Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Tipo de documento: | Trabalho de conclusão de curso |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFSCAR |
Texto Completo: | https://repositorio.ufscar.br/handle/ufscar/16690 |
Resumo: | Among the procedures carried out by the occupational therapist in the hospital is the medical record. The record in the medical record aims to facilitate communication among professionals, support decision making, promote the quality of comprehensive care, guide the establishment of the patient's needs and potential as a single subject and integrate the various knowledge. Aiming at understanding the use of medical records by the hospital team and the access to the records produced by occupational therapists, this exploratory study, with a qualitative approach, interviewed professionals from the multidisciplinary team working in a medical clinic ward, using the snowball method for participant selection. The interviews were conducted through the Google Meet platform, and the information was transcribed and analyzed by thematic content. The information about the purpose of this use was organized into three categories: documentation of care practice, consultation of data about the patient and about his care plan and communication/exchange of information between team members. It was evaluated that the records produced by occupational therapists help other professionals in care planning, and the consultation of these records is based on two categories: verification of interventional information for alignment of the care plan, understanding of the impacts of illness and adaptive responses. The content of such categories show the search for information beyond functional and rehabilitation aspects, as well as the impacts experienced by the patient with the process of illness and hospitalization, a factor that highlights an expanded and contemporary look about the scope of occupational therapy. It was concluded that the structuring of information was pointed out as a potentiality of occupational therapeutic records, however, there was perceptive variability about the level of clarity of information, a factor associated with professional training and the substantiation of information from the occupational perspective. |
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Campos, Mirella Andreza deBombarda, Tatiana Barbierihttp://lattes.cnpq.br/8070700589653226http://lattes.cnpq.br/29010314105655242022-09-27T18:48:06Z2022-09-27T18:48:06Z2022-09CAMPOS, Mirella Andreza de. Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar. 2022. Trabalho de Conclusão de Curso (Graduação em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/16690.https://repositorio.ufscar.br/handle/ufscar/16690Among the procedures carried out by the occupational therapist in the hospital is the medical record. The record in the medical record aims to facilitate communication among professionals, support decision making, promote the quality of comprehensive care, guide the establishment of the patient's needs and potential as a single subject and integrate the various knowledge. Aiming at understanding the use of medical records by the hospital team and the access to the records produced by occupational therapists, this exploratory study, with a qualitative approach, interviewed professionals from the multidisciplinary team working in a medical clinic ward, using the snowball method for participant selection. The interviews were conducted through the Google Meet platform, and the information was transcribed and analyzed by thematic content. The information about the purpose of this use was organized into three categories: documentation of care practice, consultation of data about the patient and about his care plan and communication/exchange of information between team members. It was evaluated that the records produced by occupational therapists help other professionals in care planning, and the consultation of these records is based on two categories: verification of interventional information for alignment of the care plan, understanding of the impacts of illness and adaptive responses. The content of such categories show the search for information beyond functional and rehabilitation aspects, as well as the impacts experienced by the patient with the process of illness and hospitalization, a factor that highlights an expanded and contemporary look about the scope of occupational therapy. It was concluded that the structuring of information was pointed out as a potentiality of occupational therapeutic records, however, there was perceptive variability about the level of clarity of information, a factor associated with professional training and the substantiation of information from the occupational perspective.Entre os procedimentos realizados pelo terapeuta ocupacional no hospital está o registro em prontuário. O registro em prontuário possui o objetivo de facilitar a comunicação entre os profissionais, embasar tomadas de decisões, favorecer a qualidade do atendimento integral, nortear o estabelecimento das necessidades e potencialidades do paciente como sujeito único e integrar os diversos saberes. Com o objetivo de compreender o uso do prontuário pela equipe hospitalar e o acesso aos registros produzidos pelos terapeutas ocupacionais, este estudo de delineamento exploratório, com abordagem qualitativa, entrevistou profissionais da equipe multiprofissional atuantes em enfermaria de clínica médica, utilizando para seleção dos participantes, o método snowball. As entrevistas foram realizadas pela plataforma google meet, sendo as informações transcritas e analisadas por conteúdo temático. As profissionais participantes afirmaram utilizar o prontuário na rotina hospitalar, sendo as informações sobre finalidade deste uso organizadas em três categorias: documentação da prática assistencial, consulta de dados sobre o paciente e acerca de seu plano de cuidado e comunicação/trocas de informações entre membros da equipe. Foi avaliado que os registros produzidos pelos terapeutas ocupacionais auxiliam as demais profissionais no planejamento do cuidado, sendo a consulta a esses registros pautado em duas categorias denominadas: verificação de informações interventivas para alinhamento do plano de cuidado, compreensão dos impactos do adoecimento e respostas adaptativas. O conteúdo de tais categorias evidenciam a busca de informações para além de aspectos funcionais e de reabilitação, como também dos impactos vivenciados pelo paciente com o processo de adoecimento e da internação, fator que evidencia um olhar ampliado e contemporâneo acerca do escopo da atuação terapêutico ocupacional. Concluiu-se que a estruturação das informações foi apontada como potencialidade dos registros terapêuticos ocupacionais, contudo, houve variabilidade perceptiva sobre o nível de clareza das informações, fator associado a capacitação profissional e a fundamentação das informações a partir da perspectiva ocupacionalConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)porUniversidade Federal de São CarlosCâmpus São CarlosTerapia Ocupacional - TOUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessProntuáriosRegistrosHospitaisTerapia ocupacionalMedical recordsRegistershospitalsOccupational therapyCIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONALTerapia ocupacional, registro em prontuário e as percepções da equipe hospitalarOccupational therapy, medical records and team perceptionsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisreponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALTCC Mirella Andreza de Campos.pdfTCC Mirella Andreza de Campos.pdfTCC Mirella Andreza de Camposapplication/pdf837190https://repositorio.ufscar.br/bitstream/ufscar/16690/1/TCC%20Mirella%20Andreza%20de%20Campos.pdf81384c1c3af8c4b6788c8de35eb98092MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/16690/2/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD52TEXTTCC Mirella Andreza de Campos.pdf.txtTCC Mirella Andreza de Campos.pdf.txtExtracted texttext/plain91501https://repositorio.ufscar.br/bitstream/ufscar/16690/3/TCC%20Mirella%20Andreza%20de%20Campos.pdf.txt7d59cae76d2fca4f0b88c7ee80b0ad6bMD53THUMBNAILTCC Mirella Andreza de Campos.pdf.jpgTCC Mirella Andreza de Campos.pdf.jpgIM Thumbnailimage/jpeg5390https://repositorio.ufscar.br/bitstream/ufscar/16690/4/TCC%20Mirella%20Andreza%20de%20Campos.pdf.jpgd153b50733379b49a81f2be61df9dbd9MD54ufscar/166902022-09-28 03:46:10.99oai:repositorio.ufscar.br:ufscar/16690Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222022-09-28T03:46:10Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
dc.title.alternative.eng.fl_str_mv |
Occupational therapy, medical records and team perceptions |
title |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
spellingShingle |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar Campos, Mirella Andreza de Prontuários Registros Hospitais Terapia ocupacional Medical records Registers hospitals Occupational therapy CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
title_short |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
title_full |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
title_fullStr |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
title_full_unstemmed |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
title_sort |
Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar |
author |
Campos, Mirella Andreza de |
author_facet |
Campos, Mirella Andreza de |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/2901031410565524 |
dc.contributor.author.fl_str_mv |
Campos, Mirella Andreza de |
dc.contributor.advisor1.fl_str_mv |
Bombarda, Tatiana Barbieri |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/8070700589653226 |
contributor_str_mv |
Bombarda, Tatiana Barbieri |
dc.subject.por.fl_str_mv |
Prontuários Registros Hospitais Terapia ocupacional |
topic |
Prontuários Registros Hospitais Terapia ocupacional Medical records Registers hospitals Occupational therapy CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
dc.subject.eng.fl_str_mv |
Medical records Registers hospitals Occupational therapy |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL |
description |
Among the procedures carried out by the occupational therapist in the hospital is the medical record. The record in the medical record aims to facilitate communication among professionals, support decision making, promote the quality of comprehensive care, guide the establishment of the patient's needs and potential as a single subject and integrate the various knowledge. Aiming at understanding the use of medical records by the hospital team and the access to the records produced by occupational therapists, this exploratory study, with a qualitative approach, interviewed professionals from the multidisciplinary team working in a medical clinic ward, using the snowball method for participant selection. The interviews were conducted through the Google Meet platform, and the information was transcribed and analyzed by thematic content. The information about the purpose of this use was organized into three categories: documentation of care practice, consultation of data about the patient and about his care plan and communication/exchange of information between team members. It was evaluated that the records produced by occupational therapists help other professionals in care planning, and the consultation of these records is based on two categories: verification of interventional information for alignment of the care plan, understanding of the impacts of illness and adaptive responses. The content of such categories show the search for information beyond functional and rehabilitation aspects, as well as the impacts experienced by the patient with the process of illness and hospitalization, a factor that highlights an expanded and contemporary look about the scope of occupational therapy. It was concluded that the structuring of information was pointed out as a potentiality of occupational therapeutic records, however, there was perceptive variability about the level of clarity of information, a factor associated with professional training and the substantiation of information from the occupational perspective. |
publishDate |
2022 |
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2022-09-27T18:48:06Z |
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2022-09-27T18:48:06Z |
dc.date.issued.fl_str_mv |
2022-09 |
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info:eu-repo/semantics/bachelorThesis |
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bachelorThesis |
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CAMPOS, Mirella Andreza de. Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar. 2022. Trabalho de Conclusão de Curso (Graduação em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/16690. |
dc.identifier.uri.fl_str_mv |
https://repositorio.ufscar.br/handle/ufscar/16690 |
identifier_str_mv |
CAMPOS, Mirella Andreza de. Terapia ocupacional, registro em prontuário e as percepções da equipe hospitalar. 2022. Trabalho de Conclusão de Curso (Graduação em Terapia Ocupacional) – Universidade Federal de São Carlos, São Carlos, 2022. Disponível em: https://repositorio.ufscar.br/handle/ufscar/16690. |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
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openAccess |
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Universidade Federal de São Carlos Câmpus São Carlos Terapia Ocupacional - TO |
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UFSCar |
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Universidade Federal de São Carlos Câmpus São Carlos Terapia Ocupacional - TO |
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