Risk classification in a pediatric service: evaluation of the structure, process, and outcome

Revista Brasileira de Enfermagem

关键词: Risk Assessment;    Pediatrics;    Emergency Medical Services;    Pediatric Emergency Medicine;    Nursing;   

DOI  :  10.1590/0034-7167-2021-0022

来源: DOAJ

【 摘 要 】

ABSTRACTObjectives: 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.

【 授权许可】

Unknown