Navarro MVR, González PYJ, Salazar SSC, Alleyne HE, Bandera ELE, Rodríguez PJ

Language: Spanish
References: 16
Page: 1-22
PDF size: 509.82 Kb.

ABSTRACT

Introduction: The conversion of various buildings as hospital centers for the medical care of patients with COVID-19 is a necessary solution in light of the high demand of cases and the limitation of hospital beds.
Objective: Determine the lessons learned and the points of improvement in the medical care process of the Comprehensive Center of Provisional Care for Patients with moderate COVID-19 in Figali.
Methods: Prospective, descriptive study, conducted from March 1 to 15, 2021. Total of workers, total of doctors, nursing graduates and administrative heads were assessed. Cluster sampling of 36,5 %. Qualitative methodology (questionnaire, semi-structured interview and focal group workshop) was used.
Results: In the first three months, the center admitted 548 patients (daily maximum of 124); of these, 309 (56.4%) with moderate or severe category. The institution had up to 74 doctors (including 41 Cuban specialists) and 91 nurses. Medical care was rated by the respondents as very high or high (100%), and other rates were: patient satisfaction (90.9%), hygiene (93.2%) and social function of the center (97.7%). The greatest learnings were on biosafety, oxygen therapy, comprehensive management of the disease and the integration of different groups; among whom professionalism, humanism and a sense of belonging stood out.
Conclusions: The main lessons learned focus on training, biosecurity, flows, oxygen therapy, quality and sense of belonging of the staff. Workers perceive that the center adequately fulfills its mission. The main points of improvement are communication, comfort for patients, collective evaluation of cases and psychological support.

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