Nurses and the Manchester: rearranging the work process and emergency care?

ABSTRACT Objective: to understand the changing roles of nurses in labor division organization in hospitals from the Manchester Triage System implementation in an emergency hospital. Methods: this is an ethnographic study that used different production techniques and data analysis. Results: the Ma...

Full description

Bibliographic Details
Main Authors: Graça Carapinheiro, Arthur Chioro, Rosemarie Andreazza, Sandra Maria Spedo, Ana Lúcia Medeiros de Souza, Eliane Cardoso de Araújo, Tiago Correia, Luiz Carlos de Oliveira Cecilio
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100188&tlng=pt
_version_ 1819101545222897664
author Graça Carapinheiro
Arthur Chioro
Rosemarie Andreazza
Sandra Maria Spedo
Ana Lúcia Medeiros de Souza
Eliane Cardoso de Araújo
Tiago Correia
Luiz Carlos de Oliveira Cecilio
author_facet Graça Carapinheiro
Arthur Chioro
Rosemarie Andreazza
Sandra Maria Spedo
Ana Lúcia Medeiros de Souza
Eliane Cardoso de Araújo
Tiago Correia
Luiz Carlos de Oliveira Cecilio
author_sort Graça Carapinheiro
collection DOAJ
description ABSTRACT Objective: to understand the changing roles of nurses in labor division organization in hospitals from the Manchester Triage System implementation in an emergency hospital. Methods: this is an ethnographic study that used different production techniques and data analysis. Results: the Manchester Triage System organized flows and places resulting in quality of care and changes in work processes. Conflict relationships related to disagreements in risk stratification were present. Final considerations: the traditional roles of nurses have been transformed, but it cannot be said that there was a structural change in their position in labor division organization in hospitals. The frontiers of autonomy, therefore of increasing the professionalization of nurses, are neither fixed nor stable, expanding or contracting according to the micropolitical changes in the governance of care.
first_indexed 2024-12-22T01:20:22Z
format Article
id doaj.art-cf2ac08117e54825bb9c0147e9d31b08
institution Directory Open Access Journal
issn 1984-0446
language English
last_indexed 2024-12-22T01:20:22Z
publisher Associação Brasileira de Enfermagem
record_format Article
series Revista Brasileira de Enfermagem
spelling doaj.art-cf2ac08117e54825bb9c0147e9d31b082022-12-21T18:43:45ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-044610.1590/0034-7167-2020-0450Nurses and the Manchester: rearranging the work process and emergency care?Graça CarapinheiroArthur ChioroRosemarie AndreazzaSandra Maria SpedoAna Lúcia Medeiros de SouzaEliane Cardoso de AraújoTiago CorreiaLuiz Carlos de Oliveira CecilioABSTRACT Objective: to understand the changing roles of nurses in labor division organization in hospitals from the Manchester Triage System implementation in an emergency hospital. Methods: this is an ethnographic study that used different production techniques and data analysis. Results: the Manchester Triage System organized flows and places resulting in quality of care and changes in work processes. Conflict relationships related to disagreements in risk stratification were present. Final considerations: the traditional roles of nurses have been transformed, but it cannot be said that there was a structural change in their position in labor division organization in hospitals. The frontiers of autonomy, therefore of increasing the professionalization of nurses, are neither fixed nor stable, expanding or contracting according to the micropolitical changes in the governance of care.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100188&tlng=ptEmergency Medical ServicesEmergency NursingNursing CareTriagePatient Care Management
spellingShingle Graça Carapinheiro
Arthur Chioro
Rosemarie Andreazza
Sandra Maria Spedo
Ana Lúcia Medeiros de Souza
Eliane Cardoso de Araújo
Tiago Correia
Luiz Carlos de Oliveira Cecilio
Nurses and the Manchester: rearranging the work process and emergency care?
Revista Brasileira de Enfermagem
Emergency Medical Services
Emergency Nursing
Nursing Care
Triage
Patient Care Management
title Nurses and the Manchester: rearranging the work process and emergency care?
title_full Nurses and the Manchester: rearranging the work process and emergency care?
title_fullStr Nurses and the Manchester: rearranging the work process and emergency care?
title_full_unstemmed Nurses and the Manchester: rearranging the work process and emergency care?
title_short Nurses and the Manchester: rearranging the work process and emergency care?
title_sort nurses and the manchester rearranging the work process and emergency care
topic Emergency Medical Services
Emergency Nursing
Nursing Care
Triage
Patient Care Management
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100188&tlng=pt
work_keys_str_mv AT gracacarapinheiro nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT arthurchioro nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT rosemarieandreazza nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT sandramariaspedo nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT analuciamedeirosdesouza nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT elianecardosodearaujo nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT tiagocorreia nursesandthemanchesterrearrangingtheworkprocessandemergencycare
AT luizcarlosdeoliveiracecilio nursesandthemanchesterrearrangingtheworkprocessandemergencycare