Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | eng spa |
| Título da fonte: | Cadernos de Saúde Pública |
| Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570 |
Resumo: | The article presents a review of ethnographic studies in the scientific literature on hospital emergency services, with the objective of systematizing the studies and their principal findings, referring to the health-disease-healthcare process in hospital emergency services from an ethnographic perspective. An integrative literature review was performed of studies published in Argentine and international indexed journals and in the following electronic databases: PubMed, VHL, Scopus, Redalyc, and SciELO. The corpus of the analysis consisted of a total of 69 articles, which were submitted to content analysis, having identified the following analytical dimensions: quality of care, communication and bonds, subjectivity, application of information technologies, methodological reflection, patients’ experiences and practices, decision-making, and violence. The results allowed identifying a process that differs from guidelines and protocols, in which healthcare workers’ subjective aspects, communication and interpersonal relations, and working conditions shape, orient, and condition the treatment and care provided in the hospital. The article thus highlights the approach to subjective aspects in health studies, to understand not only health workers’ perspectives and experiences but also the persistent barriers to providing better quality of care, complexifying a problem ignored by a large share of the analyses. |
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Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency servicesLa urgencia bajo la lupa: una revisión de la producción científica sobre servicios de emergencia en hospitales desde la etnografíaEmergency Medical ServicesEthnographyQualitative ResearchServicios Médicos de UrgenciaEtnografíaInvestigación CualitativaThe article presents a review of ethnographic studies in the scientific literature on hospital emergency services, with the objective of systematizing the studies and their principal findings, referring to the health-disease-healthcare process in hospital emergency services from an ethnographic perspective. An integrative literature review was performed of studies published in Argentine and international indexed journals and in the following electronic databases: PubMed, VHL, Scopus, Redalyc, and SciELO. The corpus of the analysis consisted of a total of 69 articles, which were submitted to content analysis, having identified the following analytical dimensions: quality of care, communication and bonds, subjectivity, application of information technologies, methodological reflection, patients’ experiences and practices, decision-making, and violence. The results allowed identifying a process that differs from guidelines and protocols, in which healthcare workers’ subjective aspects, communication and interpersonal relations, and working conditions shape, orient, and condition the treatment and care provided in the hospital. The article thus highlights the approach to subjective aspects in health studies, to understand not only health workers’ perspectives and experiences but also the persistent barriers to providing better quality of care, complexifying a problem ignored by a large share of the analyses.En este trabajo se presenta una revisión de la literatura científica de estudios etnográficos sobre los servicios de emergencias en hospitales, con el objetivo de sistematizar las investigaciones y los principales hallazgos de los trabajos, que se refieren al proceso de salud-enfermedad-atención-cuidado en servicios de emergencia o guardia hospitalaria, desde una perspectiva etnográfica. En este sentido, se realizó una revisión bibliográfica integradora de textos publicados en revistas indexadas nacionales e internacionales y en las siguientes bases electrónicas: PubMed, BVS, Scopus, Redalyc y SciELO. El corpus de análisis quedó conformado por un total de 69 artículos, a los cuales se aplicó análisis de contenido, habiendo identificado las siguientes dimensiones de análisis: calidad de atención, comunicación y vínculos, subjetividad, aplicación de tecnologías informáticas, reflexión metodológica, experiencias y prácticas de los usuarios, toma de decisiones y violencias. Los resultados permitieron identificar un proceso que se aleja de lo normativo y protocolizado, donde aspectos subjetivos del trabajador, la comunicación y las relacionales interpersonales, así como las condiciones de trabajo, modelan, orientan y condicionan la atención y cuidado que se provee en el espacio del hospital. De este modo, se destaca el abordaje de los aspectos subjetivos en las investigaciones en salud, no sólo para comprender las perspectivas y experiencias de los trabajadores, sino para entender los obstáculos que persisten en el momento de proveer una mejor calidad de atención, complejizando un problema ignorado en la mayor parte de los análisis.Este trabalho apresenta uma revisão da literatura científica de estudos etnográficos sobre os serviços de emergência hospitalares, com o intuito de sistematizar as pesquisas e os seus principais achados, que tratam ao processo de saúde-doença-atenção-cuidado nos serviços de emergência ou de plantão hospitalar, desde uma perspectiva etnográfica. Neste sentido, foi realizada uma revisão bibliográfica integradora de textos publicados em revistas indexadas nacionais e internacionais e nas seguintes bases de dados: PubMed, BVS, Scopus, Redalyc e SciELO. O corpus analítico foi composto por um total de 69 artigos, aos que foi aplicada uma análise de conteúdo, após a identificação das seguintes dimensões de análise: qualidade da atenção, comunicação e vínculos, subjetividade, uso de tecnologias informáticas, reflexão metodológica, experiências e práticas dos usuários, tomada de decisões e violências. Os resultados permitiram identificar um processo que se afasta das normas e dos protocolos, onde aspectos subjetivos do trabalhador, a comunicação e as relações interpessoais, bem como as condições de trabalho, moldam, orientam e condicionam a atenção e os cuidados proporcionados no ambiente hospitalar. Assim, destaca-se a abordagem dos aspectos subjetivos nas pesquisas em saúde, não apenas para entender as perspectivas e experiências dos trabalhadores, como também para entender os obstáculos que persistem na hora oferecer uma atenção de melhor qualidade, problematizando um problema ignorado na maior parte das análises.Reports in Public HealthCadernos de Saúde Pública2021-01-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570Reports in Public Health; Vol. 37 No. 1 (2021): JanuaryCadernos de Saúde Pública; v. 37 n. 1 (2021): Janeiro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16840https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16841https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16842https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16843Anahi SyBrenda MogliaGisele AragundePaula Derossiinfo:eu-repo/semantics/openAccess2024-03-06T15:30:01Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7570Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:42.857083Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
| dc.title.none.fl_str_mv |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services La urgencia bajo la lupa: una revisión de la producción científica sobre servicios de emergencia en hospitales desde la etnografía |
| title |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services |
| spellingShingle |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services Anahi Sy Emergency Medical Services Ethnography Qualitative Research Servicios Médicos de Urgencia Etnografía Investigación Cualitativa |
| title_short |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services |
| title_full |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services |
| title_fullStr |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services |
| title_full_unstemmed |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services |
| title_sort |
Emergency care under the magnifying glass: a review of ethnographic studies in the scientific literature on hospital emergency services |
| author |
Anahi Sy |
| author_facet |
Anahi Sy Brenda Moglia Gisele Aragunde Paula Derossi |
| author_role |
author |
| author2 |
Brenda Moglia Gisele Aragunde Paula Derossi |
| author2_role |
author author author |
| dc.contributor.author.fl_str_mv |
Anahi Sy Brenda Moglia Gisele Aragunde Paula Derossi |
| dc.subject.por.fl_str_mv |
Emergency Medical Services Ethnography Qualitative Research Servicios Médicos de Urgencia Etnografía Investigación Cualitativa |
| topic |
Emergency Medical Services Ethnography Qualitative Research Servicios Médicos de Urgencia Etnografía Investigación Cualitativa |
| description |
The article presents a review of ethnographic studies in the scientific literature on hospital emergency services, with the objective of systematizing the studies and their principal findings, referring to the health-disease-healthcare process in hospital emergency services from an ethnographic perspective. An integrative literature review was performed of studies published in Argentine and international indexed journals and in the following electronic databases: PubMed, VHL, Scopus, Redalyc, and SciELO. The corpus of the analysis consisted of a total of 69 articles, which were submitted to content analysis, having identified the following analytical dimensions: quality of care, communication and bonds, subjectivity, application of information technologies, methodological reflection, patients’ experiences and practices, decision-making, and violence. The results allowed identifying a process that differs from guidelines and protocols, in which healthcare workers’ subjective aspects, communication and interpersonal relations, and working conditions shape, orient, and condition the treatment and care provided in the hospital. The article thus highlights the approach to subjective aspects in health studies, to understand not only health workers’ perspectives and experiences but also the persistent barriers to providing better quality of care, complexifying a problem ignored by a large share of the analyses. |
| publishDate |
2021 |
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2021-01-22 |
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info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570 |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570 |
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eng spa |
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eng spa |
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16840 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16841 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16842 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7570/16843 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html text/html application/pdf application/pdf |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health Cadernos de Saúde Pública |
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Reports in Public Health; Vol. 37 No. 1 (2021): January Cadernos de Saúde Pública; v. 37 n. 1 (2021): Janeiro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
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Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
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