Primary Healthcare of black immigrants during the COVID-19 pandemic

OBJECTIVE

To analyze how the healthcare of black immigrants was conducted during the COVID-19 pandemic in Primary Healthcare.

METHOD

An exploratory-descriptive study with a qualitative approach, carried out through semi-structured interviews with professionals who worked in 10 Health Units in the city of Curitiba, Brazil, from October 2020 to January 2021. Structural racism was the conceptual framework. The statements were submitted to content analysis after using the MAXQDA program as support.

RESULTS

A total of 21 professionals from the multidisciplinary team participated and three categories emerged from the analyzes: Healthcare for black immigrants in PHC during the Covid-19 pandemic; Limits and potentialities of PHC for healthcare for black immigrants; Structural racism in PHC practices aimed at black immigrants.

CONCLUSION

Action in the pandemic was guided by protocols that did not expand healthcare to vulnerable populations, including black immigrants. The main barrier was communication, as most black immigrants in the surveyed locations were Haitians. Structural racism was identified in professional practice.

Software development for emergency bed management

OBJECTIVE

to describe the process of developing a software for emergency bed management.

METHODS

a participatory research based on User-Centered Design in four stages: 1) definition of requirements and structure elaboration; 2) generation of alternatives and prototyping; 3) tests; 4) implementation. Seminars were held with health professionals between May 21, 2018 and May 31, 2019 for the preparation and assessment of software content.

RESULTS

the software CuidarTech KRONOS was developed for emergency bed management using the kanban methodology.

FINAL CONSIDERATIONS

this software will assist professionals' and managers' decision-making providing more reliable data to enable the improvement of work processes and the quality of patient care. Developing a bed management software is innovative in the health field, and no articles were found describing this methodology.

Primary Healthcare management strategies in socially vulnerable territories exposed to violence

OBJECTIVE

To identify management strategies used by the Family Health Strategy teams of a Basic Health Unit in organizing work in socially vulnerable territories exposed to violence.

METHOD

A single case study with a qualitative approach in a family health unit located in the southern region of Brazil. Data collection was conducted through individual interviews with 27 health professionals from August to September 2017 and a focus group with 18 participants in April 2018. Data organization and processing was performed with the support of the IRAMUTEQ software program and subsequently the content analysis technique.

RESULTS

The five classes characterized strategies used by professionals to provide care to the population considering their experience in facing violent situations. A guideline was developed and validated in the focus group to guide the management and organization of work in these services.

CONCLUSION

It was evidenced that professionals develop strategies which include strengthening the team as a form of collective protection, welcoming focused on comprehensive care and bonding, even without the support of specific public policies for these situations. The population is allied to facilitate access to care for vulnerable people and alerts professionals to critical situations in the territory.

Safety of patients with mental disorders: a collective construction of strategies

OBJECTIVE

to describe risk management implementation in the safety of patients with mental disorders through action research.

METHOD

an action research carried out with a multidisciplinary team from a reference hospital in mental health in Southeast Brazil.

RESULTS

three strategies considered as managerial technologies for the mentally ill patient were developed: risk management diagram for patient safety; patient safety protocols; and textual proposal of software for internal management of incident notifications.

FINAL CONSIDERATIONS

this action research allowed a collective discussion by the whole multidisciplinary team, enabling strategy drafting for risk management implementation and improvement of care quality in the safety of patients with mental disorders at the study site.

Patient safety with mental disorder: developing management technologies for risk management

Abstract Objective: To describe the development of management technologies for risk management in the safety of patients with mental disorders. Method: A research study, conducted in 17 seminars with 13 members of the multiprofessional team from a reference hospital in mental health in a state in the southeastern region of Brazil. Results: Two management technologies were developed and validated: Risk management diagram and protocols, both focusing on the safety of patients with mental disorders. Conclusions and implications for practice: The safety protocol of the patient with a mental disorder and the diagram in a tree of risk management were two management technologies constructed in this study. Both can offer the nurse and multidisciplinary team a baseline to qualified care, grounded in patient safety principles.