Acolhimento com classificação de risco: percepção de enfermeiros que atuam em um Hospital Universitário no Slto Sertão Paraibano.

Abstract

Urgent and emergency services are responsible for the care of patients who are in acute situations and who present imminent risk of death, but most users looking for assistance in these units do not fit these criteria, and could have their problems solved at the basic level of attention. Given the presented reality, the Ministry of Health (MOH), proposed by the National Humanization Policy (PNH) Settlement with Risk Rating (ACR) with the intention of expanding access to the entire population, reduce queues and time waiting, and reorganize the flow of care. Objective: To analyze the perception of nurses working in a university hospital of high backlands of Paraiba on the implementation of the ACR. Methodology: This is a descriptive exploratory research with qualitative approach developed with nurses working in the emergency room of a public hospital, university, the city of Cajazeiras, Paraíba, Brazil. The data were collected through a semi-structured interview audio recorded. For data analysis was used Bardin method, which consists in pre-analysis operation data and processing results. Results: The study population is constituted in its entirety by seven female workers, four nurses had aged between 29-33 years, six had graduate in Latu Sensu level, and only graduation. As for the time of work of professionals in nursing and emergency hospital study, four were active from 8 to 11 years and four 5 to 7 years, respectively. Regarding the implementation of the ACR in the perception of nurses, this brought positive changes to users and institutions, as regards the quality of care and the reorganization of patient flow. However, some difficulties in the ACR practice can be identified, such as lack of knowledge of the population about the risk rating, the difficulty of classifying priorities and the disarticulation with basic care. Nurses also do not understand the meaning of the ACR in its entirety, restricting it now to give priority to service, now the humane care. Conclusion: The results of this research have identified that the implementation of the ACR contributed to improve the organization of the service and the quality of care, to provide flexibility according to the needs of users. However, the effectiveness of proposed changes to service reorganization is not so easy to reach, beyond the limits and possibilities of the team, also depending on the understanding of the population and structural changes in the network of health care.