Alcides Viana de Lima Neto

Patient Safety Culture In Health Organizations: Scoping Review

Objective: identify and map the forms to evaluate the patient safety culture in health organizations. Method: scoping review, developed based on the method proposed by the Joanna Briggs Institute. Data collection occurred in June 2016 in 15 international databases. Descriptive statistics was used for data analysis. Results: the sample consisted of 75 publications. Among the eleven instruments identified to evaluate the safety culture, the Hospital Survey on Patient Safety Culture questionnaire and the Safety Attitudes Questionnaire had the greatest international repercussion, since they were adapted, validated and used in different continents and contexts. Conclusion: The synthesis of the instruments enabled clarifying their characteristics, and how they can be important tools to support and accompany changes in the safety culture over time. Descriptors: Patient’s safety; Organizational culture; Nursing;

Multidimensional Assessment Of Institutionalized Elderly: The Reality Of A Brazilian Institution

Background: The population aging in Brazil is characterized by the accumulation of progressive disabilities in their functional activities and daily life. To consider the elderlies in his/her multiple dimensions turns out to be a critical issue to improvetheir assistance to an institu-tionalized level, improving their health and quality of life. To perform a mini-overall evaluation of institutionalized elderly person to trace their profile in relation to the socio-demographic, functional capacity, nutritional status and cognition. Methods: Descriptive study, with a cross-sectional design and quan-titative approach performed in a long - stay institution for the elderly in Natal, RN. The research was approved by the Research Ethics Com-mittee of the Federal University of Rio Grande do Norte, under opinion number 164/2011.Results: 63.3% of the elderly were female, with ages varying from 61 to 103 years. 60.0% were single; 56.7% were literate. 66.7% had no children and 55% lived with their families before the institutio-nalization. As for the institutionalization time, 63.3% resided in the institution for four years. As what concerns the aspects of health, 73.3% of the elderly presented hearing difficulties, 90% make use of medicines predominantly to diabetes and hypertension. There is clear evidence that the institutionalization has been harmful to the elderly as with regards basic activities of daily living, nutritional status and cognitive aspects. Conclusion: The progressive disability in functional activities of daily life interferes directly in the quality of life, increasing dependency and minimizing the autonomy of these individuals. It is necessary to effec-tive implementation of public policies directed to the institutionalized elderly from the perspective of effective actions for improved attention and assistance.

Humanization and patient intake interviews in hospital emergency and urgent care: an integrative approach

ABSTRACT Objective : to describe humanization and patient intake interviews in hospital emergency and urgent care. Method : an integrative review study of publications from 2001 to May 2011 collected at the Virtual Health Library (BVS) and the databases of Latin American and Caribbean Health Sciences Literature (LILACS), International Health Sciences Literature (MEDLINE) and the Scientific Electronic Library Online (SCIELO). Descriptors used were: humanization of care, intake interview and emergency medical services. The BVS search resulted in 17218 references. Following the application of inclusion and exclusion criteria, 46 articles were analyzed. All selected publications were read and categorized according to greater focus on: hospital emergency and urgent care services, humanization and intake interview. Results : the studies reviewed indicate that in Brazil, the inversion of traditional patient flow between basic healthcare services and more complex facilities often causes overcrowding in emergency rooms, which then become the primary location for healthcare screening, overburdening staff. This hampers the care provided by hospital emergency and urgent care facilities, raising questions regarding expected and actual models of humanization and intake interview. Conclusion : the National Humanization Policy (PNH), created and disseminated by the Ministry of Health (MOH), states that healthcare service users should be received with kindness and humanized care; however, this policy remains difficult to implement. Descriptors : humanization of care; patient intake interviews; emergency medical services; standard of care. RESUMO Objetivo : descrever sobre a humanizacao e o acolhimento nos servicos de urgencia e emergencia hospitalar. Metodo : estudo de revisao integrativa com publicacoes no periodo de 2001 a maio de 2011 coletados na Biblioteca Virtual em Saude (BVS) e nas bases de dados Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS), Literatura Internacional em Ciencias da Saude (MEDLINE) e Scientific Electronic Library Online (SCIELO) a partir dos descritores: humanizacao da assistencia, acolhimento e servicos medicos de emergencia. O processo de busca na BVS resultou em 17218 referencias. Apos aplicacao dos criterios de inclusao e exclusao foram analisados 46 artigos. Todas as publicacoes selecionadas foram lidas e categorizadas de acordo com o maior foco em: servicos de urgencia e emergencia hospitalar, humanizacao e acolhimento. Resultados : os estudos analisados apontam que no Brasil o fluxo oposto de pacientes entre os servicos de saude da rede basica e os servicos de maior complexidade acarreta frequentemente situacoes de superlotacao dos pronto-socorros que passaram a ser o principal local de triagem da assistencia em saude, sobrecarregando as equipes dos mesmos. Esta situacao vem dificultando o atendimento prestado pelos servicos de urgencia e emergencia hospitalar implicando em um questionamento a respeito dos modelos esperados e a realidade encontrada sobre a humanizacao e o acolhimento. Conclusao: pode-se verificar que a PNH, criada e difundida pelo Ministerio da Saude, reafirma que os servicos devem receber aos usuarios de forma humanizada e acolhedora. Entretanto, ainda existe muita dificuldade na implementacao de tal politica. Descritores : humanizacao da assistencia; acolhimento; servicos medicos de emergencia; padrao de cuidado. RESUMEN Objetivo: describir la humanizacion y la acogida en los servicios de urgencia y emergencia hospitalaria. Metodo: estudio de revision integrativa usando publicaciones del periodo enero de 2001 a mayo de 2011 recolectados en la Biblioteca Virtual en Salud (BVS) y en las bases de datos Literatura Latino-Americana y del Caribe en Ciencias de la Salud (LILACS), Literatura Internacional en Ciencias de la Salud (MEDLINE) y ScientificElectronic Library Online (SCIELO) mediante los descriptores: humanizacion de la asistencia, acogida y servicios medicos de emergencia. El proceso de busqueda en la BVS obtiene 17218 referencias. Trasla aplicacion de los criterios de inclusion y exclusion se analizaron 46 articulos. Todas las publicaciones seleccionadas se leyeron y clasificaron de acuerdo al mayor hincapie en: servicios de urgencia y emergencia hospitalaria, humanizacion y acogida. Resultados: los estudios indican que en Brasil, el flujo opuesto de pacientes entre los servicios de salud de la red basica y los servicios de mayor complejidad acarrea frecuentemente situaciones de masificacion de las Urgencias que pasan a ser el principal local de clasificacion de los servicios asistenciales, sobrecargando a los equipos de los mismos. Esta situacion dificulta la atencion prestada por los servicios de urgencia y emergencia hospitalaria implicando un cuestionamiento acerca de las plantillas previstas y la realidad sobre la humanizacion y la acogida. Conclusion: se pudo verificar que la PNH, creada y difundida por el Ministerio de la Salud, reafirma que los servicios deben recibir a los usuarios de forma humanizada y acogedora. Sin embargo, aun existe mucha dificultad en la implementacion de tal politica. Descriptores: humanizacion de la asistencia; acogida; servicios medicos de emergencia; estandar de cuidados.