Implementation and Management of the Intensive Care service in the interior of Ceará in times of COVID-19: An experience report

Authors

DOI:

https://doi.org/10.33448/rsd-v13i3.45225

Keywords:

COVID-19; Intensive care unit; Continuing education.

Abstract

This study aims to report the experience regarding the implementation and management of the Intensive Care service in the interior of Ceará as a result of COVID-19, from March to August 2020. This is a descriptive study of the experience report type, where the intensive care unit was faced with a new reality of care, as well as the immediate selection and training of the multidisciplinary team. The structuring and organization of the hospitalization and patient treatment service included the incorporation of new technologies, the provision of Personal Protective Equipment, awareness about the isolation of an area that was then critical for the movement of people, the concomitant selection and training of the team that would provide care to these patients. It is noteworthy that actions aimed at continuing health education were fundamental to improving the quality of patient care, strengthening the safe practice of the growing demand for professionals to work in ICUs. This reality has highlighted some important aspects in the context of the Brazilian health team, such as the inadequate number of professionals, low salaries and inadequate working conditions. Thus, with the aim of guiding assistance provided with excellence, this study shows the importance of a service based on a scientific technical basis, the relevance of training and integration of multidisciplinary team and strengthens the perception of the need to implement and manage an evidence-based service to benefit from management tools, technologies and knowledge in the care of patients with COVID-19.

References

Barbosa D. J., et al. (2020) Fatores de estresse nos profissionais de enfermagem no combate à pandemia da COVID-19: síntese de evidências. Com. Ciências Saúde. 31(1):31-47. http://www.escs.edu.br/revistaccs/index.php/ comunicacaoemcienciasdasaude/article/view/651.

Berghetti, L., Franciscatto, L. H. G., & Getelina, C. O. (2017) Formação do Enfermeiro Acerca do Gerenciamento: Entraves e Perspectivas. Rev enferm Centr-Oeste Min., 9:e2820 http://dx.doi.org/10.19175/recom.v9i0.2820

Bitencourt, J. V. O. V. et al. (2020) Protagonismo do enfermeiro na estruturação e gestão de uma unidade específica para COVID-19. Texto & Contexto-Enfermagem, 29.

Brasil. (2020) Ministério da Saúde Secretaria de Vigilância em Saúde. Boletim Epidemiológico Especial 21: Doença pelo Coronavírus COVID-19. Brasília: Ministério da Saúde / Secretaria de Vigilância em Saúde. http://saude.gov.br/images/pdf/2020/July/08/Boletimepidemiologico-COVID-21-corrigido-13h35.pdf.

Dal’Bosco, E.B. et al., (2020). Mental health of nursing incoping with COVID-19 at a regional university hospital. Rev Bras Enferm, 73(2), e20200434. 10.1590/0034-7167-2020-0434

Ferrari F. (2020) COVID-19: Dados Atualizados e sua Relação Com o Sistema Cardiovascular. Arq. Bras. Cardiol, 114(5), 1678-4170.

Ferreira, J. M. (2017) Incidência de infecção primária da corrente sanguínea relacionada a cateter venoso central e os cuidados de enfermagem na unidade de terapia intensiva do Hospital Regional Dr. Homero de Miranda Gomes. Repositório Universitário da Ânima, Palhoça, 3-39. <https://repositorio.animaeducacao.com.br/handle/ANIMA/4914>.

Instituto de Saúde e Gestão Hospitalar (2021). Unidade Hospitalar Hospital Regional Norte. https://www.isgh.org.br/onde-estamos/hospital-regional-norte

Massuda, A. et al. (2020) Nota Técnica nº 6. Pontos-chave para gestão do SUS na resposta à pandemia de COVID-19. Instituto de Estudos para Políticas de Saúde, abr.

Meneses AS. (2020) Gerenciamento Emergencial de Recursos da Atenção Primária a Saúde no Enfrentamento à Pandemia da COVID-19. SciELO Preprint. 1(1), 1-13. https://doi.org/10.1590/SciELOPreprints.557.

Pereira A. S. et al. (2018). Metodologia da pesquisa científica. UFSM.

Phua, J. et al. (2020) Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. The Lancet Respiratory Medicine, Kidlington, 8(5), 506-517. https://doi.org/10.1016/S2213-2600(20)30161-2.

Rodriguez-Morales A. J. et al. (2020) COVID-19 in Latin America: The implications of the first confirmed case in Brazil. Travel Medicine and Infectious Disease, Amsterdam, 35, 1-3. https://doi.org/10.1016/j.tmaid.2020.101613. https://www.sciencedirect.com/science/article/pii/S1477893920300806?via%3Dihub. Acesso em: 14 fev. 2024.

Souza, J. O., Machado, V. B., & Sousa, A. L. R. S. (2019) Competências gerenciais do enfermeiro: uma revisão integrativa. Rev Ciências da Saúde e Educação IESGO. 1(2):1-20.: http://revista.iesgo.edu.br/ojs/index.php/CSEI/article/view/27

Soares, M. I., Resck, Z. M. R., & Terra, F. S. (2016) Saberes gerenciais do enfermeiro no contexto hospitalar. Rev bras enferm. 69(4), 676-83. http://dx.doi.org/10.1590/0034-7167.2016690409i

Treviso, P., et al. (2017) Competências do enfermeiro da gestão do cuidado. Rev Adm Saúde. 7(69), 14. http://dx.doi.org/10.23973/ras.69.59

OMS, Organização Mundial de Saúde. (2021) World Health Organization. Painel de Emergência de Saúde da OMS. https://covid19.who.int/region/amro/country/br.

WHO, World Health Organization. (2020). Q&A on coronaviruses (COVID-19). Disponível em: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/q-a-coronaviruses

Published

21/03/2024

How to Cite

PINHEIRO, D. B. S. .; PINHEIRO, L. S. B. .; LIMA, V. S. B. .; GONÇALVES, F. M. .; SILVA, F. E. das C.; SOUSA, A. P. R. de .; COELHO, S. E. M. .; TOMAZ, W. C. . Implementation and Management of the Intensive Care service in the interior of Ceará in times of COVID-19: An experience report. Research, Society and Development, [S. l.], v. 13, n. 3, p. e8113345225, 2024. DOI: 10.33448/rsd-v13i3.45225. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/45225. Acesso em: 8 may. 2024.

Issue

Section

Health Sciences