Welcoming with risk classification in urgent and emergency services: applicability in nursing

Abstract

Objective: to identify the knowledge of nurses about the implementation the proposal of Welcoming with Risk Classificationin an urgent and emergency service. Methods: this is a study with qualitative approach of descriptive and exploratory type.Data collection was conducted through semi-structured interviews, with the participation of seven nurses who work inthe unit mentioned. Data analysis followed the steps of thematic analysis. Results: they focus on the understanding ofparticipants about welcoming and the facilities and/or difficulties encountered by them due to the implementation of thisproposal. Conclusion: it was possible to understand the reality experienced by respondents about the theme and notice thatin spite of the difficulties, they consider that the proposal contributes to the reorganization of the users’ flow and to meettheir demands.

Embracement with risk classification: relationship of justice with the user

“…Health production factors are linked to collective and cooperative actions among the subjects, built in a relational way, requiring interactivity and permanent dialogue. Through this dialogue, questions arise that contribute to the practices of co-responsibility and autonomy between users and professionals and an ethical and fair service (5,25) .…”

Acolhimento como tecnologia em saúde: revisão sistemática

“…Por fim, 22 artigos atingiram os critérios de inclusão, conforme expliacesso na Figura 1. 22 Ribeirão Preto UPA 2018 Entrevista 28 0 22 6 Macedo e col. 23 Rio de Janeiro USF 2011 Entrevista 12 0 NR NR Lopes e col. 24 Rio de Janeiro USF 2015 Entrevista 16 30 NR NR Santana e col. 25 Belo Horizonte UBS 2012 Entrevista 10 0 8 2 Rossato e col. 26 Santa A avaliação da qualidade dos estudos incluídos foi guiada pelo COREQ 7 . Observou-se uma homogeneidade no cumprimento dos itens, sendo que três artigos obtiveram melhor desempenho, cumprindo todos os itens contidos no COREQ 12,16,21 .…”

“…O acolhimento favorece a troca entre trabalhadores e usuários, mas permanecem ainda como problemas na rede, no modelo de atenção e estrutura física 24 . A escuta e fala dos usuários nos serviços é fundamental para maior resolutividade 25 , porém muitos profissionais encontraram dificuldades em realizar a classificação de risco, devido à falta de capacitação 26 , portanto, o acolhimento é uma proposta com necessidade de constante aprimoramento 27 .…”

Characterization of patients with red risk classification in a philanthropic hospital unit / Caracterização de pacientes com classificação de risco vermelha em uma unidade hospitalar filantrópica

“…Users are categorized according to the degree of risk of death, and those who receive a red bracelet need immediate care (high-priority, in other words, before the others); yellow bracelet needs to be assisted as soon as possible; green bracelets have non-urgent priority and blue bracelets have low priority to attendance. 4 Due to its importance in the agility of the service and the prognosis of users, the risk classification must be made by a professional with a higher level and who has been previously trained. This professional, who is most often the nurse, must be quick in his decision making and in the appropriate definition of the risk classification color for each patient, which must be based on his clinical judgment, on the complaints referred by the user and in the protocol pre-established by the institution.…”