Challenges of the management team in the fight Against covid-19: Experience report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i6.16175

Keywords:

Coronavirus infections; Culture; Staff sizing; Nursing; Patient safety.

Abstract

Objective: To report the challenges faced by the management team of a secondary-level hospital service in the interior of the State of São Paulo, in the face of the COVID-19 pandemic. Material and methods: a descriptive, quantitative and experience report type study, which portrays the challenges faced by the management team regarding the training of the institution's professionals and the dimensioning of the nursing team in the period from February to March 2020. Results: The management team needed to use strategies in the training of health care professionals and the administrative department in the use and adherence of PPE, since there was a lack of knowledge about the transmission of the virus and the scarcity of individual protection supplies on the market. As for the dimensioning of nursing professionals, the selection of employees to compose the scale-followed criteria considered pre-defined in conjunction with the institution's management, such as: the qualification in the care of critical patients and the time of exposure to the virus in the workplace. Conclusion: The scarcity of PPE in the months of February and March, and of qualified professionals and the high workload of the nursing team were challenges that health services faced since the beginning of the pandemic, so it was necessary to have strategies for the patient and for the nursing team, in order to guarantee the well-being, quality and safety of all those involved in the assistance.

References

Agenzia Nazionale Stampa Associata. (2020). Sociedade Cooperativa: Mais de dois mil médicos e enfermeiras contraíram vírus na Itália. Agência Italiana de Notícias. http://ansabrasil.com.br/brasil/noticias/italia/noticias/2020/03/16/mais-de-2-mil-medicos-e-enfermeiras-contrairam-virus-naitalia_010f1866-3b04-402f-8e07-6461e179a2b9.html.

Allsopp, K., Brewin, C.R., Barrett, A., Williams, R., Hind, D., Chitsabesan, P., & French, P. (2019). Responding to mental health needs after terror attacks. British Medical Journal, 366, l48282019.

Brasil. Ministério da Saúde. (2011). Decreto n. 7.616, de 17 de novembro de 2011. https://bvsms.saude.gov.br/bvs/saudelegis/gm/2 011/prt2952_14_12_2011.html

Brasil. Ministério da Saúde. (2020a). Portaria n. 188, de 3 de fevereiro de 2020. http://www.in.gov.br/en/web/dou/-/portaria-n-188-de-3-de-fevereiro-de-2020-241408388

Brasil. Ministério da Saúde. (2020b). Recomendações de proteção aos trabalhadores dos serviços de saúde no atendimento de COVID-19 e outras síndromes gripais. https://portalarquivos.saude.gov.br/images/pdf/2020/April/16/01-recomendacoes-de-protecao.pdf

Carayon, P., Gurses, A.P. (2008). Nursing workload and patient safety - a human factors engineering perspective. In: Hughes RG, editor. Patient safety and quality: an evidence-based handbook for nurses. Rockville (MD): Agency for Healthcare Research and Quality.

Conselho Federal de Enfermagem - COFEN. (2017). Resolução COFEN 543/2017. http://www.cofen.gov.br/resolucao-cofen-5432017_51440.html

Fagerström, L., Kinnunen, M., & Saarela, J. (2018). Nursing workload, patient safety incidents and mortality: an observational study from Finland. BMJ Open, 8(4), e016367.

Flick, U. Introdução à metodologia de pesquisa: um guia para iniciantes. M. Lopes (Trad.). Penso, 2013. https://www.ets.ufpb.br/pdf/2013/2 %20Metodos%20quantitat%20e%20qualitat%20-%20IFES/Bauman,%20Bourdieu,%20Elias/Livros%20de%20Metodologia/Flick%20-%20Introdu cao%20 %C3%A 0%20Metodologia%20da%20Pesquisa.pdf.

Gao J., Barzel, B., & Barabási, A.L. (2016). Universal resilience patterns in complex networks. Nature, 530(7590), 307-12.

Huang, L., Lin, G., Tang, L., Yu, L., & Zhou, Z. (2020). Special atten-tion to nurses’ protection during the COVID-19 epi-demic. Critical Care, 24(1), 120.

Iflaifel, M., Lim, R.H., Ryan, K., & Crowley, C. (2020). Resilient health care: a systematic review of conceptualisations, study methods and factors that develop resilience. BMC Health Services Research, 20(1), 324.

Jug, I.E.F.S., Kirby, E.E.F., Gregório, A.P.A., & Gouvêa, M.V. (2021). Percepção acerca da Saúde Mental de uma equipe multiprofissional de uma emergência durante a pandemia de COVID-19. Research, Society and Development. https://rsdjournal.org/index.php/rsd/article/view/15164/13690

Mitchell, G. (2020). Covid-19 places critical nurses 'front and centre' as leaders Wethersfield. Nursing Times. https://www.nursingtimes.net/news/work force/covid-19-p laces-critical-care-nurses-front-and-centre-as-leaders-30-03-2020/.

News U. (2020). COVID-19 highlights nurses' vulnerability as backbone to health services worldwide: UN News. https://news.un.org/en/story/2020/04/1061232.

Oliveira, L.A., Lucas, T.C., & Iquiapaza, R.A. (2020). What has the covid-19 pandemic taught us about adopting preventive measures? Texto & contexto, 29, e20200106.

Organização Mundial de Saúde. WHO Director-General’s opening remarks at the media briefing on COVID-19. Geneva: WHO. https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.

Ross, C., Rogers, C., & King, C. (2019). Safety culture and an invisible nursing workload. Collegian, 1, 1-7.

Teixeira, C. F. S., Soares, C. T., Souza, E. A., Lisboa, E. S., Matos-Pinto, I. C., Andrade, L. R. & Espiridião, M. A. (2020). A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid- 19. Ciência & Saúde Coletiva, 25(9), 3465-74

Wang, J., Zhou, M., & Liu, F. (2020). Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. Journal of Hospital Infection, 105(1), 100-1.

Xie, J., Tong, Z., Guan, X., Du, B., Qiu, H., & Slutsky, A.S. (2020). Critical care crisis and some recommendations during the COVID-19 epidemic in China. Intensive Care Medicine, 46(5), 837-40.

Published

10/06/2021

How to Cite

RIGOTTI, A. R. .; PEREIRA, F. H. .; CASTILHO, F. M. C. de .; BANHOS, N. S. .; ALMEIDA, . D. K. E. .; CARVALHO, M. das G. de S. .; GARCIA, J. A. D. . Challenges of the management team in the fight Against covid-19: Experience report . Research, Society and Development, [S. l.], v. 10, n. 6, p. e58710616175, 2021. DOI: 10.33448/rsd-v10i6.16175. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16175. Acesso em: 18 apr. 2024.

Issue

Section

Health Sciences