Risk classification in a pediatric service: evaluation of the structure, process, and outcome

• Autor(a) principal: Cabral,Karynne Borges
• Data de Publicação: 2022
• Outros Autores: Teixeira,Cristiane Chagas, Oliveira,Julianna Malagoni Cavalcante, Cordeiro,Jacqueline Andreia Bernardes Leão, Cruz,Keila Cristianne Trindade da, Santos,Leidiene Ferreira, Brasil,Virginia Visconde, Oliveira,Lizete Malagoni de Almeida Cavalcante
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672022000100167
• topic: Risk Assessment; Pediatrics; Emergency Medical Services; Pediatric Emergency Medicine; Nursing

ABSTRACT Objectives: to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome. Methods: a cross-sectional, descriptive, and exploratory study in which qualitative data complement the results. Data collection by non-participant observation, interview, and consultation of medical records. Results: we observed two hundred and four visits. The service works in a makeshift room and without privacy. The nurses did not use various materials/equipment available for evaluation, rarely performed a physical examination, used the interview most of the time, and did not consult the protocol. Parents/companions received no information, and medical records showed incomplete records. Nurses classified 69.1% of the children as non-emergency. The most frequent outcome of the visits was discharge. Conclusions: the service showed weaknesses in the physical structure, in the risk classification process, and the outcomes, but it presents a good resolution in the assistance. We recommend a revision in the protocol used and sensitize nurses about the work process and communication with parents/companions.