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

Abstract

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.

Facilidades e entraves da referência em unidade de pronto atendimento

“…Quando se transfere o paciente com acompanhamento do profissional médico da UPA em ambulância básica, as repercussões recaem, sobretudo, nos profissionais que permanecem no serviço em menor número para atender os pacientes e sobre o tempo de espera de atendimento, que passa a ser maior, aspectos que podem gerar insatisfação. Nesse sentido, outro estudo, realizado com 459 pacientes na mesma UPA de Santa Catarina, demonstrou que a pior performance no atendimento foi atribuída à agilidade (tempo de espera), indicando que é preciso adequações no sistema de referência a fim de diminuir o tempo de espera para aqueles que buscam pelo serviço 30 .…”

Evaluation of the Manchester Triage System quality indicator: service time

“…Thus, long waiting times are associated with unfavorable results in the treatment and clinical evolution of the patient, greater suffering for those who wait and dissatisfaction with the care provided in the ES, in addition to favoring the configuration of stressful environments, both for the care team and the users (8) . On the other hand, the dimensioning of professionals working in the ES and the insufficient number of RC rooms operated by nurses to immediately meet the demand of patients who arrive at the ES can also make care slow down (7)(8) .…”

“…The care within the estimated time at each risk level is a decisive factor for patient safety (7) . In addition, the waiting time is one of the main reasons for dissatisfaction among users in the ES (2,8) . Thus, quality indicators are essential tools for the management of good health practices, as they can be useful to assess the care provided and characterize the patient's epidemiological profile (9) .…”