Protocolo clínico de atendimento médico hospitalar à pessoa idosa em situação de violência

• Ano de defesa: 2021
• Autor(a) principal: Rathke, Cesar Augusto de Freitas e
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraíba; Brasil; Medicina; Programa de Mestrado Profissional em Gerontologia; UFPB
• Palavras-chave em Português: Gerontologia - Maus-tratos ao idoso; Idoso - Violência; Médicos; Protocolo clínico; Serviços hospitalares; Elder abuse; Aged; Doctors; Protocols; Hospital services; Maltrato a los ancianos; Anciano; Doctores; Protocolos; Servicios hospitalarios; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/123456789/29522

Introduction: the absolute and relative growth of the elderly population, associated with changes in the structure and functions of the family and social changes, has led to an increase in violence against the elderly. Hospital service physicians are in a privileged position to detect and monitor cases. However, there are few studies evaluating the competencies of hospital doctors in face of this phenomenon, and there are no national protocols on hospital care for thehospital care of elderly people in situations of violence. Objectives: to assess the competences of hospital doctors facing elderly victims of violence; to propose and validate the content of a medical-hospital clinical protocol aimed at assisting elderly people in situations of violence. Method: a scope review was carried out and then a methodological study was carried out for the development and validation of a clinical protocol for medical care. The scope review involved research in databases/libraries/searchers and in gray literature on the competences of hospital services physicians in cases of violence against the elderly people. For the elaborationof the clinical protocol, in addition to the studies obtained in the review, guidelines for the elaboration of protocols were used; as well as published protocols and guidelines, scientific studies and publications by government and professional entities on the subject. The protocol validation followed the Appraisal of Guidelines for Research and Evaluation II (AGREE II) guide, involving 23 items distributed in 6 domains and a final global evaluation, with the recommendation or not of the protocol. The grades obtained were converted into adequacy percentages according to the instrument's formula. Seven specialist judges (geriatricians working in hospitals) performed the assessment in September 2021. Results: the scope review revealed a lack of knowledge, with direct effects on the skills and attitudes of these professionals, resulting in non-perception or omission in situations of violence against the elderly. The medical practice focused on clinical issues and on unprepared services without working protocols accentuate this problem, which motivated the development of a protocol to support this confrontation. In validation, the percentages obtained in each domain were higherthan the cutoff point to consider valid, high-quality content. All evaluators recommended the use of this protocol. Discussion: aiming to meet the judges' requests and improve the protocol, modifications were made in the items: objectives (item 1), search for evidence (item 7), evidence limitations (item 9), protocol update (item 14), easy access to key recommendations (item 17). Final considerations: the developed protocol had content considered valid by the expert judges, who recommended its practical application. It is intended that this protocol helps professionals and services by establishing organized processes and standardized evidence- based approaches, contributing to an effective reduction of this serious public health problem.