Acolhimento com classificação de risco na Atenção Primária à Saúde

Abstract

The Welcoming with Risk Rating proposed by the National Humanization Policy is a tool change in the work of care and health production in emergency services and emergency expanding to the Primary Health Care. This research aimed to understand the perception of nurses of the Family Health team about Home with Risk Rating. This is a qualitative study, descriptive and exploratory, based on appropriate ethnomethodological study to understand how the nurses of the Family Health team deal with the Welcoming with Risk Rating. Held in Health Strategies Family of Patos de Minas, Minas Gerais, 19 nurses participated in the Health Family teams approved on the course of triador - Brazilian Group of Manchester Protocol Welcoming with Risk Rating. Data collection was conducted from May to July 2014 and the access to information took place in two stages, the first being the non-participant observation and the second was the individual interview on the last day of observation of each nurse. The data resulting from the transcription of the interviews and field diary used during non - participant observation were evaluated based on content analysis, the thematic analysis type. The results showed that 17 (89.47%) of nurses were female, with an average age of 33.6 years and the average service time of the ESF of 7.73 years. Considering the results, it was possible to build the Home category Risk Rating: ESF nurses' view, emphasizing the inviability of Manchester Protocol to the reality of the service provided by the ESF. From this category, three subcategories were prepared as follows: (In) Home Understanding with Risk Rating, Facilitators and hindering the consolidation of the Manchester Protocol and reorganization of the queue. In view of the results, it can be concluded that it is essential to discuss the adjustments and adaptations of the Manchester Protocol daily reception held by the nurse, in order to gauge ALERT® operating system in all aspects of the human being, considered a biopsychosocial being, not just physical. Adaptations those are consistent with the principles proposed by the Family Health Strategy, not just the momentary assistance focused on complaint-conduct.