José Luiz do Amaral Correia de Araújo Júnior

Percepção de enfermeiros sobre condições de trabalho em setor de emergência de um hospital

Objective: To determine the working conditions in the emergency sector in the Hospital da Restauracao, from the perception of nurses working in that sector. Methods: A case study, which used a qualitative and quantitative approach, with triangulation of methods. Data collection was done through open interviews, closed questionnaires and observation. 23 nurses were interviewed. To analyze the data was used the condensation of meanings and the program Excel-version 2003. Results: High number of patients and lack of security for the development of the work were the items most criticized by those interviewed, and confirmed by observation. From the studied group, 47.8% worked in emergency for more than 16 consecutive years, most of them female in the age range of 41 to 50 years. Conclusion: The prevailing perceptions were: poor working conditions, unsatisfactory wages, unhealthy and insecure environment, leading to a feeling of discouragement that influences the quality of care.

Adequação da demanda de crianças e adolescentes atendidos na Unidade de Emergência em Maceió, Alagoas, Brasil

OBJECTIVE: to evaluate the extent to which the demand for services from children and adolescents are met by the Doutor Armando Lages Emergency Unit in Maceio, in the Brazilian State of Alagoas. METHODS: an observational cross-section study was carried out of 2,153 medical records of children and adolescents attending the Emergency unit in 1998, 2001 and 2004. The variables were sex, age, sector and time attended, place of residence, hospitalization, type of injury and extent to which the demand was met, according to the criterion established by Furtado et al. The chi-squared test was used to investigate associations between the variables under study, with a confidence level of 95%. RESULTS: of the 2,153 medical records analyzed, 1792 (83.2%) were classified as inadequate. Most patients were male (1252 - 58.2%), aged between 10 and 18 years (931 - 43.2%), resident in Maceio (1742 - 81.1%), attended in the afternoon (800 - 37.2%), at the Pediatrics Centre with injuries covered by Chapter XIX of the International Classification of Diseases (1039 - 48.3%). There were more inadequate medical records for females aged between 10 and 18 years, attended in the morning, residing in close proximity to the Emergency Unit. CONCLUSIONS: there was a high percentage of inadequate service provision for children and adolescents at the Emergency Unit. This result suggests the health needs of this group are not being met by the basic National Health System in the State of Alagoas.

Perception of nurses on working conditions in the emergency area of a hospital

Objective: To determine the working conditions in the emergency sector in the Hospital da Restauracao, from the perception of nurses working in that sector. Methods: A case study, which used a qualitative and quantitative approach, with triangulation of methods. Data collection was done through open interviews, closed questionnaires and observation. 23 nurses were interviewed. To analyze the data was used the condensation of meanings and the program Excel-version 2003. Results: High number of patients and lack of security for the development of the work were the items most criticized by those interviewed, and confirmed by observation. From the studied group, 47.8% worked in emergency for more than 16 consecutive years, most of them female in the age range of 41 to 50 years. Conclusion: The prevailing perceptions were: poor working conditions, unsatisfactory wages, unhealthy and insecure environment, leading to a feeling of discouragement that influences the quality of care.

Avaliação do grau de implantação do Programa de Qualificação da Atenção Hospitalar de Urgência (Qualisus)

This study aims to assess the implementation degree of the Hospital Urgency Care Qualification Program (Qualisus) in three high complexity hospitals of Recife municipality, Pernambuco State. A normative assessment was conducted based on structural and work process attributes concerning to user rights and embracement and to health services diagnostic and therapeutic resolubility. The program implementation degree was evaluated as intermediate at the three hospitals. Results referred to the implementation degree of program actions are described and discussed in detail in this article.

Percepción de enfermeros sobre condiciones de trabajo en el sector de emergencia de un hospital

Objective: To determine the working conditions in the emergency sector in the Hospital da Restauracao, from the perception of nurses working in that sector. Methods: A case study, which used a qualitative and quantitative approach, with triangulation of methods. Data collection was done through open interviews, closed questionnaires and observation. 23 nurses were interviewed. To analyze the data was used the condensation of meanings and the program Excel-version 2003. Results: High number of patients and lack of security for the development of the work were the items most criticized by those interviewed, and confirmed by observation. From the studied group, 47.8% worked in emergency for more than 16 consecutive years, most of them female in the age range of 41 to 50 years. Conclusion: The prevailing perceptions were: poor working conditions, unsatisfactory wages, unhealthy and insecure environment, leading to a feeling of discouragement that influences the quality of care.