Percepção da equipe interprofissional sobre o uso da telemedicina em Unidades de Terapia Intensiva durante a pandemia do COVID-19

• Ano de defesa: 2023
• Autor(a) principal: Irineu, Vivian Menezes
• Orientador(a): Morgado, Flávio
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Educação nas Profissões da Saúde
• Departamento: Faculdade de Ciências Médicas e da Saúde
• País: Brasil
• Palavras-chave em Português: Telemedicina em UTI; COVID-19; Percepção da equipe de saúde
• Palavras-chave em Inglês: Telemedicine in the ICU; COVID-19; Perception of the health team
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://repositorio.pucsp.br/jspui/handle/handle/39550

The COVID-19 pandemic has boosted the use of telemedicine as a means of communication, dissemination of knowledge and sharing of behaviors. The effectiveness results of the use of telemedicine in intensive care in pre-pandemic periods were heterogeneous and possibly influenced by the sovereignty of the human factor over technology. Understanding real-world experiences, through the lens of daily practice patterns across the multiple facets of interprofessional interaction in intensive care, in a unique period such as the COVID-19 pandemic, can help identify local structures and processes that will facilitate effective implementation of the use of telemedicine in the ICU. The objectives of the research were to characterize attitudes and perceptions of the interprofessional team about the usefulness and effectiveness of using Telemedicine in ICUs in times of pandemic and, based on this knowledge, to outline proposals that optimize its use. The Participants: Interprofessional health team from Itapetininga who had contact with Telemedicine in the ICU during the period of the COVID-19 Pandemic. The methodology used was a cross-sectional, quali-quantitative, exploratory study carried out through online questionnaires and interviews in focus groups. Quantitative response analysis was performed using IBM SPSS Statistics 21 software. Quantitative data were described based on their main measures of position (mean, median and standard deviation) and frequency. To analyze the relationships between the categorical variables gender, public or private, age group, professional category with the observed perceptions, the Pearson test for contingency tables was performed. In cases of significant results (p-values <0.05) the analyzes were supplemented by the analysis of Chi-square residuals (χ2). The Content Analysis of the FGs was of the thematic type and construction of Bardin's non-a priori categories. After analyzing the data, the qualitative and quantitative aspects were grouped and for the final analysis they were structured under insights from Moscovici's theory of social representations. In the Discussion, in general, the results obtained show the team's satisfaction with the use of telemedicine and highlight the driving role of the pandemic in its implementation. From different perspectives of the interdisciplinary team, the use of telemedicine was unveiled and potentially modifiable aspects emerged that can contribute to the improvement of its use. In this study, the consistency dimension was the biggest obstacle to be overcome and integration was the facilitator of implementation. It was concluded that the work carried out makes a significant contribution to the health sector, as it shows an overview of the use of telemedicine from the perspective of its main actors, the interprofessional team. And this scenario, although positive, revealed several potentially modifiable factors that will support a better use of technology