0354/2024 - Resiliência e arranjos tecnológicos de cuidado hospitalar na pandemia de COVID-19: revisão integrativa de literatura Resilience and technological arrangements for hospital care in the COVID-19 pandemic: an integrative literature review
A presente revisão integrativa objetiva analisar a literatura científica para identificar arranjos tecnológicos de gestão do cuidado (AT) hospitalares utilizados durante a pandemia de covid-19, com vista a compreender se e como esses arranjos contribuíram para a resiliência dos serviços e sistemas. A busca na literatura científica foi realizada em três bases de dados, compreendendo o período de 01/01/2020 e 10/05/2023. A análise de dados se deu a partir da classificação dos AT de acordo com as dimensões familiar, profissional e organizacional do cuidado de Cecílio (2011). Os AT que operaram na dimensão familiar do cuidado sugerem estratégias relacionais como potencializadoras da resiliência dos hospitais. As experimentações no campo das dimensões profissional e organizacional apontam a importância do compartilhamento de decisões e o diálogo entre tecnologias na resiliência e na integralidade do cuidado. As TIC apoiaram a reorganização hospitalar na superação dos desafios pandêmicos sem prescindir de tecnologias leves, com potência para transformar o hospital contemporâneo. Assim, sistemas de saúde como o SUS, ao conectar TIC aos AT, podem potencializar a articulação entre familiares e profissionais, a ampliação da clínica e das capacidades institucionais.
Palavras-chave:
Assistência Hospitalar; Assistência centrada no paciente; COVID-19; Sistemas de Saúde; Saúde digital.
Abstract:
The present integrative review aims to analyze the scientific literature to identify technological arrangements for care management (AT) in hospitals used during the COVID-19 pandemic, with the goal of understanding whether and how these arrangements contributed to the resilience of services and systems. The literature search was conducted in three databases, covering the periodJanuary 1, 2020, to May 10, 2023. Data analysis was based on the classification of AT according to the family, professional, and organizational dimensions of care proposed by Cecílio (2011). The ATs that operated in the family dimension of care suggest relational strategies as enhancers of hospital resilience. Experiments in the fields of professional and organizational dimensions highlight the importance of shared decision-making and dialogue between technologies in resilience and the comprehensiveness of care. ICT supported hospital reorganization in overcoming pandemic challenges without disregarding lightweight technologies, which have the potential to transform contemporary hospitals. Thus, health systems like SUS, by connecting ICT to AT, can enhance the articulation between families and professionals, as well as expand clinical practice and institutional capacities.
Keywords:
Hospital Care; Patient-Centered Care; COVID-19; Health Systems, Digital health.
Resilience and technological arrangements for hospital care in the COVID-19 pandemic: an integrative literature review
Resumo (abstract):
The present integrative review aims to analyze the scientific literature to identify technological arrangements for care management (AT) in hospitals used during the COVID-19 pandemic, with the goal of understanding whether and how these arrangements contributed to the resilience of services and systems. The literature search was conducted in three databases, covering the periodJanuary 1, 2020, to May 10, 2023. Data analysis was based on the classification of AT according to the family, professional, and organizational dimensions of care proposed by Cecílio (2011). The ATs that operated in the family dimension of care suggest relational strategies as enhancers of hospital resilience. Experiments in the fields of professional and organizational dimensions highlight the importance of shared decision-making and dialogue between technologies in resilience and the comprehensiveness of care. ICT supported hospital reorganization in overcoming pandemic challenges without disregarding lightweight technologies, which have the potential to transform contemporary hospitals. Thus, health systems like SUS, by connecting ICT to AT, can enhance the articulation between families and professionals, as well as expand clinical practice and institutional capacities.
Palavras-chave (keywords):
Hospital Care; Patient-Centered Care; COVID-19; Health Systems, Digital health.
Bragagnolo, LM, Avarca, C.A.C, Tofani, LFN, Bigal, AL, Moura, G.H.S, Chioro, A, Guimarães, C.F, Andreazza, R. Resiliência e arranjos tecnológicos de cuidado hospitalar na pandemia de COVID-19: revisão integrativa de literatura. Cien Saude Colet [periódico na internet] (2024/out). [Citado em 14/03/2026].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/resiliencia-e-arranjos-tecnologicos-de-cuidado-hospitalar-na-pandemia-de-covid19-revisao-integrativa-de-literatura/19402
