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Publication
Enfermeiros e o sistema de triagem de Manchester
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Abstract(s)
O Sistema de Triagem de Manchester, segundo o Grupo Português de Triagem, é um método de triagem adotado pelo SNS que fornece ao profissional não um diagnóstico, mas uma prioridade clínica baseada na identificação de problemas. A avaliação clínica forma-se a partir da queixa apresentada – o principal sinal ou sintoma identificado pelo doente ou pelo profissional de saúde que motiva o doente a procurar o serviço de urgência.
O papel do enfermeiro na triagem de Manchester é identificar a necessidade de tratamento imediato, o potencial de risco e a priorização de cada caso em conformidade com a gravidade (Pagliotto et al., 2016).
Com este estudo, pretende-se identificar o papel e as competências do enfermeiro na triagem de Manchester, no modo como estas influenciam o eficaz e eficiente atendimento do utente nos serviços de urgência. O tipo de estudo que se pretende realizar é uma revisão bibliográfica do tipo narrativa, utilizando descritores relacionados com o papel e as competências dos Enfermeiros e o Sistema de Triagem de Manchester.
A pesquisa foi efetuada nas bases de dados Repositório Institucional da Universidade Fernando Pessoa, B-ON, Repositório Científico de Acesso Aberto de Portugal, “SCIELO”, “LILACS” e “PUBMED”, num total de 10 artigos no período compreendido entre 2008 e 2016. Os resultados da pesquisa efetuada permitem concluir que os Enfermeiros têm um papel crucial na garantia de uma eficaz gestão dos serviços de urgência, pois contribuem para garantir o acesso do paciente, diminuem o tempo de espera, diminuem o risco de ocorrências iatrogénicas e melhoram a qualidade do atendimento. No que toca às competências de um enfermeiro no SU, é o profissional que reúne as condições necessárias para a execução da triagem, as quais incluem linguagem clínica orientada para os sinais e sintomas; conhecimentos teóricos e padrões de saber e modos de fazer baseados em experiências, interpretando sinais psicológicos, interpessoais e comunicativos do paciente, além de experiência clínica para prestação de cuidados; uma relação empática fundamental para o objetivo do processo de triagem, conhecimentos cognitivos desenvolvidos, confiança na habilidade e, segundo estudos, o mais importante e fulcral fator, o tempo de experiência (Acosta et al., 2012).
The Manchester Triage System, according to the Portuguese Screening Group, is a screening method adopted by the NHS, which provides the professional with a diagnosis but a clinical priority based on the identification of problems. Clinical evaluation is based on the complaint presented - the main sign or symptom identified by the patient or healthcare professional who motivates the patient to seek emergency care. The role of nurses in Manchester screening is to identify the need for immediate treatment, risk potential, and prioritization of each case according to severity. (Pagliotto et al., 2016) This study intends to identify the role and competences of the nurse in the screening of Manchester, the way in which these influence the effective and efficient service of the user in the emergency services. The type of study to be carried out is a bibliographical revision of the narrative type, using descriptors related to the role and competencies of the Nurses and the Manchester Screening System. The research was carried out in the databases Institutional Repository of the Fernando Pessoa University, B-ON, Scientific Repository of Open Access of Portugal, "SCIELO," "LILACS," and "PLUBMED" in a total of 10 articles in the period between 2008 and 2016. The results of this research allow us to conclude that Nurses have a crucial role in ensuring the effective management of emergency services since they contribute to guarantee patient access, decrease waiting time, decrease the risk of iatrogenic occurrences, and improve the quality of care. Regarding the competencies of a nurse in the ER, this is the professional that meets the necessary conditions for the execution of the screening, which includes clinical language oriented signs and symptoms; theoretical knowledge and patterns of knowledge and ways of doing based on experiences, interpreting psychological, interpersonal, and communicative signs of the patient, as well as clinical experience to provide care; an empathic relationship fundamental to the purpose of the screening process. Cognitive skills developed, confidence in ability, and second studies the most important factor, experience time. (Acosta et al., 2012)
The Manchester Triage System, according to the Portuguese Screening Group, is a screening method adopted by the NHS, which provides the professional with a diagnosis but a clinical priority based on the identification of problems. Clinical evaluation is based on the complaint presented - the main sign or symptom identified by the patient or healthcare professional who motivates the patient to seek emergency care. The role of nurses in Manchester screening is to identify the need for immediate treatment, risk potential, and prioritization of each case according to severity. (Pagliotto et al., 2016) This study intends to identify the role and competences of the nurse in the screening of Manchester, the way in which these influence the effective and efficient service of the user in the emergency services. The type of study to be carried out is a bibliographical revision of the narrative type, using descriptors related to the role and competencies of the Nurses and the Manchester Screening System. The research was carried out in the databases Institutional Repository of the Fernando Pessoa University, B-ON, Scientific Repository of Open Access of Portugal, "SCIELO," "LILACS," and "PLUBMED" in a total of 10 articles in the period between 2008 and 2016. The results of this research allow us to conclude that Nurses have a crucial role in ensuring the effective management of emergency services since they contribute to guarantee patient access, decrease waiting time, decrease the risk of iatrogenic occurrences, and improve the quality of care. Regarding the competencies of a nurse in the ER, this is the professional that meets the necessary conditions for the execution of the screening, which includes clinical language oriented signs and symptoms; theoretical knowledge and patterns of knowledge and ways of doing based on experiences, interpreting psychological, interpersonal, and communicative signs of the patient, as well as clinical experience to provide care; an empathic relationship fundamental to the purpose of the screening process. Cognitive skills developed, confidence in ability, and second studies the most important factor, experience time. (Acosta et al., 2012)
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa para obtenção do grau de Licenciada em Enfermagem