Abstract
to analyze the nurses' work process in an Emergency Hospital Service. a qualitative, exploratory and descriptive research conducted with 17 nurses from the emergency service of a high complexity hospital in southern Brazil. Data were collected through interviews, focus group and document analysis. Data analysis followed the thematic content analysis framework. four categories emerged: Work environment characteristics; Assistance dimension; Management dimension; Care management. Final Considerations: the nurses' work process in Emergency Hospital Service is characterized by the peculiarities of the setting, with centrality in care and care management aiming at quality care and safety to patients.
Highlights
The Emergency Hospital Service (EHS) is a complex setting in Brazilian health care and worldwide
These characteristics impact the permanence of patients with continuous care needs - those whose emergency and stabilization care has already been remedied - to occupy beds for acute care and observation[1,2]
The work process to manage in nursing has as its object the care agents and the resources employed to assist and the purpose of coordinating nursing care with the sole agent being the nurse[4]
Summary
The Emergency Hospital Service (EHS) is a complex setting in Brazilian health care and worldwide. Despite the increasing implementation of care protocols and policies, the care provided by EHS still has weaknesses, especially due to the lack of back-up beds and the continuing demand for care that characterizes these care settings. These characteristics impact the permanence of patients with continuous care needs - those whose emergency and stabilization care has already been remedied - to occupy beds for acute care and observation[1,2]. Emergency service nurses need to develop their work process with attitudes that highlight knowledge, technical skills, care management and team leadership in order to optimize resources and develop activities in the shortest possible time[3]. The work process to manage in nursing has as its object the care agents and the resources employed to assist and the purpose of coordinating nursing care with the sole agent being the nurse[4]
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