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2023-05-03T19:19:08Z2023-05-03T19:19:08Z2019-06666673https://doi.org/10.22161/ijaers.6.6.72349-6495http://hdl.handle.net/1843/52766https://orcid.org/0000-0003-0515-380Xhttps://orcid.org/0000-0002-9942-6903https://orcid.org/0000-0002-7901-4098https://orcid.org/0000-0003-4306-1463https://orcid.org/0000-0003-0495-789XEste estudo objetivou analisar as narrativas de profissionais de saúde atuantes em uma Unidade de Pronto Atendimento que lidam com a tomada de decisão em situações de recursos escassos. Realizou-se uma pesquisa exploratória, de natureza qualitativa, através da técnica de entrevista narrativa com 25 profissionais. Do estudo emergiram três categorias: Tomada de decisão frente a escassez de recursos; Conflitos éticos; Preparo acadêmico para o enfrentamento e o arcabouço sentimental. A priorização de pacientes é uma realidade neste serviço de saúde. Os problemas prevalentes são a escassez de materiais e medicamentos e a falta de recursos humanos. Prevaleceu o discurso da falta de preparo ético da academia para com a tomada de decisão. A maioria dos entrevistados acredita que teve pouco preparo para enfrentar a realidade do serviço. Alguns entrevistados demonstraram sentimentos de pesar, impotência, insegurança, desejo de abandono do serviço, angústia e conflitos pessoais em face do desgaste causado pela situação. É necessário investir em constantes diálogos, educação em saúde e estratégias de sensibilização de forma a contribuir para ações consensuais que melhor subsidiem a tomada de decisão em situação de recursos escassos e que favoreçam o cuidar em saúde equânime de forma a maximizar benefícios e reorientar processos de trabalho.This study aimed to analyze the narratives of health professionals working in a Emergency Care Unit that deal with decision making in situations of scarce resources. An exploratory research, of a qualitative nature, was carried out through a narrative interview technique with 25 professionals. Three categories emerged from the study: Decision making in the face of scarce resources; Ethical conflicts; Academic preparation for confrontation and the sentimental framework. Prioritization of patients is a reality in this health service. The prevalent problems are the scarcity of materials and medicines and the lack of human resources. The discourse preached the lack of ethical preparation of the academy for decision making. Most of the interviewees believe that they had little preparation to face the reality of the service. Some interviewees showed feelings of regret, impotence, insecurity, desire to abandon service, anguish and personal conflicts in the face of the wear and tear caused by the situation. It is necessary to invest in constant dialogues, health education and awareness-raising strategies in order to contribute to consensual actions that best subsidize dec ision-making in situations of scarce resources and that favor equitable health care in order to maximize benefits and reorient processes job.CNPq - Conselho Nacional de Desenvolvimento Científico e TecnológicoporUniversidade Federal de Minas GeraisUFMGBrasilENFERMAGEM - ESCOLA DE ENFERMAGEMMEDICINA - FACULDADE DE MEDICINAInternational Journal of Advanced Engineering Research and ScienceHospitaisPessoal de saúdeAdministração de conflitos - Aspectos morais e éticosUnidade de Pronto AtendimentoProfissionais da saúdeConflitos éticosNarrativas de profissionais de saúde relativas a recursos escassos em um serviço de urgênciaNarratives of health professionals relating to scarce resources in an urgency serviceinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://ijaers.com/detail/narratives-of-health-professionals-relating-to-scarce-resources-in-an-urgency-service/Rafael Mendonça RibeiroFátima Ferreira RoqueteChirley Madureira RodriguesPaula Torido LopesMarina Lanari FernandesShirlei Moreira da Costa FariaSara Moura MartinsKarla Rona da Silvaapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/52766/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINALnarrativesofhealthprofessonals.pdfnarrativesofhealthprofessonals.pdfapplication/pdf253276https://repositorio.ufmg.br/bitstream/1843/52766/2/narrativesofhealthprofessonals.pdfa9fa037d4cb60eef25b5fcd20dd51bd1MD521843/527662023-05-03 16:19:08.158oai:repositorio.ufmg.br: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Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-05-03T19:19:08Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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