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Identificação do perfil epidemiológico das vítimas de trauma, relação com o tempo de espera
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A realização dos estágios no âmbito do Mestrado em Enfermagem Médico-Cirúrgica, com foco na Pessoa em Situação Crítica, constituiu um pilar essencial no desenvolvimento de competências clínicas, éticas, técnicas e científicas. A integração em contextos complexos como Unidade Local do Programa de Prevenção e Controlo de Infeções e de Resistência aos Antimicrobianos, Serviço de Urgência Polivalente e Cuidados Intensivos, permitiu a consolidação de saberes teóricos através da prática reflexiva e fundamentada na evidência. Neste âmbito, realizou-se o estudo “Identificação do Perfil Epidemiológico das Vítimas de Trauma num Serviço de Urgência de uma Unidade Local de Saúde (ULS) da região Norte de Portugal e Relação com o Tempo de Espera”, um contributo relevante para a prática baseada na evidência. Com este relatório pretendo, descrever o percurso formativo ao longo dos diversos contextos de estágio e desenvolver uma reflexão crítica sobre as atividades desenvolvidas durante esses
momentos de prática. Integráramos ainda uma componente investigativa, que teve como objetivo, identificar o perfil epidemiológico da vítima de trauma num serviço de urgência de uma Unidade Local de Saúde da região Norte de Portugal e relação com o tempo de espera. Estudo transversal descritivo, baseado em 10.760 episódios registados entre 1 de janeiro e 31 de dezembro de 2023. A recolha de dados ocorreu entre janeiro e fevereiro de 2024, após autorização institucional e da Comissão de Ética. Os dados, anonimizados, foram analisados com o SPSS®, versão 28.0.
Os dados, extraídos do sistema informático SClínico©, referem-se a episódios de urgência por trauma registados numa Unidade Local de Saúde da região Norte de Portugal. Após autorização institucional e parecer favorável da Comissão de Ética. A amostra maioritariamente feminina (52,5%), com idade média de 58,43 anos (DP±26,14), com mais de 75 anos (23,9%) e residentes no distrito de Vila Real (91,3%). O tempo médio de espera desde a triagem até ao primeiro atendimento foi de 28,2 minutos e o tempo de permanência no serviço de urgência de 298,9 minutos. Atribuída prioridade amarela a 70,4%, maioritariamente pequenos traumas (71,5%) e por queda (77,1%).
Diferenças significativas nos tempos de espera em função da idade, dia da semana e causa da admissão. Estes resultados destacam a necessidade de um planeamento orientado por dados que considerem a idade, o tipo de trauma e o contexto de admissão para uma gestão mais eficiente e equitativa dos cuidados no serviço de urgência.
Os estágios foram condição sine qua non para desenvolver as competências previstas para o enfermeiro especialista e mestre em Enfermagem Médico-Cirúrgica na Área de Enfermagem à Pessoa em Situação Critica. Os resultados obtidos do estudo de investigação indicam o predomínio de idosos em situações de pequeno trauma, o que reforça a importância de estratégias clínicas e organizacionais ajustadas a este perfil populacional.
Carrying out the internships as part of the Master’s in Medical-Surgical Nursing, with a focus on the Person in Critical Condition, constituted an essential pillar in the development of clinical, ethical, technical, and scientific competencies. Integration into complex settings such as the Local Unit for the Program of Infection Prevention and Control and Antimicrobial Resistance, the Multipurpose Emergency Department, and Intensive Care enabled the consolidation of theoretical knowledge through reflective practice grounded in evidence. In this context, the study “Identification of the Epidemiological Profile of Trauma Victims in an Emergency Department” was conducted, contributing meaningfully to evidence-based practice. With this report I aim to describe the training path across the various internship contexts and to develop a critical reflection on the activities carried out during those moments of practice. We also incorporated a research component, aimed at identifying the epidemiological profile of trauma victims in an emergency department of a Local Health Unit in the northern region of Portugal, and its relation to waiting time. This was a descriptive cross-sectional study based on 10,760 episodes recorded between January 1 and December 31, 2023. Data collection took place between January and February 2024 after institutional authorization and approval by the Ethics Committee. The anonymized data were analyzed using SPSS®, version 28.0. The data, extracted from the SClínico©, computer system, refer to trauma emergency episodes recorded in a Local Health Unit in northern Portugal, following institutional authorization and favorable opinion from the Ethics Committee. The sample was predominantly female (52.5 %), with a mean age of 58.43 years (SD ± 26.14), with more than 75 years old making up 23.9 %, and 91.3 % residing in the district of Vila Real. The mean waiting time from triage to first medical assessment was 28.2 minutes, while the average length of stay in the emergency department was 298.9 minutes. A yellow priority was assigned in 70.4 % of cases, predominantly minor traumas (71.5 %) and due to falls (77.1 %). There were significant differences in waiting times according to age, day of the week, and cause of admission. These results underscore the necessity of data-driven planning that considers age, type of trauma, and admission context for more efficient and equitable management of care in the emergency department. The internships were a sine qua non condition for developing the competencies required of the specialist nurse and master’s graduate in Medical-Surgical Nursing in the Critical Person Nursing Area. The results obtained from the research study indicate the predominance of elderly patients in minor trauma cases, reinforcing the importance of clinical and organizational strategies tailored to this population profile.
Carrying out the internships as part of the Master’s in Medical-Surgical Nursing, with a focus on the Person in Critical Condition, constituted an essential pillar in the development of clinical, ethical, technical, and scientific competencies. Integration into complex settings such as the Local Unit for the Program of Infection Prevention and Control and Antimicrobial Resistance, the Multipurpose Emergency Department, and Intensive Care enabled the consolidation of theoretical knowledge through reflective practice grounded in evidence. In this context, the study “Identification of the Epidemiological Profile of Trauma Victims in an Emergency Department” was conducted, contributing meaningfully to evidence-based practice. With this report I aim to describe the training path across the various internship contexts and to develop a critical reflection on the activities carried out during those moments of practice. We also incorporated a research component, aimed at identifying the epidemiological profile of trauma victims in an emergency department of a Local Health Unit in the northern region of Portugal, and its relation to waiting time. This was a descriptive cross-sectional study based on 10,760 episodes recorded between January 1 and December 31, 2023. Data collection took place between January and February 2024 after institutional authorization and approval by the Ethics Committee. The anonymized data were analyzed using SPSS®, version 28.0. The data, extracted from the SClínico©, computer system, refer to trauma emergency episodes recorded in a Local Health Unit in northern Portugal, following institutional authorization and favorable opinion from the Ethics Committee. The sample was predominantly female (52.5 %), with a mean age of 58.43 years (SD ± 26.14), with more than 75 years old making up 23.9 %, and 91.3 % residing in the district of Vila Real. The mean waiting time from triage to first medical assessment was 28.2 minutes, while the average length of stay in the emergency department was 298.9 minutes. A yellow priority was assigned in 70.4 % of cases, predominantly minor traumas (71.5 %) and due to falls (77.1 %). There were significant differences in waiting times according to age, day of the week, and cause of admission. These results underscore the necessity of data-driven planning that considers age, type of trauma, and admission context for more efficient and equitable management of care in the emergency department. The internships were a sine qua non condition for developing the competencies required of the specialist nurse and master’s graduate in Medical-Surgical Nursing in the Critical Person Nursing Area. The results obtained from the research study indicate the predominance of elderly patients in minor trauma cases, reinforcing the importance of clinical and organizational strategies tailored to this population profile.
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Trauma Serviços médicos de emergência Enfermagem médico-cirúrgica