Ferreira JEDSM, Cavalcante TF, Jansen RC, Damasceno DFO, Oliveira LR, Silva MJN, Rodrigues AP. Challenges for maintaining surgical care practices in the COVID-19 pandemic: an integrative review.
Invest Educ Enferm 2022;
40:e16. [PMID:
35485629 PMCID:
PMC9052711 DOI:
10.17533/udea.iee.v40n1e16]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/21/2021] [Accepted: 03/03/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVES
To present the knowledge produced on challenges of health services for maintaining surgical care practices in times of the COVID-19 pandemic.
METHODS
This is an integrative literature review, performed with descriptors 'Operating rooms' and 'Coronavirus Infections' in the MEDLINE/PubMed Central, IBECS, LILACS, BDENF, Coleta SUS, BIGG, BINACIS, SciELO, PubMed, Science Direct, and Cochrane Library databases.
RESULTS
Of the 405 studies analyzed, 27 met the inclusion criteria. The main challenges for surgical services during the pandemic were: (i) rearrangement of general practice in surgical units; (ii) administration and management of resources and elective surgeries; (iii) follow-up and control of preoperative patients to medium term; (iv) maintenance of patients' and health professionals' autonomy and mental health in this context; and (v) teaching health residents in the operating room.
CONCLUSIONS
For surgical care services, the challenges caused by managing the high demand of patients in need of care resulted in the transfer of own resources to other units and the consequent hiring of professionals to meet the demand for these services due to the damming of postponed elective surgeries. This knowledge will allow us to propose strategies in decision making in this scenario, considering the new waves that may arise from this disease.
Collapse