Universidade do Estado do Amazonas, Escola Superior de Ciências da Saúde, Manaus, AM, Brasil.
Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil.
Rev Lat Am Enfermagem. 2022 Jul 8;30:e3591. doi: 10.1590/1518-8345.5799.3591. eCollection 2022.
to describe the technical-assistance arrangements developed within the scope of work management in the COVID-19 pandemic care network, from the managers' perspective.
a qualitative research study, of the incorporated single case type, conducted with 23 managers of a Health Care Network. The analysis was applied in two thematic coding cycles, with the aid of the ATLAS.ti software.
the arrangements were analyzed in categories related to health care; management; incorporation of technologies; implementation of a field hospital; and retrospective analysis of the experiences as a whole. There was emphasis on the implementation of care flows, virtual health bulletins, Telemonitoring, chatbots, use of applications, and implementation of field hospitals and of basic urgency services within the scope of the Basic Health Units. Hyperjudicialization in the system was identified; as well as weaknesses in information management, intersectoriality and technical-political leadership at the national level; the role of nurses in management positions and for coping with the pandemic.
despite the health services' unpreparedness to face the pandemic, the actors' resilience promoted dynamism and technical-assistance arrangements in the context of management and humanized care. The study has a potential to contribute to the qualification of the public policy management and development practices.
从管理者的角度描述 COVID-19 大流行护理网络范围内工作管理范围内制定的技术援助安排。
一项定性研究，属于综合单一案例类型，对一个医疗保健网络的 23 名管理者进行了研究。该分析应用于两个主题编码周期，使用 ATLAS.ti 软件。
安排在与医疗保健、管理、技术整合、野战医院实施以及整体经验回顾分析相关的类别中进行了分析。重点放在护理流程、虚拟健康公告、远程监护、聊天机器人、应用程序的使用以及基本急救服务在基本卫生单位范围内的实施上。系统中超审判的情况被发现；信息管理、部门间合作和国家层面的技术政治领导力薄弱；护士在管理岗位上的作用以及应对大流行的作用。
尽管卫生服务部门对大流行准备不足，但行动者的适应能力促进了管理和人性化护理背景下的动态和技术援助安排。该研究有可能有助于公共政策管理和发展实践的资格认证。
