Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Vigilância Sanitária em Debate |
Texto Completo: | https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1715 |
Resumo: | Introduction: The COVID-19 pandemic required the adoption of safe biosafety attitudes for healthcare professionals. Objective: To analyze the information’s accuracy of the Brazil’s Contingency Plan and technical documents for Primary Health Care (PHC) provided by the Brazilian National Health System (hereby SUS) as well as São Paulo and Amazonas State, regarding biosafety for health professionals focusing on protective personal equipment. Method: Exploratory, qualitative research on biosafety management with documentary analysis aimed at Primary Health Care professionals with free access on the internet whose documentary origin was: Municipal Health Bureaus of Manaus and São Paulo Cities; Health State Departments of Amazonas and São Paulo States; Health Ministry and National Health Surveillance Agency, between February and May 2020. The accuracy of the instructions was assessed by a structured scoreboard using a checklist. Results: Twenty technical documents for biosafety were analyzed. Ninety-five percent did not provide details or direct indication of practical actions for using protective personal equipment. Among the documents, 55% had inaccurate information. Regarding the visual organization, 80% had no summary. The documents did not present a summary of the previous evidence, even the updated ones. Conclusions: This study assessed the quality of documents for decision-making in Primary Health Care in the face of the COVID-19 pandemic verifying the lack of precise guidelines for the use of protective personal equipment. The weaknesses of the documents analyzed such as the lack of summary without synthesis of previous evidence without effective visual communication compromise the quality of the guidelines making decision making difficult. |
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Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPERecomendações de biossegurança para proteção de profissionais da Atenção Primária à Saúde durante o enfrentamento da COVID-19: análise dos documentos técnicos do Brasil, São Paulo e Amazonas referentes ao uso de equipamentos de proteção individualEquipamento de Proteção IndividualTrabalhador da SaúdeCOVID-19Atenção Primária à SaúdePersonal Protective EquipmentHealth PersonalCOVID-19Primary Health CareIntroduction: The COVID-19 pandemic required the adoption of safe biosafety attitudes for healthcare professionals. Objective: To analyze the information’s accuracy of the Brazil’s Contingency Plan and technical documents for Primary Health Care (PHC) provided by the Brazilian National Health System (hereby SUS) as well as São Paulo and Amazonas State, regarding biosafety for health professionals focusing on protective personal equipment. Method: Exploratory, qualitative research on biosafety management with documentary analysis aimed at Primary Health Care professionals with free access on the internet whose documentary origin was: Municipal Health Bureaus of Manaus and São Paulo Cities; Health State Departments of Amazonas and São Paulo States; Health Ministry and National Health Surveillance Agency, between February and May 2020. The accuracy of the instructions was assessed by a structured scoreboard using a checklist. Results: Twenty technical documents for biosafety were analyzed. Ninety-five percent did not provide details or direct indication of practical actions for using protective personal equipment. Among the documents, 55% had inaccurate information. Regarding the visual organization, 80% had no summary. The documents did not present a summary of the previous evidence, even the updated ones. Conclusions: This study assessed the quality of documents for decision-making in Primary Health Care in the face of the COVID-19 pandemic verifying the lack of precise guidelines for the use of protective personal equipment. The weaknesses of the documents analyzed such as the lack of summary without synthesis of previous evidence without effective visual communication compromise the quality of the guidelines making decision making difficult.Introdução: A pandemia de COVID-19 exigiu a adoção de atitudes assertivas e seguras para biossegurança dos profissionais da saúde. Objetivo: Analisar os planos de contingência e documentos técnicos dirigidos à Atenção Primária à Saúde no Sistema Único de Saúde relativos à biossegurança dos profissionais da saúde e sua precisão, referentes aos documentos do Brasil, São Paulo e Amazonas com foco nos equipamentos de proteção individual. Método: Pesquisa exploratória, qualitativa, sobre gestão em biossegurança com análise documental voltada aos profissionais da Atenção Primária à Saúde, com livre acesso na internet cuja origem documental foram: Secretarias Municipais de Saúde de Manaus e São Paulo; Secretarias de Estado da Saúde do Amazonas e de São Paulo; Ministério da Saúde e Agência Nacional de Vigilância Sanitária, entre fevereiro a maio de 2020. A precisão das instruções foi classificada por avaliação estruturada utilizando checklist. Resultados: Foram analisados 20 documentos técnicos para biossegurança. Noventa e cinco por cento não apresentaram detalhamento ou indicação direta das ações práticas para uso de equipamentos de proteção individual. Entre os documentos, 55% tinham informações pouco precisas. Em relação à organização visual, 80% não continham sumário. Os documentos não apresentaram síntese das evidências anteriores, mesmo os atualizados. Conclusões: Este estudo avaliou a qualidade dos documentos para a tomada de decisões na Atenção Primária à Saúde frente a pandemia, verificando a carência de diretrizes precisas para uso de equipamentos de proteção individual. As fragilidades dos documentos analisados, como falta de sumário, ausência de síntese das evidências anteriores e ausência de comunicação visual efetiva, comprometem a qualidade das orientações dificultando a tomada de decisões.Instituto Nacional de Controle de Qualidade em Saúde2020-08-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/171510.22239/2317-269X.01715Health Surveillance under Debate: Society, Science & Technology ; Vol. 8 No. 3 (2020): August; 94-103Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 8 Núm. 3 (2020): Agosto; 94-103Vigil Sanit Debate, Rio de Janeiro; v. 8 n. 3 (2020): Agosto; 94-1032317-269Xreponame:Vigilância Sanitária em Debateinstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1715/1215Copyright (c) 2020 Vigilância Sanitária em Debate: Sociedade, Ciência & Tecnologia (Health Surveillance under Debate: Society, Science & Technology) – Visa em Debatehttps://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessPfaffenbach, GraceZanatta, Aline BedinTenani, Carla FabianaDe Checchi, Maria Helena RibeiroChaves Santana, André Bento2023-06-27T15:12:36Zoai:ojs.visaemdebate.incqs.fiocruz.br:article/1715Revistahttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebatePUBhttps://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/oaiincqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br2317-269X2317-269Xopendoar:2023-06-27T15:12:36Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.none.fl_str_mv |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE Recomendações de biossegurança para proteção de profissionais da Atenção Primária à Saúde durante o enfrentamento da COVID-19: análise dos documentos técnicos do Brasil, São Paulo e Amazonas referentes ao uso de equipamentos de proteção individual |
title |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE |
spellingShingle |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE Pfaffenbach, Grace Equipamento de Proteção Individual Trabalhador da Saúde COVID-19 Atenção Primária à Saúde Personal Protective Equipment Health Personal COVID-19 Primary Health Care |
title_short |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE |
title_full |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE |
title_fullStr |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE |
title_full_unstemmed |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE |
title_sort |
Biosafety recommendations to Primary Health Care workers during the COVID-19 pandemic: analysis of technical documents from Brazil, São Paulo and Amazonas regarding the PPE |
author |
Pfaffenbach, Grace |
author_facet |
Pfaffenbach, Grace Zanatta, Aline Bedin Tenani, Carla Fabiana De Checchi, Maria Helena Ribeiro Chaves Santana, André Bento |
author_role |
author |
author2 |
Zanatta, Aline Bedin Tenani, Carla Fabiana De Checchi, Maria Helena Ribeiro Chaves Santana, André Bento |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pfaffenbach, Grace Zanatta, Aline Bedin Tenani, Carla Fabiana De Checchi, Maria Helena Ribeiro Chaves Santana, André Bento |
dc.subject.por.fl_str_mv |
Equipamento de Proteção Individual Trabalhador da Saúde COVID-19 Atenção Primária à Saúde Personal Protective Equipment Health Personal COVID-19 Primary Health Care |
topic |
Equipamento de Proteção Individual Trabalhador da Saúde COVID-19 Atenção Primária à Saúde Personal Protective Equipment Health Personal COVID-19 Primary Health Care |
description |
Introduction: The COVID-19 pandemic required the adoption of safe biosafety attitudes for healthcare professionals. Objective: To analyze the information’s accuracy of the Brazil’s Contingency Plan and technical documents for Primary Health Care (PHC) provided by the Brazilian National Health System (hereby SUS) as well as São Paulo and Amazonas State, regarding biosafety for health professionals focusing on protective personal equipment. Method: Exploratory, qualitative research on biosafety management with documentary analysis aimed at Primary Health Care professionals with free access on the internet whose documentary origin was: Municipal Health Bureaus of Manaus and São Paulo Cities; Health State Departments of Amazonas and São Paulo States; Health Ministry and National Health Surveillance Agency, between February and May 2020. The accuracy of the instructions was assessed by a structured scoreboard using a checklist. Results: Twenty technical documents for biosafety were analyzed. Ninety-five percent did not provide details or direct indication of practical actions for using protective personal equipment. Among the documents, 55% had inaccurate information. Regarding the visual organization, 80% had no summary. The documents did not present a summary of the previous evidence, even the updated ones. Conclusions: This study assessed the quality of documents for decision-making in Primary Health Care in the face of the COVID-19 pandemic verifying the lack of precise guidelines for the use of protective personal equipment. The weaknesses of the documents analyzed such as the lack of summary without synthesis of previous evidence without effective visual communication compromise the quality of the guidelines making decision making difficult. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-07 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1715 10.22239/2317-269X.01715 |
url |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1715 |
identifier_str_mv |
10.22239/2317-269X.01715 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/1715/1215 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
publisher.none.fl_str_mv |
Instituto Nacional de Controle de Qualidade em Saúde |
dc.source.none.fl_str_mv |
Health Surveillance under Debate: Society, Science & Technology ; Vol. 8 No. 3 (2020): August; 94-103 Vigilancia en Salud en Debate: Sociedad, Ciencia y Tecnología; Vol. 8 Núm. 3 (2020): Agosto; 94-103 Vigil Sanit Debate, Rio de Janeiro; v. 8 n. 3 (2020): Agosto; 94-103 2317-269X reponame:Vigilância Sanitária em Debate instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Vigilância Sanitária em Debate |
collection |
Vigilância Sanitária em Debate |
repository.name.fl_str_mv |
Vigilância Sanitária em Debate - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
incqs.visaemdebate@fiocruz.br || gisele.neves@fiocruz.br |
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