No abstract

Purpose: The hospital is an organization that has its own characteristics that differentiate it from other institutions. It is characterized as a company providing services of social purpose, with a great operational complexity, due to the diversity of services provided. These organizations are dependent on technology to play the role of assisting society. Technology is onerous: it is up to the aforementioned institutions to adopt management tools to control these costs. The present study explains the process of implementing a shared service centre (CENTROMED) for the management of hospital medical equipment (HME) at the Hospital Universitário Onofre Lopes (HUOL) in the city of Natal, RN. Patients and Methods: In order to achieve a successful implementation, four key steps were taken: process modelling; determination of key performance indicators, organization of physical arrangement; and adequate training and development of human resources. The work followed an action research approach focusing on three main methodological steps: identification of HUOL clinical engineering team's demands, definition of the process for providing the equipment service, and definition of the supply items that will be managed. Results: The preliminary results of this research indicate that the centralization of the management of the HME contributed to the optimization of the processes, the reduction of the costs and the availability of the equipment, thus providing a powerful management tool to support the hospital operational management. Conclusion: The utilization of the shared service center for the management of hospital medical equipment is ultimately linked to the patient's well-being as it contributes to the agility in hospital procedures and provides support in maintaining the capacity of attendance of the assistance teams.

Cardiac surgery involves increased anxiety associated with lack of knowledge about the procedure. Thus, health education can be beneficial as a technological tool in the preoperative period for self-care and control of patient anxiety. The objective was to evaluate the effect of the audiovisual resource in the acquisition of knowledge about the level of anxiety in the preoperative period of myocardial revascularization. Randomized clinical trial with 44 patients in the preoperative period of coronary artery bypass grafting, equally divided into two groups. The control group (CG N = 22) received only verbal instructions and the experimental group (EG N = 22) received intervention from an audiovisual resource. Data were collected through a knowledge questionnaire and the State-Trait Anxiety Inventory. The analysis was performed using Student's t, chi-square and Fisher's exact tests. There was a statistically significant difference in favor of the group that received the intervention with the audiovisual resource, in addition to an increase in positive feelings after preoperative guidance. The effectiveness of the video in nursing guidance in the preoperative period of cardiac surgery was verified, facilitating the surgical process for the patient and offering a tool for the nurses' work process for an evidence-based practice. Trial registration: the Brazilian Clinical Trials Registry (REBEC) platform under number RBR-24c5qwm (27/05/2021).