Multiprofessional residency training in orthopedics and trauma: interprofessional collaboration and evidence-based practice as care improvement strategies

Article type
Authors
Peccin S1, Estevam J1, Barros B1, Albuquerque PH1, Santos J1, Mizusaki Imoto A2
1Federal University of Sao Paulo
2School of Health Sciences, Brasilia
Abstract
Background: according to the national policy of humanization, the process of illness and health problems are highly complex phenomena, and for the effectiveness of interventions, a multidimensional approach is necessary. The new global healthcare guidelines point to the development of interprofessional interventions with the aim of positively impacting health care. The interprofessional collaboration is fundamental to improve the communication, articulation and sharing of knowledge between specific areas with the purpose of guaranteeing an integral and resolutive assistance to its users. Thus, it is important to implement evidence-based clinical practice at the time of the therapeutic approach.

Objectives: present the strategies and impact to public health of the multiprofessional residency team in orthopedics and traumatology of the Federal University of São Paulo.

Methods: the residents' team, composed of nurses, pharmacists and physiotherapists, is responsible for the active search for the best scientific evidence available for elaborating and updating healthcare protocols, interprofessional discussions of clinical cases in care. Those actions reinforce the public health system in primary and tertiary care areas, as well interprofessional activities with undergraduate and graduate students. The teaching hospital is from São Paulo State.

Results: in the year of 2018, we made 2075 visits to patients hospitalized in the Orthopaedic and Traumatology Unit. With the association of evidence-based strategies and interprofessional collaboration it was possible to reduce days of hospitalization by more than 1000, significantly reducing the risks from prolonged hospitalizations, and saving more than USD 100,000.

Conclusions: the connection between different professional areas improves the disease processes, modifies the way of learning and enhances the integrality of care, the individuality, the responsibility in health care and also optimizes the use of public health resources.

Patient or healthcare consumer involvement: the Brazilian Ministry of Health proposes, in its humanization programme, the establishment of therapeutic projects as a strategy to accompany the users of the service. This strategy was implemented in the residency programme with the aim of reinforcing health literacy in the patients assisted by the programme. In addition, the interlocution between the hospital and the healthcare networks became a facilitator in the narrowing of the bond between the user and health institutions.