Qualidade do atendimento inicial à criança intoxicada : satisfação das famílias

• Autor(a) principal: Tavares, Erika Okuda
• Data de Publicação: 2011
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Estadual de Maringá (RI-UEM)
• Texto Completo: http://repositorio.uem.br:8080/jspui/handle/1/2447
• topic: Avaliação em saúde; Atendimento hospitalar; Intoxicação infantil; Crianças intoxicadas; Experiências de familiares; Acidentes na infância; Avaliação em saúde; Satisfação do usuário; Estrutura dos serviços; Brasil.; Evaluation in health; The user's satisfaction; Structure of the services; Poisoning; Brazil.; Ciências da Saúde; Enfermagem

The objective of the present study was to evaluate the quality of the initial assistance given to poisoned children in an emergency care unit, regarding the satisfaction of their families. This is a normative evaluating research that had as unit-case, the Emergency Care Unit of the Regional University Hospital of Maringá (PS/HUM), using data from the Poison Control Center (CCI/HUM). The interviews were carried out with 19 individuals responsible for children poisoned by several toxic agents, assisted in the studied unit, in the period of March to August 2010. The subjects were considered potential appraisers of the minimum pattern of the initial assistance rendered to a poisoned child. For the evaluation of the quality a logical model of evaluation was built, establishing minimum patterns for the structure and for the assistance process. The instrument for collection of data was an interview route, with 133 questions structured in Likert scale. The quality of the structure for the assistance was evaluated in the aspect of waiting time for the assistance and the comfort on the environment. The assistance process was subdivided in ethical-relational and technique dimensions. In the dimension ethical-relational aspects of privacy, right to the information, and dignity and the professionals' courtesy were appraised. In the technical dimension the accomplishment of the clinical-epidemic anamneses and laboratorial were verified; the accomplishment of support measures to the life; implementation of measures of specific intervention for the treatment of the intoxication; and the accomplishment of procedures of precaution pattern during the care for the child. A descriptive analysis was performed with the collected data. The project was approved by the Permanent Committee of Ethics in Research Involving Human Beings (COPEP) of the State University of Maringá (UEM), resolution no. 099/2010. The poisoned children assisted at PS/HUM in the studied period, were between 8 and 14 years of age, without variation regarding sex, and medicines were the main agents that caused most accidental poisoning. The potential appraisers' profile of the initial care to the poisoned child pointed to a majority of mothers, average 34.9 years of age, with basic schooling background, income up to 2.9 minimum wages, and without any health plan. In general, the interviewees were shown satisfied with the appraised aspects in the structure and in the dimensions of ethical-relationship and techniques on the assistance process to the poisoned child, however it presented limitations on the evaluation of the quality of the assistance regarding the technical dimension of the assistance process on the part of the users, with little education and coming from low income background. However, by expressing their satisfaction/dissatisfaction, they turned possible the identification of some points that impede an assistance of better quality, suggesting adoption of measures in order to reduce the waiting time for assistance in the Medical Clinic, to provide better air ventilation and better lightening in the room the illumination, and more privacy in the Medication Room, and increase the advertisement of the Ombudsman service of the institution.