Chain of Custody implies adequate collection, recording, and storage of the vestige of sexual violence, guaranteeing the reliability of the material that will be forwarded as expert evidence. Its implementation in the Unified Health System has faced challenges. Objective: To know the attendance to victims of sexual violence in the public maternity of Federal District and evaluate the knowledge of the team about the legislation on a chain of custody. Method: Cross-sectional, quantitative, and descriptive study with 134 medical and nursing professionals working in the obstetric emergency, who answered a questionnaire, submitted to descriptive statistical analysis and the Qui-Square Test. Results: Of the 78.95% of professionals who reported attending to victims of sexual violence, 25.71% consulted in 10 minutes, and 14.18% received specific training. The situational diagnosis reveals that the care is superficial, centered on medical issues, and the collection of vestiges is non-existent. Conclusion and implications to nursing practice: A generalized change of posture is necessary so that it is possible to implant the chain of custody in the maternity studied. It is essential to develop care beyond medical issues, and which includes forensics. It is suggested a collaborative action between physicians and nurses, with nursing as the epicenter of this process.
Objective: to describe the participatory process of building a prototype to support the development of an information management system for notification, investigation and monitoring of health incidents. Method: a methodological research study on technology development, carried out in two stages: 1) documentary analysis of primary and secondary sources related to forms and legislation on incident notification systems, from September to October 2018; 2) deliberative dialog in two sessions, with 12 managers and coordinators of the Quality and Patient Safety Center of public hospitals in the Federal District, held in November 2018. In the deliberative session there was a presentation of the prototype and discussion of its applicability and functionality for the development of an information system for risk management in the health services. Results: creation and prototyping of a tool with 4 (four) screens representing the systematic flow of data. Screen 1: Simplified notification for patients and companions. Screen 2: Notification for the health professional. Screen 3: Investigation of the event and action plan. Screen 4: Intervention and monitoring by means of indicators. Conclusion: this is a tool capable of integrating actions to reduce the occurrence of incidents based on the identification and timely intervention on the risk factors. It can be used as a facilitating basis for the development or improvement of new instruments for risk management in the health services.
Trata-se de um livro onde pesquisadores, enfermeiros, e profissionais da saúde apresentam resultados de estudos oriundos de pesquisas participativas, do tipo pesquisa ação. Os capítulos apresentam intervenções realizadas a partir do desenvolvimento de pesquisas realizadas no stricto senso com foco para o fortalecimento/qualificação da sistematização da assistência de enfermagem e promoção da saúde no âmbito da atenção primária a saúde e da atenção hospitalar. Os textos foram escritos por pesquisadores de vários programas de pós-graduação em enfermagem do Brasil, com o intuito de ampliar e divulgar os estudos qualitativos do tipo participativos. A obra apresenta protocolos, materiais instrucionais e estratégias para a gestão em saúde que foram construídos a partir dos pressupostos da pesquisa participativa, dos marcos legais da profissão e de práticas em saúde baseadas em evidências científicas. Este livro poderá ser lido e utilizado por professores da área da saúde e em especial da enfermagem, por profissionais da saúde com interesse em aprofundar conhecimento e melhorar a sua prática, além de ser uma oportunidade para ressignificar as práticas assistenciais, gerenciais, educativas e investigativas. Para os estudantes é uma oportunidade de conhecer novos modos e saberes que propõe o desenvolvimento de ações e intervenções em saúde onde o processo investigativo resulta entre outros, no trabalho colaborativo que transforma e melhora a realidade dos serviços, do processo de trabalho e a vida de todos os envolvidos no processo investigativo.
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