Embracement with risk classification in the emergency department from the perspective of older adults

Gonçalves, Annelise de Carvalho; Bierhals, Carla Cristiane Kottwitz; Paskulin, Lisiane Manganelli Girardi

doi:10.1590/1983-1447.2015.03.52422

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…Regarding the study that involved the EWRC care corroborates that users should have their basic needs attended and the right to a companion in situations of prolonged waiting for care. 30 Although the results reflect the reality of an ECU in Santa Catarina, they resemble those of other studies developed in Brazil 8 or in other countries, 6,22,28 in which dignity and agility are evaluated domains among the best and the worst, respectively.…”

Section: Discussionsupporting

confidence: 71%

Responsivenes of the Embracement With Risk Cassification: User´s Evaluation in Emergency Care Unit

Hermida

Nascimento

Echevarría-Guanilo

et al. 2019

Texto contexto - enferm.

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Objectives: to evaluate, with users, the responsiveness of the embracement with risk classification in an emergency care unit and to analyze the association between socio-demographic and care variables with the evaluation of responsiveness. Method: quantitative, correlational study approach, developed in an emergency care unit in Santa Catarina (Brazil) with 459 users. A validated questionnaire was applied, with 25 questions, evaluated by Likert scale and organized in the domains: dignity, communication, agility, social support and facilities. The data were organized and processed with the Epi Info software and OpenEpi, using descriptive statistics and chi-square test. Results: the domains that stood out with good responsiveness were dignity (97.8%), communication (93.9%) and facilities (91.1%). Agility obtained the lowest percentage (56.6%). The overall mean of good responsiveness of the user embracement with Risk Classification was 82.1%. There was a significant statistical difference in the characteristics of users' profile (gender, age, marital status and schooling) and the number of times the user was attended in the service with good responsiveness. Conclusion: the user embracement with risk classification presented good responsiveness; however, there is a need for improvements, especially related to the agility of care. The evaluation of responsiveness by users is associated with socio-demographic and care variables.

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Section: Discussionsupporting

confidence: 71%

Responsivenes of the Embracement With Risk Cassification: User´s Evaluation in Emergency Care Unit

Hermida

Nascimento

Echevarría-Guanilo

et al. 2019

Texto contexto - enferm.

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“…As in other studies, it is evident collection of clinical information valorization from a biological perspective, by complaint interrogation, symptoms search and severity classification (9,(20)(21) . Nursing can still present a fragmented understanding of its work process, diverting from its focus, which is the implementation of the bond with the patient and the attendance of their health needs (3,10,22) . The nurse-patient relationship has happened mechanically and superficially, mainly in embracement rooms, summarizing its action following risk classification protocols, transforming the so subjective "embracement" in the objective "triage".…”

Section: Discussionmentioning

confidence: 99%

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

et al. 2020

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Objectives: to understand actions of nurses who care for people person with mental illness at a Referenced Emergency Unit in a university hospital. Methods: a qualitative research based on Alfred Schütz's social phenomenology. Data collection was performed between December 2015 and January 2016 through phenomenological interviews with 13 nurses from an Emergency Unit. Results: nurses embrace according to their previous experiences. They easily identify biological complaints and, when they recognize psychiatric signs and symptoms, refer them to the psychiatrist. They raise doubts about what to do, so they expect to be qualified for such action, believing that a protocol could help as well as they need more time. Final considerations: the understanding of the lived type of nurse who embraces people with mental distress made possible in this study need recognition for research and interventions that focus on biological, psychic and social dimension articulation at embracement. RESUMOObjetivos: compreender a ação do enfermeiro que realiza acolhimento da pessoa em sofrimento mental em Unidade de Emergência Referenciada em um hospital universitário. Métodos: pesquisa qualitativa, fundamentada na fenomenologia social de Alfred Schütz. A coleta de dados foi realizada entre dezembro de 2015 e janeiro de 2016, por meio de entrevistas fenomenológicas com 13 enfermeiros de uma Unidade de Emergência. Resultados: os enfermeiros acolhem de acordo com suas experiências prévias, identificam facilmente queixas biológicas e, quando reconhecem sinais e sintomas psiquiátricos, encaminham ao psiquiatra. Apresentam dúvidas sobre o que fazer, portanto, esperam ser qualificados para tal ação, acreditam que um protocolo poderia ajudar, bem como necessitam de mais tempo. Considerações finais: a compreensão do tipo vivido do enfermeiro que acolhe a pessoa em sofrimento mental possibilitou, neste estudo, o reconhecimento da necessidade de pesquisas e intervenções que foquem na articulação da dimensão biológica, psíquica e social na ação do acolhimento. RESUMENObjetivos: comprender las acciones de las enfermeras que reciben a la persona con enfermedad mental en una Unidad de Emergencia recomendada en un hospital universitario. Métodos: investigación cualitativa, basada en la fenomenología social de Alfred Schütz. La recolección de datos se realizó entre diciembre de 2015 y enero de 2016, a través de entrevistas fenomenológicas con 13 enfermeras de una Unidad de Emergencia. Resultados: las enfermeras aceptan de acuerdo con sus experiencias anteriores, identifican fácilmente las quejas biológicas y, cuando reconocen los signos y síntomas psiquiátricos, los remiten al psiquiatra. Tienen preguntas sobre qué hacer, por lo que esperan estar calificados para tal acción, creen que un protocolo podría ayudar y necesitar más tiempo. Consideraciones finales: la comprensión del tipo vivido de la enfermera que recibe a la persona en sufrimiento mental hizo posible en este estudio el reconocimiento de la necesidad de investigación e intervenciones que se c...

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“…Ainda, faz-se importante a visão holística do paciente, de modo que seja considerada sua diversidade, individualidade e singularidade. Isso permite evitar os erros de classificação e, consequentemente, a ocorrência de eventos adversos aos pacientes, sejam eles adultos ou pediátricos 33 .…”

Section: Capacitação Do Enfermeiro Atuante Na Classificação De Riscounclassified

“…Nesse sentido, estudo realizado em um SUE localizado no sul do Brasil evidenciou que a instituição possuía um protocolo, no qual estava prevista a analgesia de pacientes já classificados, que aguardavam a consulta médica. Isso é importante, principalmente, quando se trata de pacientes idosos, nos quais as queixas álgicas aumentam e se intensificam progressivamente, devido às alterações fisiopatológicas típicas desses indivíduos 33 . A identificação e o manejo dessas situações representam ações de humanização do cuidado na CR dos SUE.…”

Section: Revista Enfermagem Atual In Derme -Especial 2019; 87unclassified

O papel do enfermeiro na classificação de risco nos serviços de urgência e emergência

Quaresma¹,

Xavier²,

Vaz³

2019

Rev. Enferm. Atual In Derme

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Objetivou-se conhecer a atuação do enfermeiro na classificação de risco dos serviços de urgência e emergência. Trata-sede uma revisão integrativa, realizada a partir de consultas nas bases de dados LILACS, MEDLINE e BDENF, em artigosredigidos em inglês, espanhol e português, no recorte temporal de 2008 a 2018. Foram selecionados 18 artigos, por meiode leitura crítica dos textos na íntegra. Os dados foram analisados através de estatística descritiva e Análise de Conteúdo.Verificou-se que dos 18 artigos analisados, nove (50%) foram indexados na base de dados MEDLINE, seis (33,3%) na LILACS e três (16,7%) na BDENF. Percebeu-se variação de uma a três publicações por ano, com exceção dos anos 2009 e 2014,em que não houve publicações. Após Análise de Conteúdo, identificaram-se três categorias: o enfermeiro no contexto daclassificação de risco, capacitação do enfermeiro atuante na classificação de risco e a atuação do enfermeiro na classificação de risco. Concluiu-se que o enfermeiro da classificação de risco dos serviços de urgência e emergência participa naassistência, tomada de decisões, monitoramento dos pacientes, registros, gerenciamento, educação e resolubilidade dosproblemas e/ou encaminhamento dos pacientes aos serviços adequados. Espera-se contribuir para melhor compreensãoacerca da atuação do enfermeiro nesses ambientes.Descritores: Enfermagem em Emergência; Papel do Profissional de Enfermagem; Triagem; Serviço Hospitalar de Emergência; Enfermagem.ABSTRACTThe objective of this study was to know the nurse’s roles in the risk classification of the emergency departments. An integrative review carried out on LILACS, MEDLINE and BDENF, in articles written in English, Spanish and Portuguese, from2008 to 2018. Eighteen articles were selected through critical and integral reading of the text. Data were analyzed throughdescriptive statistics and Content Analysis. It was verified that of the 18 analyzed articles, nine (50%) were indexed in theMEDLINE database, six (33.3%) in LILACS and three (16.7%) in BDENF. It was found a variation from one to three publications per year, except for the years 2009 and 2014, in which there were no publications. After Content Analysis, threecategories were identified: the nurse in the context of the risk classification, the nurse’s performance in the risk classification and the nurse’s training in the risk classification. It was concluded that nurses acting in risk classification of emergencydepartments participate in care, decision making, patient knowledge, records, management, education and problem solvingand/or referral of patients to the appropriate services. It is hoped to contribute to a better understanding of the nurse’sperformance in these places.Keywords: Emergency Nursing; Nurse’s Roles; Triage; Emergency Department; Nurse.

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Embracement with risk classification in the emergency department from the perspective of older adults

Cited by 5 publications

References 11 publications

Responsivenes of the Embracement With Risk Cassification: User´s Evaluation in Emergency Care Unit

Responsivenes of the Embracement With Risk Cassification: User´s Evaluation in Emergency Care Unit

Embracement of the person with mental illness at an emergency hospital service: a qualitative research

O papel do enfermeiro na classificação de risco nos serviços de urgência e emergência

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