Ensinamentos ao Gestor Brasileiro para Reagir aos Desafios da Pandemia de Covid / Teachings for The Brazilian Manager to React to the Challenges of the Covid Pandemic

Fernanda de Sousa Gusmão Louredo, Claudia Affonso Silva Araújo

Resumen


Este estudo visa identificar, nas literaturas nacional e internacional, o que experiências de pandemias anteriores podem ensinar aos gestores brasileiros com relação à Tríade – Estrutura, Processo e Resultado – proposta por Donabedian nos Hospitais Universitários, no sentido de contribuir com a implementação de boas práticas no combate à pandemia do Covid-19. Para isso, foi realizada uma revisão integrativa, conduzida nas bases de dados indexadas Pubmed, EBSCO, Biblioteca Virtual em Saúde (BVS) e Emerald para responder à questão: o que experiências de pandemias anteriores podem ensinar ao gestor com relação à gestão da qualidade nos Hospitais Universitários no sentido de contribuir com a implementação de boas práticas no combate à COVID-19? O resultado apontou ensinamentos e ações a partir da tríade Estrutura, Processo e Resultado. A conclusão desta revisão integrativa sugere aos administradores brasileiros atenção à comunicação de maneira que os profissionais estejam bem informados quanto ao vírus e seu combate, assim como o restante da sociedade. Para isso, o treinamento e educação da equipe se mostrou fundamental para a qualidade dos serviços. Necessidade de uma política de comunicação única e coerente compartilhada pelas autoridades de saúde e pela mídia que podem fornecer implicações valiosas para decisões na antecipação de possíveis ondas pandêmicas futuras. Além de Instalação física adequada e EPI para proteção.

 

Palavras-chave: Gestão da Saúde. Pandemias. Pandemia de COVID-19. Donabedian.

 

 

ABSTRACT

 

This study aims to identify, in national and international literature, what experiences from previous pandemics can teach the brazilian manager in relation to the Triad - Structure, Process, and Result - proposed by Donabedian in University Hospitals, in the sense of contributing to the implementation of good practices in the fight against the Covid-19 pandemic. For this, an integrative review was carried out, conducted in the indexed databases Pubmed, EBSCO, Biblioteca Virtual em Saúde (BVS), and Emerald to answer the question: what experiences from previous pandemics can teach the administrator in relation to quality management in University Hospitals in order to contribute to the implementation of good practices in the fight against COVID-19? The result pointed to teachings and actions based on the triad Structure, Process, and Result. The conclusion of this integrative review suggests that the brazilian managers pays attention to communication so that professionals are well informed about the virus and its fight, as well as the rest of society. For this, the training and education of the team proved to be fundamental for the quality of services. Need for a coherent communication policy shared by health authorities and the media that can provide valuable pieces of information for decisions in anticipation of possible future pandemic waves. In addition to adequate physical installation and EPI for protection.

 

Keywords: Health management. pandemics. COVID-19 pandemic. Donabedian.

 


Referencias


AMODIO, Emanuele; ANASTASI, Giovanna; MARSALA, Maria Grazia Laura; TORREGROSSA, Maria Valeria; ROMANO, Nino; FIRENZE, Alberto. Vaccination against the 2009 pandemic influenza A (H1N1) among healthcare workers in the major teaching hospital of Sicily (Italy). Vaccine, [s.l.], v. 29, n. 7, p. 1408-1412, fev. 2011.

AUSSELET, N; BOURGEOIS, M; GÉRARD, V. CLINICAL, VIROLOGICAL AND EPIDEMIOLOGICAL ASSESSMENT OF 2009 INFLUENZA A (H1N1) PANDEMIC IN A BELGIAN UNIVERSITY HOSPITAL. Acta Clinica [s.l.], Bruxelas, v. 4, n. 67, p. 286-291, maio 2012.

BOIN, Arjen; HART, Paul 't; STERN, Eric; SUNDELIUS, Bengt. The Politics of Crisis Management: public leadership under pressure. Londres: Cambridge University Press., 2005. DONABEDIAN, Avedis. The Quality of Care: how can it be assessed?. : How Can It Be Assessed?. Jama, Chicago, v. 260, n. 12, p. 1743-1748, set. 1988.

DONABEDIAN, Avedis. The Seven Pillars of Quality. Arch Pathol Lab Med ., Illinois, v. 11, n. 114, p. 1115-1118, nov. 1990.

DONABEDIAN, Avedis. Evaluating the Quality of Medical Care. Milbank Memorial Fund Quarterly, New York, v. 83, n. 4, p. 691-729, nov. 2005.

EVIRGEN, Omer; SAVAS, Nazan; MOTOR, Vicdan Koksaldi; ONLEN, Yusuf; YENGIL, Erhan. An evaluation of knowledge, attitudes, and behaviors of employees of a university hospital in an H1N1 influenza pandemic. The Journal Of Infection In Developing Countries, [s.l.], v. 8, n. 05, p. 561-569, 14 maio 2014. KOVOOR-MISRA, Sarah. Crisis Management Resilience and Change: resilience and change. Thousand Oaks: Sage, 2019.

LAURO, A.; PAGANO, N.; IMPELLIZZERI, G.; CERVELLERA, M.; TONINI, V.. Emergency Endoscopy During the SARS-CoV-2 Pandemic in the North of Italy: experience from st. orsola university hospital⠴bologna. : Experience from St. Orsola University Hospital—Bologna. Digestive Diseases And Sciences, [s.l.], v. 65, n. 6, p. 1559-1561, 22 abr. 2020.

MINCHELLA, A.; ONDE, O.; VERNES, E.; PERRAT, G.; LACOUSSAYE, J. de; SOTTO, Évaluation de la préparation à une pandémie grippale par un exercice de terrain au centre hospitalier universitaire de Nîmes. Médecine Et Maladies Infectieuses, [s.l.], v. 39, n. 2, p. 116-124, fev. 2009.

MOHER, David; LIBERATI, Alessandro; TETZLAFF, Jennifer; ALTMAN, Douglas G.. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the prisma statement. : The PRISMA Statement. Plos Medicine, [s.l.], v. 6, n. 7, p. 97-107, 21 jul. 2009.

ORGANIZATION, World Health. Coronavirus disease (COVID-19) outbreak: rights,roles and responsibilities of health workers, including key considerations for occupational safety and health. 2020. Disponível em: https://www.who.int/publications-detail/coronavirus-disease-(covid-19)-outbreak-rights-roles-and-responsibilities-of-health-workers-including-key-considerations-for-occupational-safety-and-health. Acesso em: 15 maio 2020.

OWOTADE, Foluso J; OGUNBODEDE, Eyitope O; A SOWANDE, Oladayo. HIV/AIDS Pandemic and Surgical Practice in a Nigerian Teaching Hospital. Tropical Doctor, [s.l.], v. 33, n. 4, p. 228-231, out. 2003.

PORTER, Michael E.; TEISBERG, Elizabeth Olmsted. Repensando a Saúde: estratégias para melhorar a qualidade e reduzir os custos. Porto Alegre: Bookman, 2007. 432 p.

PURI, S.; SINGH, A.; KOUSHAL, V.; THAKARE, M.; SINGHAL, A.. Knowledge, attitude and practice regarding the H1N1 pandemic amongst healthcare providers, and preparedness in a multispeciality teaching hospital in North India. Public Health, [s.l.], v. 125, n. 11, p. 795-798, nov. 2011.

SLACK, Nigel et al. Operations and process management: principles and practice for strategic impact. 2. ed. Inglaterra: Pearson Education, 2009.

SMITH, C.; CURRAN, M. D.; RODDICK, I.; REACHER, M.. Use of linked electronic health records to assess mortality and length of stay associated with pandemic influenza A(H1N1)pdm09 at a UK teaching hospital. Epidemiology And Infection, [s.l.], v. 143, n. 6, p. 1125-1128, 14 ago. 2014.

SOHRABI, Catrin; ALSAFI, Zaid; O'NEILL, Niamh; KHAN, Mehdi; KERWAN, Ahmed; AL-JABIR, Ahmed; IOSIFIDIS, Christos; AGHA, Riaz. World Health Organization declares global emergency: a review of the 2019 novel coronavirus (covid-19). : A review of the 2019 novel coronavirus (COVID-19). International Journal Of Surgery, [s.l.], v. 76, p. 71-76, abr. 2020.

SZCZYGIEL, Natalia. PRACTITIONER APPLICATION. Journal Of Healthcare Management, [s.l.], v. 63, n. 6, p. 425-426, nov. 2018. Ovid Technologies (Wolters Kluwer Health). http://dx.doi.org/10.1097/jhm-d-18-00212.

TANGUY, Maurice; BOYEAU, Cécile; PEAN, Stéphanie; MARIJON, Eloi; DELHUMEAU, Alain; FANELLO, Serge. Acceptance of seasonal and pandemic a (H1N1) 2009 influenza vaccination by healthcare workers in a French Teaching Hospital. Vaccine, [s.l.], v. 29, n. 25, p. 4190-4194, jun. 2011.

VIEIRA-DA-SILVA, Lígia Maria. Avaliação de políticas e programas de saúde. Rio de Janeiro: Editora Fiocruz, 2018. 110 p.

VÍRSEDA, Silvia; RESTREPO, María Alejandra; ARRANZ, Elena; MAGÁN-TAPIA, Purificación; FERNÁNDEZ-RUIZ, Mario; LACÁMARA, Agustín Gómez de; AGUADO, José María; LÓPEZ-MEDRANO, Francisco. Seasonal and Pandemic A (H1N1) 2009 influenza vaccination coverage and attitudes among health-care workers in a Spanish University Hospital. Vaccine, [s.l.], v. 28, n. 30, p. 4751-4757, jul. 2010.

WHITTEMORE, Robin; KNAFL, Kathleen. The integrative review: updated methodology. : updated methodology. Journal Of Advanced Nursing, [s.l.], v. 52, n. 5, p. 546-553, dez. 2005.

WHO, World Health Organization. Coronavirus disease (COVID-19) outbreak: rights,roles and responsibilities of health workers, including key considerations for occupational safety and health. 2020. Disponível em: https://www.who.int/publications-detail/coronavirus-disease-(covid-19)-outbreak-rights-roles-and-responsibilities-of-health-workers-including-key-considerations-for-occupational-safety-and-health. Acesso em: 01 maio 2020.

ZAMORA, Jorge E.; LUYT, Nathan. Pandemic preparedness and protective clothing: priorities of health care workers in a canadian teaching hospital. : priorities of health care workers in a Canadian teaching hospital. Canadian Journal Of Anesthesia/journal Canadien D'anesthésie, [s.l.], v. 56, n. 9, p. 707-708, 11 jun. 2009.




DOI: http://dx.doi.org/10.12819/2022.19.6.3

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