Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UERJ |
Texto Completo: | http://www.bdtd.uerj.br/handle/1/20585 |
Resumo: | The interest of this dissertation arose to evaluate Pediatric Intensive Care Units (PICU) in terms of service structure. The study survey was collected from 07/01/2020 to 10/31/2020 through a self-completed questionnaire by the 29 technical responsible physicians and 1084 health professionals working in the unit. The primary objective was to describe and evaluate the suitability of structural aspects of 29 Pediatric Intensive Care Units from seven states in Brazil to the normative regulation that was already in course in Brazil before the pandemic, and to the norms and demands imposed during the pandemic. It is proposed to analyze structure indicators (human resources, protocols, physical structure, guidelines and routines in the pandemic, continuing education and training, and material resources). In the analysis of indicators for verification of adequacy to the regulatory norms, it was evaluated that in the dimension of human resources and protocols, at least one third of the units did not fulfill requirements foressen in the norm. In human resources, the lowest proportions observed were for the category of nursing technicians, diarist doctors and physiotherapists (65.5%, 69.1%, 82.7%). For protocols and routines, there are 55.2% of units that have sepsis sedation and pain protocols installed and current. Despite this lag, already existing, when the suitability for the pandemic’s regulations and demands was analyzed, it was found that the response of the units in the different structural dimensions analyzed was generally better or similar to that observed in studies carried out at that period in Latin America. There were 1084 health professionals interviewed and 60% had personal protective Equipment (PPE) available for assistance in aerosol- generating procedures. Units with private funding had higher proportions of adequacy in human resources for some professional categories during the pandemic such as intensive care physicians (44.8% x 17.2%; p<0.01), and material resources, such as assistance in aerosol-generating procedures (31.3% x 28.8%; p=0.02). The professional category that had the most inadequacy to the regulations for the availability for of PPE (personal protective equipment) was that of nursing technicians (14.4% x 11.3%; p<0.01). What was observed, therefore, was that in the aspects evaluated, the pre-pandemic situation was reasonable, but already with room for improvement, and during the health crisis there was a response comparable to results found in other studies in the region. However, if there had been more efficient management with adequate allocation of resources, it is likely that the reaction would have been better. |
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Reichenheim, Michael Eduardohttp://lattes.cnpq.br/5771380219935512Setta, Fernanda Limahttp://lattes.cnpq.br/8392387095123178Braga, José Uelereshttp://lattes.cnpq.br/6027675934625064Kiss, Catalinahttp://lattes.cnpq.br/6138846879242332http://lattes.cnpq.br/9565646968928144Vianna, Clarice Monteiroclarice.vianna@hotmail.com2023-11-07T18:24:16Z2025-10-052023-08-29VIANNA, Clarice Monteiro. Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades. 2023. 74 f. Dissertação (Mestrado em Saúde Coletiva) - Instituto de Medicina Social Hesio Cordeiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2023.http://www.bdtd.uerj.br/handle/1/20585The interest of this dissertation arose to evaluate Pediatric Intensive Care Units (PICU) in terms of service structure. The study survey was collected from 07/01/2020 to 10/31/2020 through a self-completed questionnaire by the 29 technical responsible physicians and 1084 health professionals working in the unit. The primary objective was to describe and evaluate the suitability of structural aspects of 29 Pediatric Intensive Care Units from seven states in Brazil to the normative regulation that was already in course in Brazil before the pandemic, and to the norms and demands imposed during the pandemic. It is proposed to analyze structure indicators (human resources, protocols, physical structure, guidelines and routines in the pandemic, continuing education and training, and material resources). In the analysis of indicators for verification of adequacy to the regulatory norms, it was evaluated that in the dimension of human resources and protocols, at least one third of the units did not fulfill requirements foressen in the norm. In human resources, the lowest proportions observed were for the category of nursing technicians, diarist doctors and physiotherapists (65.5%, 69.1%, 82.7%). For protocols and routines, there are 55.2% of units that have sepsis sedation and pain protocols installed and current. Despite this lag, already existing, when the suitability for the pandemic’s regulations and demands was analyzed, it was found that the response of the units in the different structural dimensions analyzed was generally better or similar to that observed in studies carried out at that period in Latin America. There were 1084 health professionals interviewed and 60% had personal protective Equipment (PPE) available for assistance in aerosol- generating procedures. Units with private funding had higher proportions of adequacy in human resources for some professional categories during the pandemic such as intensive care physicians (44.8% x 17.2%; p<0.01), and material resources, such as assistance in aerosol-generating procedures (31.3% x 28.8%; p=0.02). The professional category that had the most inadequacy to the regulations for the availability for of PPE (personal protective equipment) was that of nursing technicians (14.4% x 11.3%; p<0.01). What was observed, therefore, was that in the aspects evaluated, the pre-pandemic situation was reasonable, but already with room for improvement, and during the health crisis there was a response comparable to results found in other studies in the region. However, if there had been more efficient management with adequate allocation of resources, it is likely that the reaction would have been better.O interesse da presente Dissertação surgiu com o intuito de avaliar as Unidades de Terapia Intensiva Pediátricas no aspecto de estrutura do serviço. O inquérito do estudo foi colhido de 01/07/2020 a 31/10/2020 através de um questionário autopreenchido pelos 29 médicos responsáveis técnicos e pelos 1084 profissionais de saúde atuantes nas unidades. O objetivo primário da Dissertação foi avaliar a adequabilidade de aspectos estruturais de 29 Unidades de Terapia Intensiva Pediátricas de sete estados no Brasil à regulamentação normativa que já estava vigente no país antes da pandemia, e às normativas e demandas impostas durante a pandemia. Foram analisados seletos indicadores de estrutura (recursos humanos, protocolos, estrutura física, orientações e rotinas na pandemia, educação continuada e treinamento, e recursos materiais). Na análise de indicadores para verificação de adequação à normativa regulamentadora, avaliou-se que na dimensão de recursos humanos e protocolos ao menos um terço das unidades não cumpriam requisitos previstos em norma. Em recursos humanos, as menores proporções observadas foram para a categoria de técnicos de enfermagem, médicos diaristas e fisioterapeutas (65.5%, 69.1%, 82.7%). Para protocolos clínicos, há 55.2% de unidades que têm protocolos de sepse, sedação e dor instalados e vigentes. Apesar de já haver essa defasagem em questões estruturais, quando se analisou a adequação para as normativas e demandas da pandemia, verificou-se que a resposta das unidades nas diferentes dimensões de estrutura analisadas foi em geral melhor ou semelhante ao observado em estudos feitos na mesma época na América Latina. Foram entrevistados 1084 profissionais de saúde e 60% tiveram disponibilidade de Equipamentos de Proteção Individual (EPI) para assistência em procedimentos geradores de aerossol. As unidades com financiamento privado obtiveram maiores proporções de adequação em recursos humanos para algumas categorias profissionais durante a pandemia como para médicos intensivistas (44.8% x 17.2%; p<0.01). Também houve diferença significativa em recursos materiais, como para assistência em procedimentos geradores de aerossol (31.3% x 28.8%; p=0.02). A categoria profissional que teve mais inadequação à normativa para disponibilidade de EPI foi a de técnicos de enfermagem (14.4% x 11.3%; p<0.01). O que se observou, portanto, foi que nos aspectos avaliados a situação pré-pandemia era razoável, mas já com espaços para melhorias, e durante a crise sanitária houve uma resposta comparável a resultados encontrados em outros estudos na região. Porém, se tivesse havido uma gestão mais eficiente com deslocamento adequado de recursos, é provável que a reação tivesse sido melhor. .Submitted by Julia CB/C (julia.barbosa@uerj.br) on 2023-11-07T18:24:16Z No. of bitstreams: 1 Dissertação - Clarice Monteiro Vianna - 2023 - Completa.pdf: 669555 bytes, checksum: 9b7085205eb3208f6e6313491ae85321 (MD5)Made available in DSpace on 2023-11-07T18:24:16Z (GMT). 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dc.title.por.fl_str_mv |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
dc.title.alternative.eng.fl_str_mv |
A cross-sectional Portrait of Pediatric ICUs during the COVI-19 pandemic: an assessment of the structure of the units |
title |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
spellingShingle |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades Vianna, Clarice Monteiro PICU Structure UTIP Estrutura COVID-19 Pediatria Unidades de Terapia Intensiva Pediátrica - provisão distribuição e administração Unidades de Terapia Intensiva Pediátrica - organização e administração Pessoal de saúde CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
title_full |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
title_fullStr |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
title_full_unstemmed |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
title_sort |
Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades |
author |
Vianna, Clarice Monteiro |
author_facet |
Vianna, Clarice Monteiro clarice.vianna@hotmail.com |
author_role |
author |
author2 |
clarice.vianna@hotmail.com |
author2_role |
author |
dc.contributor.advisor1.fl_str_mv |
Reichenheim, Michael Eduardo |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/5771380219935512 |
dc.contributor.advisor-co1.fl_str_mv |
Setta, Fernanda Lima |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/8392387095123178 |
dc.contributor.referee1.fl_str_mv |
Braga, José Ueleres |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/6027675934625064 |
dc.contributor.referee2.fl_str_mv |
Kiss, Catalina |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/6138846879242332 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/9565646968928144 |
dc.contributor.author.fl_str_mv |
Vianna, Clarice Monteiro clarice.vianna@hotmail.com |
contributor_str_mv |
Reichenheim, Michael Eduardo Setta, Fernanda Lima Braga, José Ueleres Kiss, Catalina |
dc.subject.eng.fl_str_mv |
PICU Structure |
topic |
PICU Structure UTIP Estrutura COVID-19 Pediatria Unidades de Terapia Intensiva Pediátrica - provisão distribuição e administração Unidades de Terapia Intensiva Pediátrica - organização e administração Pessoal de saúde CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.por.fl_str_mv |
UTIP Estrutura COVID-19 Pediatria Unidades de Terapia Intensiva Pediátrica - provisão distribuição e administração Unidades de Terapia Intensiva Pediátrica - organização e administração Pessoal de saúde |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
The interest of this dissertation arose to evaluate Pediatric Intensive Care Units (PICU) in terms of service structure. The study survey was collected from 07/01/2020 to 10/31/2020 through a self-completed questionnaire by the 29 technical responsible physicians and 1084 health professionals working in the unit. The primary objective was to describe and evaluate the suitability of structural aspects of 29 Pediatric Intensive Care Units from seven states in Brazil to the normative regulation that was already in course in Brazil before the pandemic, and to the norms and demands imposed during the pandemic. It is proposed to analyze structure indicators (human resources, protocols, physical structure, guidelines and routines in the pandemic, continuing education and training, and material resources). In the analysis of indicators for verification of adequacy to the regulatory norms, it was evaluated that in the dimension of human resources and protocols, at least one third of the units did not fulfill requirements foressen in the norm. In human resources, the lowest proportions observed were for the category of nursing technicians, diarist doctors and physiotherapists (65.5%, 69.1%, 82.7%). For protocols and routines, there are 55.2% of units that have sepsis sedation and pain protocols installed and current. Despite this lag, already existing, when the suitability for the pandemic’s regulations and demands was analyzed, it was found that the response of the units in the different structural dimensions analyzed was generally better or similar to that observed in studies carried out at that period in Latin America. There were 1084 health professionals interviewed and 60% had personal protective Equipment (PPE) available for assistance in aerosol- generating procedures. Units with private funding had higher proportions of adequacy in human resources for some professional categories during the pandemic such as intensive care physicians (44.8% x 17.2%; p<0.01), and material resources, such as assistance in aerosol-generating procedures (31.3% x 28.8%; p=0.02). The professional category that had the most inadequacy to the regulations for the availability for of PPE (personal protective equipment) was that of nursing technicians (14.4% x 11.3%; p<0.01). What was observed, therefore, was that in the aspects evaluated, the pre-pandemic situation was reasonable, but already with room for improvement, and during the health crisis there was a response comparable to results found in other studies in the region. However, if there had been more efficient management with adequate allocation of resources, it is likely that the reaction would have been better. |
publishDate |
2023 |
dc.date.accessioned.fl_str_mv |
2023-11-07T18:24:16Z |
dc.date.issued.fl_str_mv |
2023-08-29 |
dc.date.available.fl_str_mv |
2025-10-05 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
VIANNA, Clarice Monteiro. Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades. 2023. 74 f. Dissertação (Mestrado em Saúde Coletiva) - Instituto de Medicina Social Hesio Cordeiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2023. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/20585 |
identifier_str_mv |
VIANNA, Clarice Monteiro. Um retrato de UTI Pediátricas em um recorte transversal durante a pandemia de COVID-19: uma avaliação de estrutura das unidades. 2023. 74 f. Dissertação (Mestrado em Saúde Coletiva) - Instituto de Medicina Social Hesio Cordeiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2023. |
url |
http://www.bdtd.uerj.br/handle/1/20585 |
dc.language.iso.fl_str_mv |
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por |
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dc.publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
dc.publisher.program.fl_str_mv |
Programa de Pós-Graduação em Saúde Coletiva |
dc.publisher.initials.fl_str_mv |
UERJ |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Centro Biomédico::Instituto de Medicina Social Hesio Cordeiro |
publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
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Biblioteca Digital de Teses e Dissertações da UERJ |
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