Open doors, no slots: Application of the change laboratory at the renal replacement therapy unit of a public hospital

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dc.contributor.authorMasiero, Cristiane Parisoto [UNESP]
dc.contributor.authorde Almeida, Ildeberto Muniz [UNESP]
dc.contributor.authorQuerol, Marco Antonio Pereira
dc.contributor.authorBuralli, Rafael Junqueira
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.contributor.institutionWorkers' Health Reference Center
dc.contributor.institutionUniversidade Federal de Sergipe (UFS)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2022-04-29T08:28:56Z
dc.date.available2022-04-29T08:28:56Z
dc.date.issued2019-09-03
dc.description.abstractThe present chapter discusses the application of the Change Laboratory (CL) method at the hemodialysis service of a public hospital in Brazil. The initial context of the intervention was characterized by a high absenteeism rate among the nursing staff and reports of a crisis in the unit. The chapter describes an experience of the application of the method from management support to difficulties in the determination of the object of the activity. The problems detected derived from changes made in 2012, which resulted in the need for patients to stay several months at the hospital until slots for outpatient hemodialysis became available. Along this period, they received care from other hospital units. The intervention evolved along several stages, which required much learning from both researchers and staff to reconceptualize its object. Mirror data evidenced emotions which began to be shared, followed by critical analysis of contradictions. The resulting discussions enabled and encouraged initiatives for change in the organization of the activity.en
dc.description.affiliationDepartment of Public Health Botucatu School of Medicine São Paulo State University Júlio de Mesquita Filho
dc.description.affiliationWorkers' Health Reference Center
dc.description.affiliationDepartment of Agronomic Engineering Federal University of Sergipe
dc.description.affiliationDepartment of Environmental Health School of Public Health University of São Paulo
dc.description.affiliationUnespDepartment of Public Health Botucatu School of Medicine São Paulo State University Júlio de Mesquita Filho
dc.format.extent99-112
dc.identifierhttp://dx.doi.org/10.1007/978-3-030-24420-0_7
dc.identifier.citationCollaborative Development for the Prevention of Occupational Accidents and Diseases: Change Laboratory in Workers' Health, p. 99-112.
dc.identifier.doi10.1007/978-3-030-24420-0_7
dc.identifier.scopus2-s2.0-85089039968
dc.identifier.urihttp://hdl.handle.net/11449/228835
dc.language.isoeng
dc.relation.ispartofCollaborative Development for the Prevention of Occupational Accidents and Diseases: Change Laboratory in Workers' Health
dc.sourceScopus
dc.titleOpen doors, no slots: Application of the change laboratory at the renal replacement therapy unit of a public hospitalen
dc.typeCapítulo de livro

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