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Impacto da COVID-19 no acesso aos cuidados de enfermagem, numa instituição privada: Perceção dos enfermeiros
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Advisor(s)
Abstract(s)
Os sistemas de saúde enfrentam, atualmente, uma série de desafios que ameaçam a sua capacidade de resposta e sustentabilidade. A pandemia por COVID-19 agravou os desafios impostos aos sistemas de saúde, testando a capacidade de resiliência dos mesmos.
A COVID-19 fez-se notar nas mais diversas vertentes da sociedade, mas foi na área da saúde que as repercussões mais se sentiram. Os diferentes setores da saúde articularam-se para garantir a resposta às necessidades da população na tentativa de assegurar o direito à saúde.
O acesso aos cuidados tem sido alvo de especial atenção nos últimos anos. Nesse sentido, importa compreender de que forma a COVID-19 impactou no acesso aos cuidados de enfermagem.
O presente estudo teve como objetivo analisar a perceção dos enfermeiros sobre o impacto da COVID-19 no acesso aos cuidados de enfermagem, numa instituição privada.
Na conceção desta investigação optou-se por uma abordagem qualitativa de cariz descritivo e transversal. A amostra foi constituída por doze enfermeiros pertencentes a uma instituição de saúde privada do Norte do país. Foi utilizada a entrevista semiestruturada, como instrumento de recolha de dados. Dados esses que, posteriormente, foram analisados com recurso à metodologia de análise de conteúdo, segundo Bardin (2016). Para acrescentar maior precisão à análise recorreu-se ao software ATLAS.ti 22.
Os resultados revelaram que o acesso aos cuidados de enfermagem, na unidade em questão, foi condicionado pelo medo vivido pelos clientes, pelo aumento dos encargos resultantes da prestação de cuidados, para além da reorganização dos serviços que dificultou o acesso aos cuidados. Sete participantes salientaram o facto de a oferta ter sido condicionada pelas recomendações que resultaram no cancelamento da atividade cirúrgica programada. Quanto à prática dos cuidados de enfermagem, referiram que se notou um aumento no rigor pelo controlo de infeção, potenciado pelas oportunidades formativas, e pela atualização de normas, diretrizes e procedimentos. O medo, o stress e a ansiedade encontravam-se, segundo os testemunhos, bem patentes no seio das equipas aquando da prestação de cuidados. Por último, os enfermeiros aproveitaram para salientar a sua crença na retoma do volume de cuidados, apelando ao potencial existente para melhorar a oferta de cuidados de enfermagem através do acréscimo de autonomia no exercício profissional.
Impact of Covid-19 on Access to Nursing Care in a Private Institution: Nurses' Perception. Healthcare systems are currently facing a number of challenges that threaten their responsiveness and sustainability. The COVID-19 pandemic aggravated the challenges posed to health systems, testing their resilience. COVID-19 was felt in the most diverse aspects of society, but it was in the health sector that the repercussions were felt the most. The different healthcare sectors articulated themselves to ensure the response to the needs of the population in an attempt to ensure the right to health. Access to care has received special attention in recent years. For that reason, it is essential to understand how COVID-19 impacted access to nursing care. This study aimed at analysing nurses’ perception regarding the impact of COVID-19 on access to nursing care in a private institution. In the design of this research, a descriptive and transversal qualitative approach was adopted. The research sample was comprised of twelve nurses working in a private healthcare institution in the North of the country. The semi-structured interview was used as a data collection tool. The data was later analysed using the content analysis methodology, in accordance according to Bardin (2016). In order to ensure greater accuracy to the analysis, the software ATLAS.ti 22 was used. The results obtained show that access to nursing care in the unit in question was constrained by the fear felt by customers, by the increased care costs, and by the reorganisation of services which, for participants, has made access to care more difficult. Seven participants highlighted that the offer was strained by the recommendations that resulted in the cancellation of scheduled surgical activity. Regarding the practice of nursing care, they reported that there was an enhancement in the rigor for infection controlling practices, enhanced by training opportunities, and by the updating of standards, guidelines and procedures Fear, stress and anxiety were, according to the testimonies, evident within the teams when providing care. Finally, the nurses took the opportunity to highlight their belief in the resurgence of the volume of care service, and appealed to the existent potential to improve the supply of nursing care through the increase of individual professionals’ autonomy.
Impact of Covid-19 on Access to Nursing Care in a Private Institution: Nurses' Perception. Healthcare systems are currently facing a number of challenges that threaten their responsiveness and sustainability. The COVID-19 pandemic aggravated the challenges posed to health systems, testing their resilience. COVID-19 was felt in the most diverse aspects of society, but it was in the health sector that the repercussions were felt the most. The different healthcare sectors articulated themselves to ensure the response to the needs of the population in an attempt to ensure the right to health. Access to care has received special attention in recent years. For that reason, it is essential to understand how COVID-19 impacted access to nursing care. This study aimed at analysing nurses’ perception regarding the impact of COVID-19 on access to nursing care in a private institution. In the design of this research, a descriptive and transversal qualitative approach was adopted. The research sample was comprised of twelve nurses working in a private healthcare institution in the North of the country. The semi-structured interview was used as a data collection tool. The data was later analysed using the content analysis methodology, in accordance according to Bardin (2016). In order to ensure greater accuracy to the analysis, the software ATLAS.ti 22 was used. The results obtained show that access to nursing care in the unit in question was constrained by the fear felt by customers, by the increased care costs, and by the reorganisation of services which, for participants, has made access to care more difficult. Seven participants highlighted that the offer was strained by the recommendations that resulted in the cancellation of scheduled surgical activity. Regarding the practice of nursing care, they reported that there was an enhancement in the rigor for infection controlling practices, enhanced by training opportunities, and by the updating of standards, guidelines and procedures Fear, stress and anxiety were, according to the testimonies, evident within the teams when providing care. Finally, the nurses took the opportunity to highlight their belief in the resurgence of the volume of care service, and appealed to the existent potential to improve the supply of nursing care through the increase of individual professionals’ autonomy.
Description
Keywords
Cuidados de Enfermagem COVID-19 Sistema de Saúde Equidade em Saúde