Objetivo: Descrever o processo de elaboração de um protocolo hospitalar para cuidados de enfermagem aos pacientes com estomas intestinais. Metodologia: Pesquisa metodológica, realizada em 2018, em quatro etapas: revisão de literatura e elaboração da primeira versão do instrumento, revisão por especialistas estomaterapeutas, teste-piloto com os enfermeiros das unidades de internação e unidade de terapia intensiva, e avaliação dos enfermeiros e redação final. A pesquisa cumpriu as exigências para trabalhos com seres humanos (Parecer CEP nº 3.007.868). Resultados: O protocolo elaborado contém itens sobre dados de identificação do paciente e estoma, mais quinze itens descritivos do exame físico e quatro Diagnósticos de Enfermagem. Enfermeiros (n=04; 25,0%) sugeriram que, associado ao uso do protocolo, estivesse o uso de régua para medição do estoma. Conclusão: O protocolo elaborado mostrou-se adequado e útil para a assistência de enfermagem ao paciente internado estomizado na avaliação dos estomaterapeutas e enfermeiros assistenciais.Descritores: Estomia. Colostomia. Enfermagem Perioperatória. Protocolos. Processo de Enfermagem.
Objective: to understand the meanings attributed by nurses to preoperative care provided to terminal disease patients. Methods: qualitative research that used the Grounded Theory as methodological reference and was conducted in the surgical wards of a university hospital. Results: eleven nurses participated in the research. A theory was elaborated for the central phenomenon: Nurses caring for terminal disease patients in the preoperative period in the context of a surgical ward. Conclusion: nurses attribute meanings to this care that has its own particularities, that requires professional preparation and that demands, even more, an effective communication within the multidisciplinary team and in the relationship with the patient and family. Contributions to practice: the theory presented allows professionals to reflect on their praxis, understand the intervening conditions for ethical dilemmas and conflicts involved and consequences, as well as strategies to improve care in this scenario.
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