User embracement with risk classification in an emergency care unit: an evaluative study

Hermida, Patrícia Madalena Vieira; Nascimento, Eliane Regina Pereira do; Echevarría-Guanilo, Maria Elena; Brüggemann, Odaléa Maria; Malfussi, Luciana Bihain Hagemann de

doi:10.1590/S1980-220X2017001303318

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Original Article • Rev. esc. enferm. USP 52 • 2018 • https://doi.org/10.1590/S1980-220X2017001303318 linkcopy

User embracement with risk classification in an emergency care unit: an evaluative study^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

Objective Describing the evaluation of the Structure, Process and Outcome of User Embracement with Risk Classification of an Emergency Care Unit from the perspective of physicians and nurses.

Method An evaluative, descriptive, quantitative study developed in Santa Catarina. Data were collected using a validated and adapted instrument consisting of 21 items distributed in the dimensions of Structure (facilities), Process (activities and relationships in providing care) and Outcome (care effects). In the analysis, descriptive statistics and the Mean Ranking and Mean Score calculations were applied.

Results The sample consisted of 37 participants. From the 21 evaluated items, 11 (52.4%) had a Mean Ranking between 3 and 4, and none of them reached the maximum ranking (5 points). “Prioritization of severe cases” and “Primary care according to the severity of the case” reached a higher Mean Ranking (4.5), while “Flowchart discussion” had the lowest Ranking (2.1). The dimensions of Structure, Process and Outcome reached mean scores of 23.9, 21.9 and 25.5, respectively, indicating a Precarious evaluation (17.5 to 26.1 points).

Conclusion User Embracement with Risk Classification is precarious, especially regarding the Process which obtained a lower satisfaction level from the participants.

DESCRIPTORS
Emergency Nursing; User Embracement; Health Services Evaluation; Emergency Medical Services

Variable		n	%
Professional category
	Physician	26	70.3
	Nurse	11	29.7
Gender
	Female	21	56.8
	Male	16	43.2
Age group (years) *
	< 30	9	24.3
	30-39	19	51.4
	40-49	6	16.2
	50-59	2	5.4
	≥ 60	1	2.7
Race or skin color
	White	35	94.6
	Yellow	1	2.7
	Black	1	2.7
Marital status
	Single	21	56.8
	Married	11	29.7
	Divorced	3	8.1
	Stable union	2	5.4
Experience time in the UPA (years)
	< 1	16	43.3
	1	7	18.9
	≥ 2	14	37.8
Undergraduation Completion Time (years)
	< 2	7	18.9
	2-8	19	51.4
	≥ 8	11	29.7

Dimension – Item	MR*	MS**	Representativeness	Mean***
Dimension Structure	3.6	23.9	Precarious	3.4
Comfort of the user/companion
Embracing environment	4.2
Periodic training	2.5
Privacy in the consultations	3.9
Companion embracement	3.4
Signage of the environment	3.2
Communication between the team	3.1
Dimension Process		21.9	Precarious	3.1
User safety and comfort	3.7
Assessment of non-severe cases	4.2
Knowledge regarding ACCR conducts	2.9
Relationship between leaders and subordinates	2.9
Flowchart discussion	2.1
Trained team	3.4
Reassessment of cases on hold	2.7
Dimension Outcome	4.5	25.5	Precarious	3.6
Primary care according to the case severity
Humanization of care	3.4
Integration of the health team	3.4
Information about the waiting time	3.5
Prioritization of severe cases	4.5
Counter-referral	2.6
Satisfaction with the ACCR results	3.6

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[TFN5] ^*
Mean = 35.4 and Standard deviation = 8.8. Note: (n=37)

User embracement with risk classification in an emergency care unit: an evaluative study*

User embracement with risk classification in an emergency care unit: an evaluative study^*