Care management instruments used by nurses in the emergency hospital services.

Simone Kroll Rabelo,Emilene Reisdorfer,Daniela Rodrigues Hoffmann,Tanise Martins Dos Santos,Suzinara Beatriz Soares De Lima,José Luís Guedes Dos Santos

doi:10.1590/1980-220x-reeusp-2020-0514

Abstract

To describe the instruments used by nurses for the management of care in face of the demands of the emergency hospital service. This is a qualitative study, with triangulation of data from interviews, focus groups, and documents, conducted with nurses from an Emergency Hospital Service in a state in southern Brazil. Data were subjected to thematic content analysis. Seventeen nurses participated in the study. The categories emerging from this study were view of the whole picture, definition of priorities, and physical instruments. These instruments are used by nurses to manage multiple tasks and provide adequate care to patients with different levels of complexity, in the face of an intense and unpredictable work process due to the constant demand for care. The instruments used by nurses in their work process are mainly skills and attitudes developed as a coping strategy at an intense and complex work environment.

Highlights

Work has become a human need as it has assumed a central role in their life as social beings
The importance of this work is explained by the belief that nurses, when they become aware of the peculiarity of their work process in the emergency room, increasingly seek clinical skills and management tools to improve their work, with a view to meeting the needs of patients who remain in the service, as well as of those who arrive with urgent demands
Based on a Master’s thesis whose objective was to analyze the nurse’s work process in the SHE, the category “Instruments used by nurses to manage care in the face of the demands of the Emergency Hospital Service” became evident, which originated the subcategories: vision of the whole picture, priority setting, and physical instruments

Summary

Introduction

Work has become a human need as it has assumed a central role in their life as social beings. It provides the construction of identity and social bonds and a sense of belonging in society. The importance of work changes with the evolution of times, with different historical, social and cultural contexts. As a consequence, the work foresees a purpose that meets this need[1,2,3]. Healthcare professionals, at times, may share the same purposes, the same object, but the methods they use are different. The methods are a systematization of actions, used on the object to meet a certain purpose. Different instruments are used, which are physical and tangible ones, as they include skills, knowledge, and attitudes that, when combined and focused on a specific situation, determine the way this work will be performed[1]

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Results

Discussion

Conclusion