ABSTRACT
OBJETIVO: Descrever estratégias desenvolvidas para o enfrentamento da pandemia de COVID-19 em hospitais universitários. MÉTODO: Pesquisa descritiva, com abordagem quanti-qualitativa, desenvolvida a partir de um survey online com 104 enfermeiros de três hospitais universitários brasileiros. O processamento dos dados foi realizado por meio de análise textual com auxílio do software IRAMUTEQ®. RESULTADOS: Foram obtidas seis classes semânticas que representam as principais estratégias desenvolvidas para o enfrentamento da pandemia de COVID-19 no ambiente hospitalar: 1) Fornecimento de Equipamentos de Proteção Individual (17,2%); 2) Capacitações da equipe para o cuidado (18,8%); 3) Treinamento da equipe de apoio (15,6%); 4) Aquisição de equipamentos com boa qualidade (14,1%); 5) Definição de fluxos institucionais (20,5%) e 6) Promoção de apoio psicológico (14,1%). CONCLUSÃO: As estratégias elencadas pelos enfermeiros têm contribuído para a qualidade da assistência prestada aos pacientes, bem como a manutenção da saúde do trabalhador.
OBJECTIVE: To describe strategies developed to cope with the COVID-19 pandemic in university hospitals. METHOD: A descriptive research study with a quantitative and qualitative approach, developed from an online survey with 104 nurses from three Brazilian university hospitals. Data processing was performed through textual analysis with the aid of the IRAMUTEQ® software. RESULTS: Six semantic classes were obtained that represent the main strategies developed to cope with the COVID-19 pandemic in the hospital environment: 1) Provision of Personal Protective Equipment (17.2%); 2) Training of the team for the care to be provided (18.8%); 3) Training of the support team (15.6%); 4) Acquisition of good quality equipment (14.1%); 5) Definition of institutional flows (20.5%); and 6) Promotion of psychological support (14.1%). CONCLUSION: The strategies listed by the nurses have contributed to the quality of the care provided to the patients, as well as to preserving the workers' health.
OBJETIVO: Describir las estrategias que se desarrollaron en los hospitales universitarios para enfrentar la pandemia de COVID-19. MÉTODO: Investigación descriptiva, con enfoque cuantitativo y cualitativo, desarrollada a partir de survey online con 104 enfermeros de tres hospitales universitarios brasileños. El procesamiento de datos se realizó mediante análisis textual con la ayuda del software IRAMUTEQ®. RESULTADOS: Se obtuvieron seis clases semánticas que representan las principales estrategias desarrolladas para enfrentar la pandemia de COVID-19 en el ámbito hospitalario: 1) Suministro de Equipos de Protección Personal (17,2%); 2) Capacitación del equipo para la atención (18,8%); 3) Entrenamiento del equipo de apoyo (15,6%); 4) Adquisición de equipos de buena calidad (14,1%); 5) Definición de flujos institucionales (20,5%) y 6) Promoción de apoyo psicológico (14,1%). CONCLUSIÓN: Las estrategias enumeradas por los enfermeros han contribuido a la calidad de la atención que se les prestó a los pacientes y a mantener la salud de los trabajadores.
Subject(s)
Humans , Male , Female , Adult , Health Strategies , COVID-19 , Hospitals, University/organization & administrationABSTRACT
OBJECTIVE: to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic. METHODS: this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ. RESULTS: five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.
Subject(s)
COVID-19 , Nurses , Humans , Pandemics , Personal Protective Equipment , SARS-CoV-2 , WorkplaceABSTRACT
AIM: To investigate the nurses' work environment in university hospitals during the COVID-19 pandemic in Brazil. BACKGROUND: The COVID-19 pandemic brought challenging times for nurses worldwide. In Brazil, as well as in several countries, nurses are working hard in hospital settings caring for patients infected with the virus, sometimes with unfavourable work environment conditions. METHODS: This study was a convergent embedded mixed methods research. The sample comprised 104 nurses from three Brazilian university hospitals. Data were collected in April-June 2020 from an online questionnaire with a self-reporting Likert scale survey designed to measure the nurses' perceptions of their work environment. Qualitative data in the form of written comments were also collected through an open question. Data were analysed using descriptive statistics and content analysis. RESULTS: The quantitative results showed that the responses to 'I received training on the correct use of personal protective equipment' and 'I am afraid of being infected' items had the best and worst evaluations, respectively. The qualitative findings revealed five themes: feeling of insecurity, lack of personal protective equipment, lack of diagnostic tests, changes in the care flow and fear of the unknown. CONCLUSION: The study has highlighted the challenges faced by hospital nurses while caring for patients with COVID-19. IMPLICATIONS FOR NURSING AND NURSING POLICY: The gaps identified will assist the policymakers and hospital managers in developing policies to enhance the support offered to nurses and improve the care provided to patients with COVID-19 in university hospitals. The results also indicate the need for attention to the mental health of the professionals due to the increasing workload and treatment of an illness hitherto unknown.