The nurse’s competencies in relation to the mobile emergency care service – SAMU (original) (raw)
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IMPORTANCE OF THE NURSE'S ACTIVITY IN THE HEALTH SERVICE URGENCY AND EMERGENCY: a bibliographical review (Atena Editora), 2024
Introduction: The nurse is extremely important in the urgency and emergency service through which the initial assessment is carried out in the risk classification, it requires a clinical look, logical reasoning to make quick decisions, in addition to this professional playing the role of leadership, staffing and coordination of the assistance process, with a view to greater responsibility, which ends up differing from other categories that are limited to a single type of assistance. Goal: To search for the main actions/performance of nurses denoting their effectiveness in emergency/urgency services through a bibliographical review of Brazilian literature. Method: This is a bibliographical review, which aims to research and explain issues through scientific literature, which were selected by inclusion and exclusion criteria, in order to analyze the data, identifying the importance of their duties in the aforementioned services. Discussion: A total of 9 articles were selected that met the objective and the following themes emerged: nurses’ role in the emergency service, the importance of continuing education and the working conditions of professionals in these services”, which well portray the main characteristics of professionals who work in emergencies. Conclusion: Nurses carry out their activities in a climate of unpredictability and uncertainty and are able to maintain concentration and make decisions that are fundamental to care. They understand that in order to provide quality assistance, professionals must have adequate working conditions, resources and processes. It denotes the professional's ability in pandemic situations, among others, adaptation and resolution within short deadlines. For assistance with safety, continuing education is required.
Revista de Pesquisa : Cuidado é Fundamental Online, 2019
O enfermeiro, enquanto profissional da enfermagem, esta comprometido com a promocao,prevencao, recuperacao e reabilitacao da saude, e atua em consonância com os preceitos da Sistematizacao da Assistencia de Enfermagem (SAE), de acordo com a Resolucao Cofen 358/2009 . O objetivo desta pesquisa foi descrever as limitacoes na implementacao da Sistematizacao da Assistencia de Enfermagem no Servico de Atendimento Movel de Urgencia em Recife. Estudo descritivo, quantitativo, transversal, observacional. O estudo foi realizado no municipio de Recife-PE, a coleta de dados ocorreu no SAMU. O estudo foi aprovado sob o parecer no 1.547.265. Evidenciou-se a forca de trabalho feminina na populacao estudada, alto indice de profissionais experientes, porem pouco mais da metade dos enfermeiros conheciam a Resolucao COFEN 358 de 2009. Entendem que e importante para a profissao, mas, 42% afirma que nao se aplica ao servico. Ficou evidenciado que em algum momento da sistematizacao alguma das etapas da ...
Investigacion Y Educacion En Enfermeria, 2013
To characterize nurses' work process in care practice at Emergency Care Units. Methodology. The research technique used was mixed-method research. In the quantitative phase, a questionnaire was applied to 47 nurses; in the qualitative phase, a sample of events was observed at an emergency unit. Results. The activities the nurses most frequently developed were: a) care: risk assessment and classification (66%) and registering of clinical data (62%); b) management: task distribution (62%), shift organization (40%) data processing (36%), and material provision (28%). The nurses highlighted the users' forwarding to appropriate care levels as the goal of their work (70%). The work instruments most frequently used were clinical decision-making (87%), listening and monitoring (83%) and the risk assessment protocol (68%). Conclusion. Nurses' work at Emergency Units is predominantly focused on care, with a great burden of management activities related to resource planning and provision for care practice.
Revista de Pesquisa: Cuidado é Fundamental Online, 2018
Objetivo: Caracterizar as condições sociodemográficas e de saúde dos usuários atendidos pelo Serviço de Atendimento Móvel de Urgência do Rio Grande do Norte (SAMU 192 RN). Método: Pesquisa exploratório-descritiva, com abordagem quantitativa, realizada em um hospital de referência. Resultados: A amostra foi composta por 384 usuários atendidos pelo SAMU 192 RN, entre janeiro e junho de 2016. Destacou-se o sexo masculino (64,6%), com idade entre 36 a 67 anos (34,1%); ocorrências traumáticas (58,3%), principalmente dos acidentes de trânsito (33,59%), em destaque as colisões (28,9%), e afecções neurológicas (21,1%) alcançaram o maior número das ocorrências clínicas. Conclusão: O perfil dos usuários atendidos pelo SAMU 192 RN, demonstrou o predomínio das ocorrências traumáticas, de acidentes de trânsito, com usuários do sexo masculino, entre a faixa etária de 36 anos e igual ou maior a 67 anos. Descritores: Assistência Pré-Hospitalar, emergência, perfil de saúde.
Profile of nurses from a mobile urgency care service
Journal of Nursing Ufpe Online, 2013
1024x768 ABSTRACT Objective: to describe the profile of nurses that work at a Mobile Urgency Care Service and the facilitator and hindering factors. Method: cross-sectional study, descriptive, exploratory of quantitative approach, conducted at the Sete Lagoas SAMU, Minas Gerais/MG/Brazil. Ten nurses were interviewed through a semi-structured guide. All data were analyzed descriptively. In order to determine the profile of the nurses, a segmentation analyses with the Hierarchical Agglomerative method was conducted. The research project was approved by the Ethics in Research Committee, CAAE number 3895.0.000.213-10. Results: the age of the nurses varied from 31 to 45 years; the majority were female (70%), catholic (70%), sleeps less than 8 hours per day (60%). As facilitator points are highlighted the team work, respect and credibility to the nurse activities and, as hindering ones, physical wear, supervision of the nursing technician from the distance and work conditions. Conclusion:...
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...
Conditions treated in the Mobile Medical Emergency Services
To characterize the conditions treated in the Mobile Medical Emergency Services (SAMU) in Porto Alegre, from January to June 2008. Methods: A cross-sectional, descriptive and exploratory study was performed. Data from the information system of the SAMU were used, which were dowloaded into the Microsoft Excel program. Descriptive data analysis was performed. Results: Neurologic, cardiovascular, respiratory, digestive and metabolic disorders were most prevalent; most of these occurred in the age group ranging between 41-60 years. Public hospitals and emergency care units were the main ports of entry for patients treated at SAMU. Conclusion: These results may contribute to better organization and point of service qualification requirements for the nursing staff that has substantial involvement in patient care.
Percepção de enfermeiros sobre condições de trabalho em setor de emergência de um hospital
Acta Paulista De Enfermagem, 2010
Objective: To determine the working conditions in the emergency sector in the Hospital da Restauracao, from the perception of nurses working in that sector. Methods: A case study, which used a qualitative and quantitative approach, with triangulation of methods. Data collection was done through open interviews, closed questionnaires and observation. 23 nurses were interviewed. To analyze the data was used the condensation of meanings and the program Excel-version 2003. Results: High number of patients and lack of security for the development of the work were the items most criticized by those interviewed, and confirmed by observation. From the studied group, 47.8% worked in emergency for more than 16 consecutive years, most of them female in the age range of 41 to 50 years. Conclusion: The prevailing perceptions were: poor working conditions, unsatisfactory wages, unhealthy and insecure environment, leading to a feeling of discouragement that influences the quality of care.
Urgent and emergency care networks in Brazil: an integrative review
Saúde e Sociedade
The Urgent and Emergency Care Network (RUE) was proposed in Brazil as a public policy to articulate and integrate the health services of the Brazilian National Health System (SUS), expanding and qualifying the access of users in e emergency health situations in an efficient and timely manner. This study analyzes the scientific production on the RUE in Brazil and elaborates summaries showing the limits and challenges of this health policy. An integrative literature review was used as a method, based on the search for articles in the LILACS, SciELO, and MEDLINE databases and for dissertations and theses on the virtual platform of the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). The investigation enabled the analysis of 34 studies in the field of collective health, focused on the different emergency services and the integration between them, including possible changes in the health care process and different evaluation strategies, by using different approaches, ...
An analysis of triage process in a public hospital in Brazil: an approach basing in nurses work
VITTALLE - Revista de Ciências da Saúde
In this paper, the main idea is presented how the nurses do the triage process in a public hospital, since, although there is a set of rules for de ning each patient’s classification, in practice it is a very subjective activity. The present study was performed at the Dr. Miguel Riet Corrêa Junior University Hospital, in Rio Grande city, in south Brazil. The data were collected from patients between the year 2012 and 2017 in emergency department during the triage process. The Brazilian protocol to triage process in emergency department was defined as a law just in 2009 by Healthy Ministry. However, the university hospital just putted into operation its system in 2012. As the triage process is very subjective, the classification is dependent of each nurse and the time of the work, because when there are many people in the emergency department, the classification differs.