Para contribuir com a transformação das práticas profissionais, foi desenvolvido um curso a distância para facilitadores de Educação Permanente em Saúde, e de Londrina participaram mais de 150 profissionais. Este estudo visa analisar as contribuições desse curso, sob a ótica dos participantes. Tratase de uma pesquisa quanti-qualitativa, e a coleta dos dados se deu a partir de grupos focais e entrevista semiestruturada. As discussões do grupo focal e da entrevista foram gravadas e transcritas, e as questões fechadas processadas pelo programa Epi Info. Os resultados apontam que o curso possibilitou a instituição de espaços coletivos de reflexão das práticas e promoveu a integração das equipes. As facilidades e dificuldades referiram-se à garantia de espaço, tempo, material e apoio, porém a motivação, interesse e participação também foram destacados. Conclui-se que houve contribuição para uma prática mais humanizada e acolhedora dos profissionais de saúde, tanto da gestão como do cuidado.
Objective
To obtain data on bed refusal in intensive care units in Brazil and to
evaluate the use of triage systems by professionals.
Methods
A cross-sectional survey. Using the Delphi methodology, a questionnaire was
created contemplating the objectives of the study. Physicians and nurses
enrolled in the research network of the
Associação de
Medicina Intensiva Brasileira
(AMIBnet) were invited to
participate. A web platform (SurveyMonkey
®
) was used to
distribute the questionnaire. The variables in this study were measured in
categories and expressed as proportions. The chi-square test or Fisher’s
exact test was used to verify associations. The significance level was set
at 5%.
Results
In total, 231 professionals answered the questionnaire, representing all
regions of the country. The national intensive care units had an occupancy
rate of more than 90% always or frequently for 90.8% of the participants.
Among the participants, 84.4% had already refused admitting patients to the
intensive care unit due to the capacity of the unit. Half of the Brazilian
institutions (49.7%) did not have triage protocols for admission to
intensive beds.
Conclusions
Bed refusal due to high occupancy rates is common in Brazilian intensive care
units. Even so, half of the services in Brazil do not adopt protocols for
triage of beds.
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