Objectives: to classify the degree of dependence on nursing care required by children with Congenital Zika Syndrome during hospitalization and to analyze their complexity. Methods: this is a descriptive, observational and quantitative study carried out in a pediatric ward of a public hospital in Rio de Janeiro. Data were collected from hospitalization records between June 2017 and April 2018. Results: 54% of the population studied showed a degree of dependence equivalent to semi-intensive care. On 37.5% of hospitalization days, patients required non-invasive or invasive mechanical ventilation; 31.5% had spontaneous breathing requiring airway clearance by aspiration and/or oxygen therapy. Conclusion: Congenital Zika Syndrome represents a challenge for health professionals due to its uniqueness. In this study, it is expressed by demands for complex and continuous care in hospitalization and in preparation for discharge, requiring semi-intensive nursing care.
Relatar as trajetórias percorridas, os aprendizados e as dificuldades da gestão de enfermagem durante a pandemia da COVID-19. Relato de experiência realizado através de estudos e discussões entre profissionais de enfermagem durante o período de março a outubro de 2020. Verificamos que o desenvolvimento e a aplicabilidade de protocolos para fluxo de atendimento foram fundamentais para que não houvesse transmissão cruzada, além de otimizar o atendimento dos casos suspeitos ou confirmados de COVID-19, o controle e gerenciamento dos equipamentos de proteção individual se fez necessário para que não houvesse falta. O apoio da equipe de enfermagem e o suporte psicológico oferecido aos profissionais foram fundamentais para uma assistência segura e de qualidade. O uso de dispositivos digitais deve ser incorporado na rotina administrativa.Descritores: Covid-19, Gestão em Saúde, Enfermagem, Criança. Challenges of nursing management in the COVID-19 pandemicAbstract: To report the trajectories followed, the lessons learned and the difficulties of nursing management during the COVID-19 pandemic. Report of experience carried out through studies and discussions among nursing professionals during the period from March to October 2020. We found that the development and applicability of protocols for the flow of care were fundamental so that there was no cross-transmission, in addition to optimizing care for suspected or confirmed cases of COVID – 19, the control and management of personal protective equipment was necessary so that there was no lack. The support of the nursing team and the psychological support offered to professionals were essential for safe and quality care. The use of digital devices must be incorporated into the administrative routine.Descriptors: Covid-19, Health Management, Nursing, Child. Desafíos de la gestión de enfermería en la pandemia de COVID-19Resumen: Reportar las trayectorias seguidas, las lecciones aprendidas y las dificultades de la gestión de enfermería durante la pandemia de COVID-19. Relato de experiencia realizada a través de estudios y discusiones entre profesionales de enfermería durante el período de marzo a octubre de 2020. Encontramos que el desarrollo y aplicabilidad de protocolos para el flujo de atención fue fundamental para que no existiera transmisión cruzada, además de optimizar la atención de los casos sospechosos o confirmados de COVID-19, era necesario el control y manejo de los equipos de protección personal para que no faltasen. El apoyo del equipo de enfermería y el apoyo psicológico brindado a los profesionales fueron fundamentales para una atención segura y de calidad. El uso de dispositivos digitales debe incorporarse a la rutina administrativa.Descriptores: Covid-19, Gestión en Salud, Enfermería, Niño.
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