O papel do enfermeiro no acolhimento com classificação de risco nos serviços de urgência e emergência: revisão integrativa.

Abstract

In Brazil and in the world, the demand for Serviços Hospitalares de Emergência (SHE) has been largerin the last decades, which may be a reflection of the increase in the number of automobile accidents, urban violence, greater longevity of the population and irresolution of health services. In order to improve the care provided, the Ministério da Saúde (MS) decided to join the Acolhimento com Classificação de Risco (ACCR) system in 2004, already adopted by several countries to humanize care, prioritizing it according to the degree of need of each patient. The reception can be carried out by any professional of the team, but the nurse, as manager of the care, must be responsible for meeting the necessary conditions, clinical knowledge and adequate language to carry out the scales of assessment and risk classification of the patient according to the degree urgency of his injury. The aim of this study is to contribute to the nurses understanding of the importance of doing a qualified listening as well as the ACCR of their patients, in addition to recognizing the frailties faced to implement the method. Aiming for an improvement in the practice of nursing services and the greater satisfaction of its beneficiaries. The methodology used was the integrative literature review (ILR), which is a research modality, that aims to synthesize already published studies on the subject that are relevant to the practice based on evidence and to identify gaps to be filled with the accomplishment of new studies. LILACS and SCIELO were used as the database, and 10 articles were selected after inclusion/exclusion criteria. It is observed that the nurse, as the care manager, is the professional that leverages the ACCR system; has the technical and scientific competence to perform a detailed physical examination and to classify according to the degree of risk. It is also noticed that in the reality of ACCR, the nurse faces difficulties related to the physical structure of the risk classification environment, lack of human and material resources, multidisciplinary team, counter-referral system, long working hours and great demand for care.