Perceptions of nurses about the implementation of the nursing process in an intensive unit

Abstract

Objective To understand the nurses’ perception about the implementation of the nursing process in an Intensive Care Unit. Method Qualitative, exploratory, and descriptive study. Data collection took place from February to March/2018, in an Intensive Care Unit of a public hospital in western Santa Catarina, through semi-structured interviews with nine nurses. In the data analysis, it was used the Discourse of the Collective Subject. Results Difficulties and potentialities in the implementation of the nursing process were identified, standing out as a support strategy for the elaboration of study groups for the permanent education of professionals. About the difficulties, it was highlighted the lack of theoretical knowledge about the nursing process and basic disciplines that impact on the clinical evaluation of the patient stands out. Conclusion The implementation proved to be satisfactory under the nurses’ perception, generating an impact on the quality of care, patient safety, nursing records and professional visibility, despite the various barriers identified during its implementation.

Nurses' perceptions about the operationalization of the nursing process in an emergency room / Percepções de enfermeiros sobre a operacionalização do processo de enfermagem em um pronto-socorro

“…13 The workload, lack of time and knowledge about the NP revealed by nurses in this study are also obstacles to the implementation of the NP pointed out by nurses in other national and international investigations. [7][8]14 In this sense, the technical--scientific knowledge is one of the pillars for the implementation of the NP. 15 Therefore, one way to increase its application is the training of nurses who understand its philosophy and know how to apply it properly.…”

“…The adequate record through the implementation of the NP provides legal support to nurses and recognition of their professional practice. 14 Professional satisfaction and work organization are also cited by nurses as benefits of implementing the NP, with direct implications for the qualification of care provided to users in this sector. In line with these findings, a study that aimed to understand the meaning of the NP for the construction of nursing professionals' identities also shows its relevance as an organizer of the nursing work process, generating satisfaction, professional visibility and qualification of care.…”

Ressignificando o aprendizado acerca do processo de enfermagem para desenvolver raciocínio clínico

“…A constatação dos oficineiros quanto à essencialidade da primeira etapa do processo de enfermagem no sentido de direcionar as etapas subsequentes, em especial a seleção dos diagnósticos, foi um ganho, pois no cotidiano da assistência por vezes a coleta de dados pode ser banalizada e, consequentemente, prejudicar a sequência da aplicação da metodologia na totalidade 9 .…”

Satisfação De Enfermeiros Com a Utilização De Um Software Para Registro Do Processo De Enfermagem

“…Esses dados podem ainda ser utilizados para além do processo de cuidar, mas também como base para pesquisas, uma vez que se manterão armazenados. Autores corroboram que a utilização de indicadores gerados por um software, com informações sobre problemas e risco do paciente e o planejamento dos cuidados sistematizados, facilita a prática da enfermagem e fornece dados para execução de pesquisas que contribuem para dar maior visibilidade ao trabalho da enfermagem, além de possibilitar a avaliação do paciente desde o seu primeiro atendimento hospitalar e assistência de enfermagem prestada (12,(14)(15) .…”