Abstract
to describe the conception of justice of nurses and users regarding the Risk Classification in Emergency Unit; to analyze the conception of justice in the implementation of the Risk Classification in Emergency Unit from the user's recognition; to discuss, from Axel Honneth's Theory of Recognition, justice with the user in the Risk Classification in Emergency Unit. qualitative research of descriptive, exploratory typology, which used action research as a method. Bardin's Content Analysis was carried out. a category was created: "Justice versus Injustice" and three subcategories: "Autonomy/Freedom versus Heteronomy/Subordination"; "Communication versus Hermeneutic Problems"; "Contributions versus Conflicts". Embracement with Risk Classification presents difficulties in its interpretation and effectiveness; there are situations of disrespect that compete against the required ethics. Justice addressed by this study will be achieved by an emergency access system that meets user expectations, recognizing it as a subject of rights.
Highlights
Embracement with Risk Classification (ACCR) is a device of the Política Nacional de Humanização da Atenção e Gestão (National Humanization Policy in Care and Management) of the Brazilian Unified Health System (SUS- Sistema Único de Saúde) - HumanizaSUS, initiated in 2004 by the Ministry of Health, which focuses on streamlining care according to “risk potential, health problems or degree of suffering”, prioritizing the most severe cases and proposes a more fair and embracing care for users, breaking the exclusion paradigm and facilitating access[1,2]
Converging knowledge gap and relevance of the theme, this study seeks to clarify the concept of justice and injustice by users and nurses of the Emergency Department of a municipal hospital in Rio de Janeiro State about risk classification and reclassification in ACCR proposed by the Política Nacional de Humanização (PNH National Humanization Policy)
From the understanding that users are the main core of ACCR and that nurses are professionals that daily are in front of this device, the selected population for this study was of users from the Emergency Care Service (ECS) and nurses of both genders and literate from the referred sector
Summary
Embracement with Risk Classification (ACCR) is a device of the Política Nacional de Humanização da Atenção e Gestão (National Humanization Policy in Care and Management) of the Brazilian Unified Health System (SUS- Sistema Único de Saúde) - HumanizaSUS, initiated in 2004 by the Ministry of Health, which focuses on streamlining care according to “risk potential, health problems or degree of suffering”, prioritizing the most severe cases and proposes a more fair and embracing care for users, breaking the exclusion paradigm and facilitating access[1,2]. In order to have a fair care, nurses are professionals capable of evaluating patients through signs and symptoms, classifying the risk in emergency hospitals[5,6]. This dimension of practice requires broad application of nursing knowledge in its various patterns that are part of nursing knowledge: scientific, ethical, aesthetic and personal[7]. Converging knowledge gap and relevance of the theme, this study seeks to clarify the concept of justice and injustice by users and nurses of the Emergency Department of a municipal hospital in Rio de Janeiro State about risk classification and reclassification in ACCR proposed by the Política Nacional de Humanização (PNH National Humanization Policy). Justice used as a category of analysis in this production is directly related to communication, autonomy and freedom for recognition from Honneth’s perspective
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