Clinical protocol for vascular accident at the brain: development of an information tool
DOI:
https://doi.org/10.33448/rsd-v9i6.3211Keywords:
Clinical protocols; Emergencies; Health personel.Abstract
The objective was to know what health professionals understand about the Clinical Protocol and Therapeutic Guidelines - Thrombolysis in Acute Ischemic Stroke and to develop an informative instrument about it, to be used in the Emergency Care Unit, the study scenario. This is an exploratory, descriptive research, with a qualitative approach, carried out with five nurses and five doctors in an Emergency Care Unit, in the state of Rio Grande do Sul, Brazil. Data were collected during the months of October to November 2019, through semi-structured interviews, and were subjected to content analysis. The results enabled five categories: Clinical protocol as a criterion for thrombolysis; how to use medication and imaging exams; as standardization / organization of care; standardization, cost reduction and clinical improvement of the patient; need for qualification of human, physical and structural resources. In conclusion, the professionals understand that the realization of the protocol would assist in the organization of the service and standardization, as well as in the reduction of expenses and clinical improvement of the patient.
References
Araujo, J. P., Darcis, J. V. V., Tomas, A. C. V., & Mello, W. A. (2018). Mortality Trend Due to Cerebrovascular Accident in the City of Maringá, Paraná between the Years of 2005 to 2015. International Journal of Cardiovascular Sciences, 31(1), 56-62. Recuperado de http://www.scielo.br/pdf/ijcs/v31n1/2359-4802-ijcs-31-01-0056.pdf
Bardin, L. (2011). Análise de conteúdo. 70.ed, São Paulo.
Bensenor, I. M., Goulart, A. C., Szwarcwald, C. L., Vieira, M. L. F. P., Malta, D. C., & Lotufo, P. A. (2015). Prevalence of stroke and associated disability in Brazil: National Health Survey - 2013. Arquivos de Neuro-Psiquiatria, 73(9), 746-750. Recuperado de http://www.scielo.br/pdf/anp/v73n9/0004-282X-anp-73-9-0746.pdf
Brasil. (2012a). Ministério da Saúde. Portaria nº 664 de 12 de abril de 2012. Brasília. Recuperado de http://bvsms.saude.gov.br/bvs/saudelegis/gm/2012/PRT0664_12_04_2012.html
Brasil. (2012b). Ministério da Saúde. Implementação de diretrizes e protocolos clínicos. Brasília. Recuperado de http://www.ans.gov.br/images/stories/prestadores/E-EFT-01.pdf
Brasil. (2012c). Ministério da Saúde. Portaria nº 466 de 12 de dezembro de 2012. Brasília. Recuperado de https://bvsms.saude.gov.br/bvs/saudelegis/cns/2013/res0466_12_12_2012.html
Brasil. (2012d). Ministério da Saúde. Portaria nº. 665, de 12 de abril de 2012. Brasília. Recuperado de http://bvsms.saude.gov.br/bvs/saudelegis/gm/2012/PRT0665_12_04_2012.html
Brasil. (2015). Ministério da Saúde. Agenda nacional de prioridades de pesquisa em saúde /Ministério da Saúde, Secretaria de Ciência, Tecnologia e Insumos Estratégicos, Departamento de Ciência e Tecnologia. 2. ed., 4. reimpr. – Brasília: Editora do Ministério da Saúde. Recuperado de http://brasil.evipnet.org/wp-content/uploads/2017/07/ANPPS.pdf
Gatto, L. A. M., Koppe, G. L., Junior, Z. D., & Zétola, V. H. F. (2017). Physicians are not well informed about the new guidelines for the treatment of acute stroke. Arq. Neuro-Psiquiatr, 75(10), 718-721. Recuperado de http://www.scielo.br/pdf/anp/v75n10/0004-282X-anp-75-10-0718.pdf
Manivas, S. C. F., & Freitas, C. H. A. (2012d). Uso de alteplase no tratamento do acidente vascular encefálico isquêmico agudo: o que sabem os enfermeiros? Rev. bras. Enferm, 65(3), 474-481. Recuperado de http://www.scielo.br/pdf/reben/v65n3/v65n3a12.pdf
Martins, S. H. S., Neto, R. A. B., & Velasco, I. T. (2017). Medicina de Emergência: abordagem prática. 12 ed. Barueri, SP: Manole.
Moraes, R., & Galiazzi, M. C. (2011). Análise textual discursiva. 2. ed. Ijuí: Editora Unijuí.
Ramão, G. B., Ferraz, R. R. N., & Guirado, G. M. P. (2018). Redução dos custos e do tempo de internação em um hospital público da capital paulista com a implementação do protocolo de trombólise em acidente vascular cerebral isquêmico. Revista De Tecnologia Aplicada (RTA), 7(1), 3-10. Recuperado de http://www.cc.faccamp.br/ojs-2.4.8-2/index.php/RTA/article/view/1030/576
Silva, F. M. S., & Oliveira, E. M. F. (2017). Comparação dos métodos de imagem (tomografia computadorizada e ressonância magnética) para o diagnóstico de acidente vascular encefálico. Journals Bahiana, 6(1), 81-89. Recuperado de https://www5.bahiana.edu.br/index.php/enfermagem/article/view/1258/853
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
