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A pandemia de COVID-19 nos Serviços de Radiologia em Portugal: aprendizagens para o futuro
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RESUMO - Introdução: A OMS declarou em janeiro de 2020 a pandemia de COVID-19 como uma emergência em saúde pública de âmbito internacional1. Reorganizar processos num serviço de radiologia resultou assim num novo desafio para a gestão2. Como consequência, é esperável que o Serviço Nacional de Saúde português esteja atualmente mais resiliente3. Surgem, assim, algumas questões: (i) terá a pandemia da COVID-19 promovido aprendizagens e melhorias nos Serviços de Radiologia? (ii) será uma fonte de oportunidades para esses serviços? (iii) até que ponto as abordagens de transformação e melhoria implementadas permanecerão após o seu término4?
Objetivos: Identificar os principais desafios e lições aprendidas, numa perspetiva futura de controlo da infeção hospitalar e da segurança do doente e do profissional de saúde nos serviços de radiologia, através de uma análise das perceções e experiências dos Técnicos de Radiologia. Analisar as suas expetativas futuras acerca do funcionamento dos serviços de radiologia após a integração desses mecanismos de segurança do doente e do profissional, pós-pandemia.
Metodologia: Estudo exploratório qualitativo, com população alvo: Técnicos de Radiologia a exercer funções em Portugal durante a pandemia de COVID-19. Dados obtidos através da realização de entrevistas semiestruturadas, entre abril e setembro de 2022. Tratamento e análise de dados através de análise temática indutiva.
Resultados: O estudo incluiu: 4 Técnicos Coordenadores (25%) e 12 Técnicos de Radiologia (75%). Resultaram quatro temas no que respeita aos desafios da pandemia de COVID-19: (i) desafios emocionais para os profissionais de saúde; (ii) desafios ao nível do processo de trabalho; (iii) barreiras físicas; (iv) desafios ao nível dos recursos. Verificaram-se diversas medidas organizacionais implementadas, tais como a “proteção individual dos profissionais de saúde”, a “alteração da estrutura do serviço” e o “distanciamento entre utilizadores”. A maioria dos participantes considerou que foi possível garantir a Segurança do Doente e do Profissional de Saúde.
Considerações finais: Identificaram-se diversos desafios que requerem atenção por parte dos gestores de saúde, a nível emocional, barreiras físicas, desafios no processo de trabalho e recursos humanos, os quais surgiram associados à escassez de informação, ao distanciamento, à comunicação e às infraestruturas. Sugere-se realizar estudos nesta área no sentido de melhorar o conhecimento científico, bem como garantir práticas de gestão da saúde frente a futuras crises.
ABSTRACT - Introduction: The WHO declared in January 2020 the pandemic of COVID-19 as a public health emergency of international scope1. Reorganizing processes in a radiology service thus resulted in a new challenge for management2. As a consequence, it is considered that the Portuguese National Health Service is currently more resilient3. Thus, some questions arise: (i) has the COVID-19 pandemic promoted learning and improvements in Radiology Services? (ii) will it be a source of opportunities for these services? (iii) to what extent will the implemented transformation and improvement approaches remain after their termination4? Objectives: Identify the main challenges and lessons learned, in a future perspective of nosocomial infection control and patient and health professional safety in Radiology Services, through an analysis of the perceptions and experiences of Radiology Technicians. Analyze your future expectations regarding the functioning of radiology services after the integration of these post-pandemic patient and professional safety mechanisms. Methodology: Qualitative exploratory study, with target population: Radiology Technicians working in Portugal during the COVID-19 pandemic. Data obtained through semi-structured interviews, between april and september 2022. Treatment and analysis of data through inductive thematic analysis process. Results: The study included: 4 Coordinating Technicians (25%) and 12 Radiology Technicians (75%). Four themes resulted with regard to the challenges of the COVID-19 pandemic: (i) emotional challenges for health professionals; (ii) challenges in terms of the work process; (iii) physical barriers; (iv) resource challenges. Several organizational measures were implemented, such as “individual protection of health professionals”, “altering the structure of the service” and “distancing between users”. Most participants considered that it was possible to guarantee Patient and Health Professional Safety. Final considerations: Several challenges were identified that require attention from health managers, at an emotional level, physical barriers, challenges in the work process and human resources, which emerged associated with the lack of information, distance, communication and infrastructure. It is suggested to carry out studies in this area in order to improve scientific knowledge, as well as to guarantee health management practices in the face of future crises that may come.
ABSTRACT - Introduction: The WHO declared in January 2020 the pandemic of COVID-19 as a public health emergency of international scope1. Reorganizing processes in a radiology service thus resulted in a new challenge for management2. As a consequence, it is considered that the Portuguese National Health Service is currently more resilient3. Thus, some questions arise: (i) has the COVID-19 pandemic promoted learning and improvements in Radiology Services? (ii) will it be a source of opportunities for these services? (iii) to what extent will the implemented transformation and improvement approaches remain after their termination4? Objectives: Identify the main challenges and lessons learned, in a future perspective of nosocomial infection control and patient and health professional safety in Radiology Services, through an analysis of the perceptions and experiences of Radiology Technicians. Analyze your future expectations regarding the functioning of radiology services after the integration of these post-pandemic patient and professional safety mechanisms. Methodology: Qualitative exploratory study, with target population: Radiology Technicians working in Portugal during the COVID-19 pandemic. Data obtained through semi-structured interviews, between april and september 2022. Treatment and analysis of data through inductive thematic analysis process. Results: The study included: 4 Coordinating Technicians (25%) and 12 Radiology Technicians (75%). Four themes resulted with regard to the challenges of the COVID-19 pandemic: (i) emotional challenges for health professionals; (ii) challenges in terms of the work process; (iii) physical barriers; (iv) resource challenges. Several organizational measures were implemented, such as “individual protection of health professionals”, “altering the structure of the service” and “distancing between users”. Most participants considered that it was possible to guarantee Patient and Health Professional Safety. Final considerations: Several challenges were identified that require attention from health managers, at an emotional level, physical barriers, challenges in the work process and human resources, which emerged associated with the lack of information, distance, communication and infrastructure. It is suggested to carry out studies in this area in order to improve scientific knowledge, as well as to guarantee health management practices in the face of future crises that may come.
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covid-19 radiologia desafios risco segurança do doente profissional de saúde radiology challenges risk patient safety healthcare professional