A qualitative analysis of the main factors in bed management in high complexity hospital emergencies

Overcrowding in the emergency department is a problem that generates several implications for bed management, which is deemed one of a hospital's most critical processes. Effective management of hospital production capacity includes bed management processes, which can be improved in order to leverage hospital performance. Thus, this study sought to understand how bed management works and identify the main factors that influence its management. The study was performed through a case study, with data collected from semi-structured interviews and bibliographic research, which were triangulated. Thematic content analysis of the interviews and cross-analysis were performed. As a result, the main factors that influence hospital Bed management were identified: communication between teams and units;definition of performance goals;decisions shared between units;occupation and discharge planning by the teams;length of stay;the role of the nurses;and COVID-19. The greatest difficulties in the management process are related to these factors. Additionally, suggestions are provided to mitigate such reported difficulties.Alternate :A superlotação no departamento de emergência é um problema que gera várias implicações para a gestão de camas, o que é considerado um dos processos mais críticos de um hospital. O gerenciamento efetivo da capacidade de produção do hospital inclui processos de gerenciamento de leitos, que podem ser melhorados a fim de alavancar o desempenho do hospital. Assim, este estudo procurou entender como funciona o gerenciamento de leitos e identificar os principais fatores que influenciam sua gestão. O estudo foi realizado através de um estudo de caso, com dados coletados a partir de entrevistas semi-estruturadas e pesquisas bibliográficas, que foram trianguladas. Foram realizadas análises de conteúdo temático das entrevistas e análises cruzadas. Como resultado, foram identificados os principais fatores que influenciam a administração do hospital: comunicação entre equipes e unidades;definição de metas de desempenho;decisões compartilhadas entre unidades;planejamento de ocupação e alta pelas equipes;tempo de permanência;o papel dos enfermeiros;e COVID-19. As maiores dificuldades no processo de gestão estão relacionadas a estes fatores. Além disso, são fornecidas sugestões para mitigar tais dificuldades relatadas.

EMERGENCY REMOTE TEACHING: INVESTIGATION OF LEARNING FACTORS IN HIGHER EDUCATION

Coronavirus's spread forced educational authorities to implement emergency measures to combat the discontinuity of learning and spread the virus. In this sense, most institutions of higher education in the world are adopting emergency remote education. Based on the sudden changes and challenges in this context, this paper aimed to identify important factors for this remote learning process. For that, a quantitative study for explanatory purposes was employed. The research question was investigated through a factorial experiment, carried out with 1069 undergraduate students from a Brazilian university through an online instrument. Analysis of variance was used to assess the effect of factors on student learning during the remote period. Findings reveal direct lessons contribute more to students' learning, regardless of other factors. Also, there is a preference for group work dynamics and the Google Meet platform. Such preferences are higher for hard-science students. Results may guide university managers towards implementing the most favorable learning practices in a remote learning situation. Besides, they may help develop strategies for creating resilient and sustainable educational models based on practices that enhance students' learning.