Management of nursing care in HIV/AIDS from a palliative and hospital perspective

Abstract

Objectives: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. Method: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. Results: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. Final considerations: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.

Nursing care management concepts: scoping review

“…A need to work in a team in a complementary way; Interdisciplinaty ( 32 ) ; They do not act in isolation, but with professionals from the nursing team, as well as with professionals from other teams such as the medical team ( 30 ) .…”

“…Health promotion is also seen as a general purpose as well as a social commitment of the nursing profession ( 2 , 4 , 11 , 14 - 17 , 22 , 31 , 33 , 35 , 45 , 55 ) . The management and administration of nursing care are instruments with which one seeks to achieve the purposes of qualification of the nursing service through the correct execution of such functions ( 10 , 14 , 16 , 18 , 20 , 29 , 32 , 39 , 47 , 52 ) . studies related to the Nursing Care Management group ( 4 , 20 ) and the Administration of Nursing Care ( 25 , 31 , 50 ) clearly present the determination of the nurse as the one responsible for the management and administration of nursing care.…”

“…These principles are elements that contribute to achieving the objectives related to the exercise of Nursing Care Administration, considering its complexity and breadth. Competence is part of the principles listed as necessary for the Nursing Care Administration, and the list of competencies taken as necessary for it is broad and adds knowledge, skills, and attitudes ( 2 , 32 , 37 , 43 , 45 - 46 ) .…”

Meanings and significance attributed by people with HIV/aids to their lives with this virus/disease

“…The person who was hospitalized due to clinical complications from AIDS, for many factors, may not use the medication prescribed and not take other types of care of their health, leading to further hospitalizations --it stands out that this first hypothesis, in addition to determining the object of this study, was related to the outcome of the study, concerning the management of nursing care for HIV/ AIDS from palliative and hospital perspectives (14) . 17 patients hospitalized due to clinical complications from AIDS What does care mean to you?…”

Modelo de “análisis de resultados del estado actual” (AREA) en un paciente con VIH/SIDA para el plan de cuidados de enfermería. Caso clínico.

“…Además, de identificar el perfil de la persona hospitalizada, los cuidados paliativos, las condiciones que intervienen, para la gestión del cuidado, las condiciones que intervienen, y aspectos para organizar y administrar el cuidado. 19,20 La red de razonamiento diagnóstico del modelo AREA permite a los profesionales de enfermería la priorización de intervenciones en casos complejos como en pacientes con VIH/SIDA. Esta herramienta facilita aplicar y desarrollar habilidades críticas, metacognitivas y de pensamiento crítico.…”