are the assessment of the patient's healthcare status and decision-making, a process that demands clinical knowledge and experience The nurse is capable of organizing the workflow of patients according to the priority of the rendered care and service demands, and stands out as a professional of excellence in the development of triage/risk classif...
2013
Objective: to assess, from the worker's viewpoint, the structure, the process and the results of the Emergency Hospital Services that have taken up the guideline of "Welcoming with Risk Classification" in two teaching hospitals of the state of Paraná. Method: quantitative and descriptive research, exploratory and prospective, using random sampling stratified by professional category, comprising a universe of 216 professional people. Results: they found some points of agreement regarding the promotion of a welcoming and humane environment; privacy and security; welcome and shelter of the companion and also the sheltering and classification of all patients; however, there was disagreement about the comfort of the environment, reference system and counter-reference, prioritisation of seriously ill patients in post-classification service, communication between the members of the multi-professional team and reassessment of the guideline. Conclusion: the workers assess the development of the guideline as being precarious, due mainly to the lack of physical structure, due to the lack of physical structure and shortcomings in the service process.
2010
Demand for the Emergency Department (ED) has increased, making the organization of work difficult. This quantitative, descriptive and documental study identifies and analyzes the characteristics of clinical care in the ED of a General Hospital in Ribeirão Preto, SP, in 2007, according to organizational variables. The study population included all clinical care consultations registered in the Hospital Management Information System. Data were analyzed through descriptive statistics and discussed considering the theoretical framework of the Single Health System (SUS). A total of 5,285 consultations were registered in the period, which were more frequent in patients from the city itself, in January (10%), on Mondays (16%), from 12pm to 12am (67.1%). The main reason for discharge from the unit was hospitalization (63.8%) and the predominant length of stay in the unit was less than six hours (39.8%). The results support the management of human resources, materials and equipment, indicating the desirability of reorganizing emergency care in the hospital.
Revista Latino-Americana de Enfermagem
Demand for the Emergency Department (ED) has increased, making the organization of work difficult. This quantitative, descriptive and documental study identifies and analyzes the characteristics of clinical care in the ED of a General Hospital in Ribeirão Preto, SP, in 2007, according to organizational variables. The study population included all clinical care consultations registered in the Hospital Management Information System. Data were analyzed through descriptive statistics and discussed considering the theoretical framework of the Single Health System (SUS). A total of 5,285 consultations were registered in the period, which were more frequent in patients from the city itself, in January (10%), on Mondays (16%), from 12pm to 12am (67.1%). The main reason for discharge from the unit was hospitalization (63.8%) and the predominant length of stay in the unit was less than six hours (39.8%). The results support the management of human resources, materials and equipment, indicatin...
Situação e desafios do sistema hospitalar brasileiro
Ciência & Saúde Coletiva, 2007
Brazil's hospital system: status and challenges The care provided by the hospital system is an important aspect of Brazil's National Health System (SUS) and its Supplementary Health System. Absorbing a large proportion of its financial, material and human resources, it responds to the healthcare needs of society, in parallel to more specific demands with high political and social visibility. Brazilian citizens perceive shortfalls in hospital care more clearly than the flaws of other types of social welfare, as they are the repositories of people's hopes and desires in times of trouble. In parallel to the expansion of basic, medium and highly complex outpatient care, a steady stream of quantitative and qualitative alterations to diagnostic procedures and treatments, with shifts in the demographic, epidemiological, social, economic and cultural profiles of the population, are important aspects of the changes taking place in the financial and technical care models for hospitals. These changes have triggered crises and instability in hospital and nonhospital services, as well as healthcare systems in general and public opinion. It is becoming increasingly important and urgent to develop an in-depth understanding of the complex nature of these crises and the proposed alternatives for dealing with today's challenges. The issue of hospital care is open to multiple approaches. The concept guiding this special edition is the presentation of papers written by practitioners, most of whom are (or have been) engaged in hospital management at differing levels and in various sectors. By presenting their views of the specific characteristics of public and private management, university services, public-private partnerships, government financing and the production of hospital information, this enterprise attempts to supplement the output on topics in the Collective Health field. This is not a matter of claiming greater importance for hospital care, to the detriment of primary or outpatient facilities, but rather strives for closer integration / interaction among the many different layers and players of Brazil's healthcare systems. Fine-tuning their respective competencies, it attempts to build up a system that is steadily more able to respond effectively and accurately to the needs of the Brazilian people and society as a whole. These discussion papers exhaustively chart the current (2007) issues affecting the hospital system in Brazil, supplemented by the discussants. Deliberate efforts have been made to include papers with widely differing approaches, views and topics, offering in-depth analyses of relevant, controversial or little-known aspects. We thank the editors of Ciência & Saúde Coletiva for the opportunity to bring this enterprise to fruition, also expressing our gratitude to all the authors for their valuable contributions. We hope that this special issue will appeal to the widely varied universe of the readers of this journal, fostering the appearance of new prospects and innovative proposals for the hospital system in Brazil.
KESANS : International Journal of Health and Science
Introduction: In the globalized world, it is important to be used triage system in emergency department so that you can classify the patient with triage categories according to the value of trauma or illness to start service quickly. Objective: This research was carried out to identify the level of knowledge of nursing about triage, the application of triage also to know the relationship between the level of knowledge of nurse about triage and application of triage in the emergency department of Hospital Nacional Guido Valadares Dili Timor-Leste. Method: the research of methodology the researcher uses the quantitative type with a cross sectional approach and a correlational study. Result and Discussion: through the research to identify 40 nurses in emergency department of Hospital Nacional Guido Valadares Dili Timor-Leste. The research identifies that the existing sample of 40 for variable level of knowledge, show that many had good knowledge with respondent 30 (75.0%) and responden...
2013
Changes in the morbidity and mortality profile from chronic non-communicable diseases affect the urgency/emergency care services. We aimed to characterize the profile of emergency clinical care, according to demographic and epidemiological variables and length of stay in a teaching hospital in the interior of São Paulo, 2007. This is a descriptive, exploratory and documentary research that used official data, analyzed by descriptive statistics, discussed based on the theoretical framework of reorganization of urgency and emergency clinical care. In this period there were 5,285 clinical assistances, most were male (54.1%), with elementary education (73.9%), aged from 18 to 59 years (62.8%). Diseases of the circulatory system were the most frequent and the average length of stay in the unit was less than 6 hours (39.8%). The characterization of clinical care in the urgency/emergency service enables the work organization in the study unit and in the hospital. Descriptors: Emergency Med...