Objective: to report the experience in the structuring and managing process of a specific unit for COVID-19, highlighting the role of nurses in decision-making. Method: an experience report on the creation and management of the Coronavirus Disease 2019 (COVID-19) unit, in March 2020, in 2020, in a philanthropic hospital of the state of Santa Catarina. Results: the unit was structured with 10 intensive care beds and 20 infirmary beds. Meetings were held to make decisions, as well as to create protocols and flows with active participation of the nurse. In questions related to direct assistance, adaptations were developed in the nursing process performed at the hospital and the organization of new flows and routines. The physical space was structured, considering the high risk of transmissibility for the disease. Professionals were hired with staffing readjustment according to the complexity of the service, making up a team of professionals with experience in critical care. There were trainings for developing knowledge and skills prior to the first cases, which were systematically maintained. In addition, it was observed that the nurses were concerned about the mental health of the professionals working in this unit and, therefore, support actions were programmed. Conclusion: the foundation in the scientific evidence and recommendations of the competent bodies at the world and national levels for the structuring of the COVID-19 unit is emphasized. The role of the nurse in all the interfaces stands out, assuming a fundamental role from the composition of the commissions, going through the planning and functioning of the physical structure, management of human resources, and construction of care protocols and flows, in addition to acting directly in the care provided.
These results show that falls happen differently among the elderly when considering gender. It highlights the importance of understanding these differences in detail and the circumstances in which the fall occurred, since this knowledge is key to plan preventive actions.
Objective: to identify the main biosafety measures for preventing COVID-19 in healthcare professionals. Methods: this is an integrative literature review, with studies published between January and July 2020, on the MEDLINE/PubMed, Scopus, Embase, Web of Science, LILACS, SciELo, Wiley Online Library, Cochrane CINAHL databases. The selection of studies followed the PRISMA recommendations. Results: among the 2,208 publications identified, 12 studies comprised the sample, which enabled the analysis in four thematic categories: The importance of using recommendations about the use of personal protective equipment; The restructuring of new operational and clinical routines and flows in the practice of services; Monitoring professionals, especially testing; Conducting training. Conclusions: the phenomena involved are innumerable, covering operational management and the training of teams to deal with highly infectious pathogens and disease outbreaks.
Objetivo: descrever as percepções dos enfermeiros acerca da implantação e implementação do PE em um pronto-socorro. Método: estudo descritivo de abordagem qualitativa, desenvolvido com 10 enfermeiros de um hospital filantrópico do Oeste Catarinense. A coleta dos dados foi realizada no mês de julho de 2021, por meio de entrevista semiestruturada. Os dados oriundos das entrevistas foram audiogravados e, posteriormente, transcritos na íntegra e submetidos a análise de conteúdo de Bardin. Resultados: após a análise, emergiram três categorias temáticas: “Fatores dificultadores para a implantação e implementação do Processo de Enfermagem no pronto-socorro”; “Oportunidades de qualificação da assistência com a Implantação e implementação do Processo de Enfermagem” e “Implantação e implementação do Processo de Enfermagem no pronto-socorro: como gostaríamos que fosse”. Conclusão: é emergente o desenvolvimento de ações estratégicas para superar as dificuldades existentes para implantação e implementação do Processo de Enfermagem nos serviços de urgência e emergência.
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