Mudança organizacional planejada para gestão do atendimento ao acidentado com material biológico
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2016-03-29
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Universidade Federal de Goiás
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Introduction: Accidents with biological material represent an important issue for workers because of the consequences involved. Therefore, qualified care of these workers is required, despite representing a management challenge for institutions and professionals involved in its monitoring and development. Several variables should be analyzed and provided so that care occurs in a qualified and effective way, according to the current regulations. Objective: To demonstrate the development and implementation process of the organizational change planned for managing the care of victims of accidents with biological material. Methodology: An intervention study was developed based on action research, organized in three stages. The first stage consisted of a pre-intervention evaluation of the care provided to victims of accidents with biological material conducted with patients, based on the clinical incident technique (CIT). The second was the intervention itself, by means of the action research and planned organizational change (POC), conducted with workers involved in the care. The third stage was a post-intervention evaluation with patients based on the CIT as described in the first stage. Data analysis was conducted based on the principles of content analysis. Results: The main changes verified were associated with the drawing of a flowchart of care provided to victims of accidents with biological material, focused on the reality and adapted to the institution, made by the professionals involved, as well as its use during practice, the development of a guideline form regarding the issue and its implementation in service, changes in standardized printed materials for the organization of care, development of systematized guidelines and in line with regulations, commitment of the whole team regarding the issue and organizational matters associated with the delivery of exams and other aspects that made care difficult. The evaluation of patients conducted in the pre- and post-intervention stages after five months showed improvements in care regarding the guidelines received, organization and agility for medical appointments, as well as changes in professionals’ attitude in the whole care process, identified as becoming more suitable and human. The changes regarding the management of care provided to victims of accidents with biological material in a sentinel healthcare unit based on the intervention developed, by means of the POC, were possible because of the adopted method and theoretical perspective based on participatory management. Because of the participants’ involvement since its conception, the POC encouraged a collective and cooperative learning environment, which is the reason it proved to be effective for the desired consolidation of changes. Final Considerations: This coordination favored not only the institution, for promoting desired organizational changes, but also those involved, by fostering awareness and shared knowledge and for encouraging a cultural change, providing the development of characteristics that make organizations evolve. The improvement of quality in the care offered to victims of accidents with biological material in sentinel care, reported by those involved, strengthen and legitimize the success of the intervention.
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RIBEIRO, L. C. M. Mudança organizacional planejada para gestão do atendimento ao acidentado com material biológico. 2016. 170 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2016.