Person-centred care-based crisis management: facing COVID-19 in an oil industry

Abstract

BackgroundThe study aims to present the strategies used in person-centred care, through measures to promote and prevent COVID-19 pandemic in an oil industry in Brazil. The corporate focus is on managing the crisis, converging economic interests, operational security, health and protection of individuals.MethodsIn March 2020, a ‘Crisis Room’ was structured, based on the Incident Command System (ICS) methodology for managing interventions in the company, covering about 160 000 workers and 1000 health professionals, including physicians, nurses, psychologists, social workers and nutritionists. The main strategies were: production of technical notes on COVID 19, development of software for monitoring cases, call-centre through a specialized centre with medical and psychological support, test implementation, implementation of sanitary barriers with temperature verification and filling of forms, as well as systematic technical forums.ResultsIn the period of 1 year, 46 technical notes were produced, 61 388 cases were recorded and monitored, 30 373 gold standard tests (RT PCR), 484 686 rapid tests, 25 217 workers approached at health barriers and an average of 350 systematic technical forums, were carried out.ConclusionsAttention to the presented scenario and the mapping of the particularities in the emergency response are fundamental for decision-making, which can be impacted by the absence of strategies still in the reactive phase of the emergency. Despite the adoption of the ICS methodology in the management of the COVID-19 crisis, the incorporation of instruments aimed at individual-centred care were key strategies and foundations that have guaranteed work safety and the maintenance of productivity in this oil company within pandemic context.