Humanization in urgent and emergency services: contributions to nursing care

Integrative review of LILACS, CINAHL, SciELO, Web of Science, SCOPUS, and BDENF databases, using the keywords: humanization of care, urgencies, emergencies, emergency medical services, and nursing.

RESULTS

The search resulted in a total of 133 publications, of which 17 were included in the scope of this review. The analysis enabled the elaboration of the evidence units: ‘Reception with Risk Classification: a device with good results’ and ‘Barriers and difficulties to use the guidelines of the National Humanization Policy’.

CONCLUSION

The Reception with Risk Classification was evidenced as the main device for the effective implementation of the National Humanization Policy and there are barriers to its effectiveness related to the organization of health care networks, structural problems, and multi-professional work.

Keywords:
Nursing; Emergencies; Emergency medical services; Humanization of asistance

Descriptors	LILACS	SciELO	WOS	SCOPUS	BDENF
“humanization of care” and “urgencies” and “nursing”	19	07	00	01	24
“humanization of care” and “emergencies” and “nursing”	23	08	01	00	28
“humanization of care” and “emergency medical services” and “nursing”	08	02	01	00	11
Total	50	17	02	01	63

Nº	Year Journal	Outline/Theoretical Reference /Sample/Environment	Representative Terms
E01	2009 Cogitare Enfermagem	Qualitative/Descriptive and exploratory research/4 adult users and 3 family members / Emergency room of a hospital in Paraná	Resolution in basic care, care organization, physical structure, and high demand.
E02	2009 Revista Eletrônica de Enfermagem	Qualitative/Descriptive and exploratory research/ 10 accompanying persons/Emergence room of a hospital in Ceará	Lack of communication, high demand, physical structure, and professional commitment.
E03	2010 Revista de Enfermagem da UERJ	Qualitative/Descriptive and exploratory research/5 nurses and 5 nurse technicians/Emergence room of a public hospital in Rio Grande do Norte	Inadequate environment, human resource deficit, high demand, responsibility for the user, and work conditions.
E04	2011 Revista de Enfermagem da UERJ	Qualitative/Descriptive and exploratory research/3 nurses and 10 nurse technicians/Emergence service of a public hospital in Santa Catarina	Work organization, greater security in care, high demand, lack of coordination in the network, scarce material resources.
E05	2011 Revista Eletrônica de Enfermagem	Qualitative/Descriptive and exploratory research/3 nurses and 10 nurse technicians/Emergence service of a public hospital in Santa Catarina	Faster health care, lack of physical, material, and human resources and the population’s lack of knowledge regarding the protocol.
E06	2011 Revista Eletrônica de Enfermagem	Quantitative and qualitative/Descriptive and exploratory research/28,818 medical appointment records/Emergence room of a public hospital in Paraná	Multi-professional team, protocol planning, reduction in medical care, resolution of the basic care.
E07	2012 Revista Mineira de Enfermagem	Qualitative/Transversal research /45 nurses/Public hospital emergency service in Paraná	Signaling the environment, professional commitment, lack of coordination in the network, communication with users, and training.
E08	2012 Revista de Pesquisa Cuidado é Fundamental Online	Qualitative/Descriptive and exploratory research/17 healthcare practitioners/Mobile urgent care in Minas Gerais	Teamwork, respect, technical assistance, humanitarian vision, and aggression.
E09	2013 Revista de Enfermagem da UFSM	Qualitative/Descriptive and exploratory research/14 nurses/Public general hospital in Rio Grande do Norte	Appreciation of the human being, communication process, responsibility for the user, and risk rating.
E10	2013 Revista Baiana de Enfermagem	Qualitative/Descriptive and exploratory research/14 nurses/Urgency hospital in Piauí	Professional relations, effective care, worker’s distress, structural difficulties, high demand, shortage of professionals and multi-professional team.
E11	2015 Revista de Enfermagem da UERJ	Qualitative/Transversal study/314 hospital workers/3 public hospital emergency services and 1 philanthropic in Paraná	Qualitative and quantitative lack of human resources, physical structure, and fragility of the referral and counter-referral system.
E12	2015 Revista Mineira de Enfermagem	Qualitative/Transversal study/314 hospital workers/3 public hospital emergency services and 1 philanthropic in Paraná	Lack of physical space, problems in the relationship of the multi-professional team, and difficulties in implementation.
E13	2015 Revista da Escola de Enfermagem da USP	Qualitative/Methodological study/10 nurses and 10 doctors/ Mobile urgency care in Rio Grande do Norte	Physical structure, material conditions, professional safety, access assurance, time/response, interpersonal relationship, multi-professional articulation.
E14	2015 Revista Brasileira de Ciências da Saúde	Qualitative/Transversal study/12 nurses/Public hospital in Alagoas	Lack of human and material resources, high demand, working hours, and individualized service.
E15	2016 Revista da Escola de Enfermagem da USP	Qualitative/Transversal study/300 users/Adult Emergency Room of a public hospital in Minas Gerais	Fast health care, trust, hospitality, ambience, communication, and information.
E16	2016 Revista Baiana de Enfermagem	Qualitative/Descriptive and exploratory research/21 nurses/Emergency care unit in Rio de Janeiro	Physical structure, lack of knowledge of the population, use of protocols, change in the logic behind the care, resolution of basic care, and lack of material resources.
E17	2016 Texto Contexto Enfermagem	Qualitative/Fourth Generation Evaluation/15 nurses, 9 users and 6 family members/Psychiatric emergency service of a general hospital in Paraná	Multidisciplinary care, empowerment and prominence of the groups involved, and participation of the nurse.

Universidade Federal do Rio Grande do Sul. Escola de Enfermagem Rua São Manoel, 963 -Campus da Saúde , 90.620-110 - Porto Alegre - RS - Brasil, Fone: (55 51) 3308-5242 / Fax: (55 51) 3308-5436 - Porto Alegre - RS - Brazil
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[1] Corresponding author:
Kayo Henrique Jardel Feitosa Sousa. kayohenriquejardel@hotmail.com