Welcoming and Nursing Care: A Phenomenological Study

Abstract

ABSTRACT:The objective of this study was to identify the acknowledgement of welcoming as a form of nursing care in the experience of primary care nurses. This is a qualitative research, guided by Alfred Schutz' social phenomenology. The participants were nine nurses working in health centers in the city of Campinas-SP, Brazil. The fieldwork took place through interviews in 2013 and data were analyzed according to the steps of social phenomenology researchers. It was identified in the research that the nurses were capable of recognizing the translation of welcoming into qualified listening, humanization, accountability and commitment to the needs of the other. In practice, however, welcoming was not acknowledged as nursing care and was characterized by occasional, fragmented and complaint-oriented visits. For this action to be acknowledged as nursing care, the nurses need to focus on relational care. DESCRIPTORS:User embracement. Family health strategy. Nursing. ACOLHIMENTO E CUIDADO DE ENFERMAGEM: UM ESTUDO FENOMENOLÓGICORESUMO: Objetivou-se identificar o reconhecimento do acolhimento como forma de cuidado de enfermagem na experiência do enfermeiro que atua na atenção primária. Trata-se de uma pesquisa qualitativa, orientada pela vertente fenomenológica social de Alfred Schutz. Participaram nove enfermeiros que trabalhavam em centros de saúde do município de Campinas-SP, Brasil. O trabalho de campo ocorreu por meio de entrevista no ano de 2013, cujas informações foram analisadas conforme os passos de pesquisadores da fenomenologia social. Identificou-se que os enfermeiros eram capazes de reconhecer a tradução do acolhimento em escuta qualificada, humanização, responsabilização e comprometimento com as necessidades do outro, entretanto, na prática, esta ação não era reconhecida como um cuidado de enfermagem e se caracterizava por atendimentos pontuais, fragmentados e direcionados à queixa. Para que tal ação seja reconhecida como um cuidado de enfermagem, o enfermeiro necessita enfocar o cuidado relacional. DESCRITORES:Acolhimento. Estratégia saúde da família. Enfermagem. ACOGIDA Y CUIDADOS DE ENFERMERÍA: UN ESTUDIO FENOMENOLÓGICO RESUMEN:El objetivo fue identificar el reconocimiento de la acogida como forma de atención de enfermería en la experiencia de las enfermeras que trabajan en atención primaria. Investigación cualitativa, orientada por la fenomenológica social de Alfred Schutz. Participaron nueve enfermeras que trabajaban en centros de salud en la ciudad de Campinas-SP, Brasil. El trabajo de campo se llevó a cabo a través de entrevistas en 2013 y se analizaron según los pasos de los investigadores de la fenomenología social. Las enfermeras fueron capaces de reconocer la traducción de la acogida en la escucha calificada, humanización, responsabilidad y compromiso con las necesidades del otro, sin embargo, en la práctica, esta acción no era reconocida como una atención de enfermería y se caracterizaba por visitas ocasionales, fragmentadas y dirigidas a la queja. Para que tal acción sea reconocida como un cui...

The Phenomenon Lived by Women in Nursing Consultation in the Gynecological Brachytherapy

“…For this perspective to become real it is necessary for the nurse to turn discourse into actions. 18 If empathy occurs during contact with the nurse, a relationship based on help can be established between the nurse and the patient, culminating in problem solving. This characterizes the exchange that exists in the teaching and learning of each patient and each nurse during the treatment process.…”

La ética en la formación del enfermero, según graduandos de enfermería de una institución pública brasileña

“…Las acciones y actitudes se encuadran en las normas y reglas impuestas por el contexto social donde se vive. Se considera que el actuar con ética, está relacionado a la percepción del sujeto acerca de los conflictos de la vida cotidiana [16][17] . Para los graduandos, la ética está ajustada por normativas determinadas por situaciones vividas por diversos aspectos comunes de la actualidad que se expresan por costumbres, hábitos y valores culturalmente establecidos.…”

Embracement as an analyzer of the relationships between professionals, managers and users

“…Although several studies (8)(9)(10)(11) have been produced on user embracement, no publication dealing with an analyzer focusing on the present logic, the relations and PHC practices among health services was found, thereby justifying this research. Moreover, despite that the practice of user embracement should be exercised by all professionals who compose the staff of a health establishment, the leading role of the nursing team as the 'front line' for welcoming users at all health care levels is notorious.…”

“…that express the tensions and power relations that make up a given phenomenon (7) . In Brazil, user embracement was proposed as a device to reorganize the work process in health services as a way of highlighting the ways that care and the lack thereof is being produced (8)(9) . It is one of the perspectives of the Unified Health System (SUS -Sistema Único de Saúde) National Humanization Policy (PNH) which defines it as a process that permeates all consultations, a listening approach that takes into account the health needs of the users and goes beyond the biological and immediatist vision (10) .…”