Abstract
to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome. a cross-sectional, descriptive, and exploratory study in which qualitative data complement the results. Data collection by non-participant observation, interview, and consultation of medical records. we observed two hundred and four visits. The service works in a makeshift room and without privacy. The nurses did not use various materials/equipment available for evaluation, rarely performed a physical examination, used the interview most of the time, and did not consult the protocol. Parents/companions received no information, and medical records showed incomplete records. Nurses classified 69.1% of the children as non-emergency. The most frequent outcome of the visits was discharge. the service showed weaknesses in the physical structure, in the risk classification process, and the outcomes, but it presents a good resolution in the assistance. We recommend a revision in the protocol used and sensitize nurses about the work process and communication with parents/companions.
Highlights
The Urgency and Emergency Services (UES) seek to welcome and serve users in clinical urgency and emergencies and have as characteristics the continuous care (24 hours), the service organization based on the free demand of users, and the focus on immediate care
These units suffer from the indiscriminate search of users and, in the case of Pediatric UESs, of parents who seek immediate care for their children
Six nurses worked in the pediatric RREC service (PRREC) sector, and four (66.37%) were women
Summary
The Urgency and Emergency Services (UES) seek to welcome and serve users in clinical urgency and emergencies and have as characteristics the continuous care (24 hours), the service organization based on the free demand of users, and the focus on immediate care These units suffer from the indiscriminate search of users and, in the case of Pediatric UESs, of parents who seek immediate care for their children. The recommendation is that, in the implementation of this service, there be systematic monitoring and evaluation of the actions of the RREC, aimed at improving and correcting any identified failures[1] These evaluations should involve the service assessments in all their aspects, including the users’satisfaction and the working conditions of the professionals who work there[2]. It requires the use of evaluation methods appropriate to each objective, aiming at identifying the potentialities and weaknesses to subsidize managers in the planning of strategies that contribute to the improvement of the service offered
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