Caring for the Workforce of a Health System During the COVID-19 Epidemic in Brazil: Strategies of Surveillance and Expansion of Access to Care.

OBJECTIVES: To describe the strategies to monitor and expand access to care for a health system workers in the first 2 months of the COVID-19 epidemic in Brazil. METHODS: Description of the implemented strategy based on the guidelines developed to address the surveillance and care of a large health system's workforce in the COVID-19 epidemic. RESULTS: During phase 1, the surveillance strategy focused on monitoring suspected cases among employees. In phase 2, surveillance was restricted to employees with confirmed COVID-19, aiming at monitoring of symptoms and following hospitalizations. Access to care was expanded. A total of 1089 employees were diagnosed with COVID-19, 89 required hospitalizations and none had died. CONCLUSION: The strategies adopted were promptly implemented and could be adapted to the changing epidemic dynamics, allowing low rates of adverse outcomes in this high-risk population.

Humanization according to cancer patients with extended hospitalization periods / A humanização segundo pacientes oncológicos com longo período de internação

Objective: To identify the concept of humanization and raise aspects that contribute towards and that hinder humanization of hospital care, according to the opinion of oncology patients. Methods: This is a descriptive-exploratory survey, with a qualitative-quantitative approach. The sample was made up of 10 patients hospitalized for more than 30 days at the Oncology Unit of Hospital Israelita Albert Einstein, who, after satisfying ethical and legal procedures, were interviewed and answered three questions in reference to humanization in oncology. Results: The factors that contributed more towards humanization were warmth in giving care, friendliness, and smiles, and the factors that hindered it were bad moods, noise, and not being promptly attended. Conclusions: Hospital humanization should be experienced and felt by all those who work at hospital and needs to be reflected in the care offered to the client and his/her family members. These aspects become vital in oncology in order to understand the difficult period the patient is going through during the hospital stay, showing an interest in his/her problems and struggles with an attitude of empathy and cordiality, always acting ethically and with professional responsibility.

Objetivo: Identificar o conceito de humanização e levantar os aspectos que contribuem e dificultam a humanização da assistência hospitalar, segundo a opinião de pacientes oncológicos. Métodos: Trata-se de uma pesquisa descritivo-exploratória, prospectiva, com abordagem quali-quantitativa. A amostra constituiu-se de 10 pacientes internados há mais de 30 dias na unidade de Oncologia do Hospital Israelita Albert Einstein, que, depois de cumpridos os devidos procedimentos ético-legais, foram entrevistados e responderam a três perguntas referentes à humanização em oncologia. Resultados: Os fatores que mais contribuíram para a humanização foram carinho, simpatia e sorriso, e os que dificultaram foram mau humor, barulho e não ser prontamente atendido. Conclusões: A humanização hospitalar deve ser vivenciada e sentida por todos os que atuam no hospital e precisa ser refletida na assistência prestada ao cliente e à sua família. Esses aspectos se tornam primordiais na oncologia, para que haja compreensão do momento difícil que o paciente está vivenciando naquela internação, tendo interesse nos seus problemas e nas suas dificuldades, com simpatia e cordialidade no atendimento, atuando com ética e responsabilidade profissional.

Humanization according to cancer patients with extended hospitalization periods.

OBJECTIVE: To identify the concept of humanization and raise aspects that contribute towards and that hinder humanization of hospital care, according to the opinion of oncology patients. METHODS: This is a descriptive-exploratory survey, with a qualitative-quantitative approach. The sample was made up of 10 patients hospitalized for more than 30 days at the Oncology Unit of Hospital Israelita Albert Einstein, who, after satisfying ethical and legal procedures, were interviewed and answered three questions in reference to humanization in oncology. RESULTS: The factors that contributed more towards humanization were warmth in giving care, friendliness, and smiles, and the factors that hindered it were bad moods, noise, and not being promptly attended. CONCLUSIONS: Hospital humanization should be experienced and felt by all those who work at hospital and needs to be reflected in the care offered to the client and his/her family members. These aspects become vital in oncology in order to understand the difficult period the patient is going through during the hospital stay, showing an interest in his/her problems and struggles with an attitude of empathy and cordiality, always acting ethically and with professional responsibility.