The nurse in risk classification during the COVID-19 pandemic: Experience report
DOI:
https://doi.org/10.33448/rsd-v10i8.17387Keywords:
Nurse; Coronavirus infections; COVID-19; Emergencies; Risk classification.Abstract
Introduction: The nurse is important for a humanized care in risk classification, including the identification and management of patients with suspected or confirmed COVID-19. Objective: to report the experience of a nurse in risk classification during the COVID-19 pandemic period. Method: This is an experience report carried out in an emergency care unit in Fortaleza, Ceará, from March 2020 to April 2021. Minayo's thematic analysis was used to define thematic categories. Results: The emerging categories were: patient risk classification with COVID-19 and definition of care flows. In this context, the nurse appears as a priority-setter according to pathological criteria related to vital signs and general status, determining categories of care: little urgent, urgent or emergency. In addition, it observes criteria that contribute to the flow of care according to the degree of care for the disease: mild, moderate or severe, being time-dependent elements. Final considerations: The nurse is a key element in the identification of severities related to COVID-19, contributing to the definition of flows and subsequent patient care.
References
Barros, R. (2021). Emergência em saúde pública da pandemia da COVID-19: breves apontamentos. Revista Baiana de Saúde Pública, 45, (Esp 1): 11-18.
Belarmino, A. C., Rodrigues, M. E. N. G., Anjos, S. J. S. B., & Ferreira Júnior, A. R. (2020). Collaborative practices from health care teams to face the covid-19 pandemic. Revista Brasileira de Enfermagem, 73(Suppl 2):e20200470.
Campos, G. W. S. (2020). O pesadelo macabro da Covid-19 no Brasil: entre negacionismos e desvarios. Trabalho, Educação e Saúde, 18 (3): e00279111.
Costa, A. C. O. (2019). O ato de cuidar: vivências e percepções de uma redutora de danos. Saúde em Debate, 43(122):966-74.
Cruz, C. H. B. (2020). Social distancing in São Paulo State: demonstrating the reduction in cases using time series analysis of deaths due to COVID-19. Revista Brasileira de Epidemiologia, 23: e200056.
Lima, L. D., Pereira, A. M. M., Machado, C. V. (2020). Crise, condicionantes e desafios de coordenação do Estado federativo brasileiro no contexto da COVID-19. Cadernos de Saúde Pública, 36 (7): e00185220.
Mack-Jones, K., Marsden, J., & Windle, J. (2018). Sistema Manchester de classificação de risco. (2a ed.), Folium.
Minayo, M. C. S. (2014). O desafio do conhecimento: pesquisa qualitativa em saúde. (14a ed.), Hucitec.
Ministério da Saúde do Brasil. Painel Coronavírus- COVID-19. https://covid.saude.gov.br/
Nascimento, E. R. P., Hilsendeger, B. R., Neth, C., Belaver, G. M., & Bertoncello, K. C. G. Acolhimento com classificação de risco: avaliação dos profissionais de enfermagem de um serviço de emergência. (2011). Revista Eletrônica de Enfermagem, 13(4):597-03.
Oliveira, K. K. D., Freitas, R. J. M., Araújo, J. L., & Gomes, J. G. N. (2021). Nursing Now and the role of nursing in the context of pandemic and current work. Revista Gaúcha de Enfermagem, 42(spe):e20200120.
Oliveira, J. L. C., Gatti, A. P., Barreto, M. S., Bellucci Junior, J. A., Góes, H. L. F., & Matsuda, L. M. (2017). Acolhimento com classificação de risco: percepções de usuários de uma unidade de pronto atendimento. Texto e Contexto em Enfermagem, 26(1):e0960014.
Organização Panamericana da Saúde (OPAS). Folha informativa – COVID-19 (doença causada pelo novo coronavírus). https://www.paho.org/pt/covid19
Rali, A. S., Howard, C., Miller, R., Morgan, C. K., Mejia, D., Sabo, J., Herlihy, J. P., Devarajan, S. R. (2020). Helmet CPAP revisited in COVID-19 pneumonia: A case series. Canadian Journal of Respiratory Therapy, 56:32–34.
Ramírez, F. B., Misol, R. C., Alonso, M. C. F., & Tizón, J. L. (2020). Pandemia de la COVID-19 y salud mental: reflexiones iniciales desde la atención primaria de salud española. Atención Primaria, 53(1):89-101.
Rodrigues, M. E. N. G, Belarmino, A. C., Custódio, L. L., Gomes, I. L. V., & Ferreira Júnior, A. R. F. (2020). Communication in health work during the COVID-19 pandemic. Investigatión Y Educación en Enfermería, 38(3):e09.
Soares, F. B., Recuero, R., Volcan, T., Fagundes, G., & Sodré, G. (2021). Research note: Bolsonaro’s firehose: How Covid-19 disinformation on WhatsApp was used to fight a government political crisis in Brazil. Harvard Kennedy School Misinformation Review, 2 (1):1-13.
Sousa, A. R., Olímpio, A., & Cunha, C. L. F. (2020). Enfermagem em contexto de pandemia no Brasil: docilidade dos corpos em questão. Enfermagem em Foco, 11 (1) Esp: 95-100.
Vatan, A., Güçlü, E., Öğütlü, A., Kibar, F. A., Karabay, O. (2020). Knowledge and attitudes towards COVID-19 among emergency medical service workers. Revista da Associação Médica Brasileira, 66 (11):1553-59.
Tong, A., Sainsbnury, P., & Criag, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32 item checklist for interviews and focus groups. International Journal of Qualilative Health Care, 19(6):349-57.
Touchton, M., Knaul, F. M., Arreola-Ornelas, H., Porteny, T., Sánchez, M., Méndez, O., et al. (2021). A partisan pandemic:state government public health policies to combat COVID-19 in Brazil. BMJ Global Health, 6: e005223.
Zachariasse, J. M., Van der Hagen, V., Seiger, N., Mackway-Jones, K., Van Veen, M., & Moll, H. A. (2019). Performance of triage systems in emergency care: a systematic review and meta-analysis. BMJ Open, 9:e026471.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Adriano da Costa Belarmino; Maria Eunice Nogueira Galeno Rodrigues; Patrícia de Oliveira Bastos; Larissa Cunha Alves ; Maísa Leitão de Queiroz
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
