Intervening factors in attention flow of professionals injured by biological material

Abstract

RESUMENObjetivo: Describir los factores que facilitan y dificultan el cumplimiento del flujo de atención del profesional accidentado con material biológico, desde la perspectiva de los trabajadores. Método: Estudio cualitativo, descriptivo, cuyos datos fueron recolectados por medio de entrevistas individuales a 18 profesionales accidentados, atendidos en las unidades públicas de referencia del municipio de Goiânia. El análisis de contenido fue realizado con ayuda del software ATLAS.ti 6.2, bajo la perspectiva de la organización del trabajo y la subjetividad. Resultados: De los testimonios referidos a factores que facilitan y dificultan, emergieron las categorías: Estructura organizacional, Apoyo de personas cercanas e Influencia del conocimiento. Conclusión: Los servicios organizados realizaron de manera más calificada las consultas y los seguimiento de los profesionales, lo que provocó en los trabajadores un sentimiento de satisfacción en relación al ambiente laboral. DESCRIPTORES DESCRITORES Pessoal de saúde Riscos ocupacionais Exposição a agentes biológicos Saúde do trabalhador Enfermagem ABSTRACTObjective: To describe the barriers and facilitator factors to follow the attention flow of professionals injured by biological material in the worker perspective. Method: Qualitative descriptive study with data collected through individual interviews with 18 injured workers, assisted in reference public units in the city of Goiânia. The content analysis was carried out with assistance of the ATLAS. ti 6.2 software, under the work organization and subjective perspectives. Results: From the interviews regarding the barriers and facilitator factors emerged the categories: organizational structure, Support from close people, and Knowledge influence. Conclusion: The organized services have enabled more qualified consultations and the workers follow-up, which caused a satisfaction feeling in relation to the working environment. DESCRIPTORS Health personnelOccupational risks Exposure to biological agents Occupational health Nursing

Acidente de trabalho com material biológico: fatores associados ao abandono do acompanhamento clínico-laboratorial

“…More experienced health workers are more likely to have previous exposures without seroconversion, which may make them compliant with biological risk (7,9) . A history of previous accidents also makes the health professional remember dissatisfaction with the service received and the suffering experienced after exposure, motivating abandonment of clinical and laboratory follow-up (27) .…”

“…Some authors mention that these health workers abandon follow-up due to lack of knowledge about biological risk (8)(9)10) . It is noteworthy that there are different degrees of education in these professional categories with a predominance of health workers with lower levels of education, which reinforces the need for greater investments in training which help the workers incorporating biosecurity measures and prophylactic post--exposure conducts into their practice (27,29) .…”

“…The factors which encourage the injured person to follow post-exposure care correctly are pre-accident counseling, support from their boss/supervisor and colleagues, incentive to attend follow-up appointments and the supervision of follow-up until discharge. The aspects which hinder adherence are lack of guidance, threat of dismissal, recriminatory attitudes and refusal of release to attend scheduled appointments (8,27,29) .…”