PEDROSA, E. D.; http://lattes.cnpq.br/7152594473020739; PEDROSA, Esther Dias.
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.
