Cabral KB, Teixeira CC, Oliveira JMC, Cordeiro JABL, Cruz KCTD, Santos LF, Brasil VV, Oliveira LMDAC. Risk classification in a pediatric service: evaluation of the structure, process, and outcome.
Rev Bras Enferm 2021;
75:e20210022. [PMID:
34586200 DOI:
10.1590/0034-7167-2021-0022]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Accepted: 03/29/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES
to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome.
METHODS
a cross-sectional, descriptive, and exploratory study in which qualitative data complement the results. Data collection by non-participant observation, interview, and consultation of medical records.
RESULTS
we observed two hundred and four visits. The service works in a makeshift room and without privacy. The nurses did not use various materials/equipment available for evaluation, rarely performed a physical examination, used the interview most of the time, and did not consult the protocol. Parents/companions received no information, and medical records showed incomplete records. Nurses classified 69.1% of the children as non-emergency. The most frequent outcome of the visits was discharge.
CONCLUSIONS
the service showed weaknesses in the physical structure, in the risk classification process, and the outcomes, but it presents a good resolution in the assistance. We recommend a revision in the protocol used and sensitize nurses about the work process and communication with parents/companions.
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