Healthcare in emergency units: organization and ethical implications

Abstract

This text aims to present a reflection about organizational issues, as well as possible ethical implications permeating the practice of the healthcare team at an urgency/emergency unit, providing care to victims of trauma from accidents or violence. Initially, we focused on care for external causes and its relation with work organization and ethics in the hospital environment, followed by an analysis of the ethical dimension of urgency/emergency services. The organizational and ethical issues need to be assumed by both the managers and the healthcare team working at these units since, even in precarious conditions, the professionals attempt to care for trauma victims, aiming at beneficence, even if this healthcare could cause harm when provided in inadequate conditions.

Complaints filed against nursing professionals

“…This infringes the principle of autonomy, which assumes the right to state one's preferences, options, and plans, based on access to clear information on the health-disease process being experienced. 37 Mistreatment demeans human dignity, which implies respect for others, as well as for plurality and human diversity. 24 Mistreatment translates to a breaking of all principles of bioethics, characterizing the exercising of the power of the professional on someone in a vulnerable situation, often without the means to defend themselves.…”

“…This infringes the principle of autonomy, which assumes the right to state one’s preferences, options, and plans, based on access to clear information on the health–disease process being experienced. 37…”

Avaliação pós-ocupação de unidades de emergência hospitalares de Florianópolis: problemas recorrentes e possíveis soluções

“…No Brasil, a organização dos serviços de saúde se consolidou de forma heterogênea, variando segundo fatores como: modelo tecnológico, tipo de sistema -privado, filantrópico, previdenciário ou estatal -e ainda de acordo com os níveis assistenciais -atenção básica, secundária ou terciária (POLL;LUNARDI;LUNARDI FILHO, 2008). O Ministério da Saúde propõe que haja uma hierarquia no atendimento aos cidadãos de acordo com os níveis de complexidade (BRASIL, 2006).…”

Implementação de um modelo de triagem cirúrgica para casos urgentes em um hospital terciário.

“…T he screening process is extremely important when there are not enough resources for the needs of all patients, especially in reference hospitals in developing countries [1][2] . Screening is commonly applied to catastrophes and emergency relief units.…”