Avaliação dos serviços hospitalares de emergência do programa QualiSUS

O’Dwyer, Gisele; Oliveira, Sérgio Pacheco de; Seta, Marismary Horsth De

doi:10.1590/s1413-81232009000500030

Cited by 57 publications

(60 citation statements)

References 16 publications

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“…Such results are surprising, since the general context of the nursing job imposes an intense job pace (16) , often generated by the excessive demand of hospitalized patients (17) . The low psychological demand of the studied workers is linked to the fact that there are psychological There was a concentration of workers in the low control quadrant, probably because only 14.9% of the workers were nurses.…”

Section: Resultsmentioning

confidence: 99%

Workplace stress in nursing workers from an emergency hospital: Job Stress Scale analysis

Urbanetto

Silva

Hoffmeister

et al. 2011

Rev. Latino-Am. Enfermagem

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This study identifies workplace stress according to the Job Stress Scale and associates it with socio-demographic and occupational variables of nursing workers from an emergency hospital. This is a cross-sectional study and data were collected through a questionnaire applied to 388 nursing professionals. Descriptive statistics were applied; univariate and multivariate analyses were performed. The results indicate there is a significant association with being a nursing technician or auxiliary, working in the position for more than 15 years, and having low social support, with 3.84, 2.25 and 4.79 times more chances of being placed in the 'high strain job' quadrant. The study reveals that aspects related to the workplace should be monitored by competent agencies in order to improve the quality of life of nursing workers. Descriptors Estrés en el trabajo de enfermería en hospital de emergencia: análisis usando la Job Stress ScaleEstudio que tuvo el objetivo identificar el estrés en el trabajo, según la Job Stress Scale y asociarlo con aspectos sociodemográficos y laborales de trabajadores de enfermería de un hospital de emergencia. Estudio de tipo transversal, cuyos datos fueron recolectados, por medio de cuestionario, con 388 profesionales de enfermería. El análisis fue realizado con la estadística descriptiva, análisis univariado y multivariado. Los resultados identificaron asociación significativa con el cargo de técnico/auxiliar de enfermería, tiempo en el cargo superior a 15 años y bajo apoyo social, con chances respectivas de 3,84; 2,25 y 4,79 mayores para el cuadrante alto desgaste. El estudio demostró que los aspectos relacionados al ambiente de trabajo deben ser acompañados por los órganos competentes con la finalidad de invertir recursos en la calidad de vida en el trabajo de la enfermería.Descriptores: Estrés Fisiológico; Salud Laboral; Vigilancia de la Salud del Trabajador; Enfermería.

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Section: Resultsmentioning

confidence: 99%

Workplace stress in nursing workers from an emergency hospital: Job Stress Scale analysis

Urbanetto

Silva

Hoffmeister

et al. 2011

Rev. Latino-Am. Enfermagem

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“…(15) Despite the thoughtful care and, sometimes, lack of welcoming in hospital care, overcrowded emergencies, which are constant in Rio de Janeiro and cause a low level of problem-solving ability of primary care and a precarious hospital network, leading to uncertainties and/or fears with regard to the accomplishment of the treatment. (16,17) The characteristics of the emergency service, as the patient's main entry door to the services, make it difficult to maintain individual privacy in view of the many patients attended and procedures. Sharing actions can be an additional stressor for the patient, already aggravated by the diagnosis and the unstable clinical condition.…”

Section: Discussionmentioning

confidence: 99%

Condições clínicas e comportamento de procura de cuidados de saúde pelo paciente renal crônico

et al. 2014

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Objective: To identify the clinical conditions and health care demand behavior of chronic kidney patients in the therapeutic itinerary for hemodialysis. Methods: Qualitative, descriptive and exploratory study based on an interview with ten patients at a renal replacement therapy clinic under hemodialysis treatment and analysis resulting from the use of the Collective Subject Discourse technique, by means of the software qualiquantisofty. Results: The clinical conditions on the therapeutic itinerary evidenced symptoms of unease and the baseline disease profile identified included hypertensive nephrosclerosis, diabetic nephrosclerosis, undetermined cause and diabetic nephrosclerosis associated with arterial hypertension. The behaviors that negatively affected the health control were the delay to receive care in the health network, the non-acceptance of the disease and the treatment. Conclusion: Few patients received early monitoring without any sign of symptoms. Nevertheless, the majority were hospitalized suddenly. ResumoObjetivo: Identificar as condições clínicas e comportamento de procura de cuidados de saúde pelo paciente renal crônico no itinerário terapêutico para a hemodiálise. Métodos: Estudo qualitativo, descritivo e exploratório a partir de entrevista com dez pacientes de uma clínica de terapia renal substitutiva em tratamento hemodialítico e análise resultante da utilização da técnica do Discurso do Sujeito Coletivo por meio do software qualiquantisofty. Resultados: As condições clínicas no itinerário terapêutico evidenciaram sintomas de mal-estar e o perfil das doenças de base identificadas foram nefroesclerose hipertensiva, nefroesclerose diabética, causa indeterminada e nefroesclerose diabética associada com hipertensão arterial. Os comportamentos que prejudicaram o controle de saúde foram à demora no atendimento na rede de saúde, a não aceitação da doença e do tratamento. Conclusão: Poucos tiveram acompanhamento precoce, sem manifestação de sintomas. Todavia, a maioria deles tiveram internação hospitalar de maneira repentina.

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“…Reasons for that are complex and have been discussed (Mattos, 2009). Among them, we highlight the precariousness of work management that emergency workers have to face, recently indicated by O'Dwyer (2008O'Dwyer ( , 2009). …”

Section: Samu and Its Function As A Network Observatorymentioning

confidence: 92%

Cuidado integral e atenção às urgências: o serviço de atendimento móvel de urgência do estado do Rio de Janeiro

O’Dwyer

Mattos

2013

Saude soc.

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ResumoO inadequado atendimento às urgências é motivo de insatisfação da população e de aumento de morbidade e mortalidade. Para responder ao problema, o Estado implantou o Serviço de Atendimento Móvel de Urgência (SAMU), o primeiro componente da Política Nacional de Urgências que propõe o atendimento integral às urgências. Com o objetivo de analisar a prática de integralidade no SAMU, analisamos a regulação nos SAMU do Estado do Rio de Janeiro. A metodologia baseou-se na análise da conduta estratégica (Giddens, 1984) AbstractUrgency inadequate care is a matter of dissatisfaction for the population and increases morbidity and mortality. The SAMU (Mobile Urgency Care Service) was the first component of the National Urgency Policy to be deployed, a public policy that proposes integral care of urgencies. In order to examine the practices of integral care at SAMU we analyzed its regulation in the state of Rio de Janeiro. The methodology was based on strategic conduct analysis (Giddens, 1984), relating agents and their strategies with the structural dimensions. The categorization of the analysis highlighted: the successful SAMU, with integral care practices in their individual component and access to services; its function as network of health services' observatory, indicating restriction on access to the Family Health Program and hospital services; shortage of resources and inappropriate use of ambulances; and unrecognized demands, in which cases were refused . The field work confirmed the power of SAMU as a health care network observer. However, the authoritative resource mobilization and allocation were insufficient for an integrated system of urgencies care.

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Avaliação dos serviços hospitalares de emergência do programa QualiSUS

Abstract: Avaliação dos serviços hospitalares de emergência do programa QualiSUSEvaluation of emergency services of the hospitals from the QualiSUS program

Cited by 57 publications

References 16 publications

Workplace stress in nursing workers from an emergency hospital: Job Stress Scale analysis

Workplace stress in nursing workers from an emergency hospital: Job Stress Scale analysis

Condições clínicas e comportamento de procura de cuidados de saúde pelo paciente renal crônico

Cuidado integral e atenção às urgências: o serviço de atendimento móvel de urgência do estado do Rio de Janeiro

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