Banca de DEFESA: AMANDA TAINARA SOUZA FREITAS
Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : AMANDA TAINARA SOUZA FREITAS
DATE: 08/02/2024
TIME: 09:00
LOCAL: meet.google.com/cpr-udsn-exp
TITLE:
Dimensions of professional safety and experiences in urgency and emergency: the legacy of a pandemic.
KEY WORDS:
COVID-19; Pandemics; Safety; Working Conditions; Safety management; Medidas de Seguridad; Health Personnel; Emergency Medical Services.
PAGES: 179
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:
Introduction: one of the biggest challenges in the COVID-19 pandemic was to efficiently
guarantee the safety and protection of healthcare professionals. Objective: to understand
professional safety when facing the COVID-19 pandemic in the daily routine of urgent and
emergency services. Methods: this is a qualitative study anchored in Grounded Theory and the
theoretical framework of Symbolic Interactionism. Its settings are the Emergency Care Units
and the Mobile Emergency Care Service in the municipalities of Divinópolis and Nova Serrana,
belonging to the Western Health Macroregion of Minas Gerais, Brazil. 44 professionals
participated in the study: 20 working at UPA and 13 at SAMU in Divinópolis-MG; nine
professionals from UPA and two from SAMU in Nova Serrana. The sources of evidence were
the individual open interview and memos. Results: the professional's safety context in facing
the COVID-19 pandemic, in the daily routine of urgency and emergencies, was represented in
39 in vivo codes. From the axial coding, nine subcategories emerged from these three
categories, namely: “The daily routine of urgency and emergency in a pandemic: Welcoming
in the SUS”; “Dimensions of health professional safety in times of pandemic”; and
“Experiences in COVID-19 in urgency and emergency and its legacy”. Professional safety is
multidimensional, characterized by protective and risk factors that present themselves in the
daily routine of urgency and emergencies in a Unified Health System full of weaknesses and
potential, even more evident in the COVID-19 pandemic. We lived in a context marked by fear,
unpredictability and insecurity. There were many changes that occurred in the work process
with repercussions on the safety of professionals and, concomitantly, that of patients. The
scarcity of consumable and permanent inputs, qualified human resources and physical
infrastructure resulted in professional insecurity and moral suffering, with implications for the
biopsychosocial, emotional and moral dimensions of front-line professionals. The advancement
of science with the availability of vaccines and the construction of knowledge about COVID-
19 has brought greater security to health professionals. Therefore, investments are necessary to
implement policies for the safety of healthcare professionals, given that patient safety has
received a clear and necessary appreciation and both are interdependent, as well as for necessary
improvements in urgent and emergency services. Final considerations: daily experiences in
different scenarios showed evidence of similarities regarding the (in)security of healthcare professionals when facing the COVID-19 pandemic in urgent and emergency services. The
pandemic left as a legacy the importance of valuing life and health, individual and collective
protection, emphasizing the appropriate use of safe PPE, empathy and welcoming others,
respecting singularity, self-care and self-protection, ensuring effective of the right to health in
a System whose principles are equity, universality and comprehensive care. Furthermore,
taking care of those you care for is essential to guarantee quality care, minimize harm to patients
and reflects on the efficiency of organizational aspects and people and health management. SUS
urgent and emergency services were identified as an open door of relevance in the COVID-19
pandemic and professionals who worked on the front line were often applauded and recognized
in the media, but more is needed for safety of the health professional is implemented in the
daily services and of each person, as a person who dedicates themselves to their dignified work.
Work funded by the Coordination for the Improvement of Higher Education Personnel
(CAPES), Master's scholarship. Also funded by Public Notice No. 004/2020 and No.
002/2022/Pro-Rectory of Research of the Federal University of São João Del Rei, Scientific
Initiation scholarship.
BANKING MEMBERS:
Externo à Instituição - HANDERSON SILVA SANTOS
Externa à Instituição - DANIELA PRISCILA OLIVEIRA DO VALE TAFNER - FURB
Presidente - 1627034 - SELMA MARIA DA FONSECA VIEGAS