Espaço autônomo e papel próprio: representações de enfermeiros no contexto do binômio saúde coletiva-hospital

Gomes, Antônio Marcos Tosoli; Oliveira, Denize Cristina de

doi:10.1590/s0034-71672008000200006

Cited by 19 publications

(23 citation statements)

References 5 publications

(13 reference statements)

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“…The nurse experiences autonomy when evaluating the needs and conditions of the patient, communicating concerns and priorities and meeting the goals of care (22) . A study performed in São Paulo on the expectations of parents and members of the nursing team in relation to the work of the nurse in the NICU showed that the family-centered approach, interpersonal relationship techniques and differentiation between technology and scientific knowledge is a necessary requirement for the effective performance of this professional (6) .…”

Section: ] (E3)mentioning

confidence: 99%

The role of the nurse in the neonatal intensive care unit: between the ideal, the real and the possible

Montanholi

Merighi

Jesus

2011

Rev. Latino-Am. Enfermagem

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The nurse is one of the professionals responsible for the care directed toward the physical, mental and social development of newborns in the Neonatal Intensive Care Unit. This study aimed to comprehend the experience of nurses working in a Neonatal Intensive Care Unit. Data collection was performed in 2008, through interviews with 12 nurses working in public and private hospitals of the city of São Paulo. The units of meaning identified were grouped into three categories: Developing actions; Perceiving their actions and Expectations. The analysis was based on social phenomenology. It was concluded that the overload of activities, the reduced number of staff, the lack of materials, equipment and the need for professional improvement are the reality of the work of the nurse in this sector. To supervise the care is the possible; integral care of the newborn, involving the parents, is the ideal desired.

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Section: ] (E3)mentioning

confidence: 99%

The role of the nurse in the neonatal intensive care unit: between the ideal, the real and the possible

Montanholi

Merighi

Jesus

2011

Rev. Latino-Am. Enfermagem

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“…Nurses experience autonomy when they comply with patients' care goals, using knowledge and abilities in the context of understanding and contributing to the care plan, evaluating their needs and conditions, expressing concerns and priorities, c o o r d i n a t i n g t h e m u l t i d i s c i p l i n a r y t e a m ' s resources (16) .…”

Section: …When I Receive the Shift I Focus On Observing The Patient mentioning

confidence: 99%

The nursing process presented as routine care actions: building its meaning in clinical nurses' perspective

Ledesma-Delgado¹,

Mendes²

2009

Rev. Latino-Am. Enfermagem

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Starting from this initiative, teaching and practice strategies were developed to provide tools to use the nursing process in the curricula of undergraduate programs and in health institutions.These strategies aimed to incorporate it as a nursing care method, focused on care and also to facilitate its integration in the construction movement of health care as a social and collective good. In the attempt to address these questions, this study aimed to: understand the meaning attributed to the nursing process by nurses from a hospitalization unit in Mexico and describe actions they perform at this unit according to the meaning they attribute to the nursing process. THEORETICAL AND METHODOLOGICAL FRAMEWORKSThis qualitative study is based on SymbolicInteractionism because it emphasizes the nature of social interaction, the dynamics and social activity involving actors, in the perspective that considers an active human being in his(er) environment as an organism that interacts with others and with the self.Interaction means that the actions of each human being are continually constructed, which in part depends on what others do, influencing each other.In acting and interacting, language is used that originates from intersubjectivity, basically operating in symbolic realities sustained in this intersubjective space (9) . Symbolic interactionism is a social science perspective designed to produce knowledge on collective human life and its conduct; focusing on the meaning events have for human beings and symbols used to attribute meaning to them. These symbols are socially developed during interaction and are agreed upon inside groups.Symbolic interactionism is based on the following principles: human beings act in relation to objects based on meanings these have to them; the meaning attributed to objects/things originates from social interactions between human beings; meanings are manipulated and changed through an interpretative process, developed by human beings when they are faced with objects and themselves (10) .Human interaction is mediated by the use of symbols, interpretation and investigation of the meaning of others' actions.Grounded Theory (GT) was the methodological framework of this study, which is rooted in SymbolicInteractionism and aims to generate theory as from obtained data, submitted to systematic and comparative analysis, organized in conceptual categories that explain the phenomenon under study. 330GT is a method that maintains a close relation between systematic data collection, analysis and theory that emerge during investigation. The theory emerges from reality and is not a mere connection of concepts based on experience or assumptions on how things should be or work (11) .This methodological design demands ongoing data comparison, the researcher's theoretical sensitivity, theoretical sampling of empirical reality, notes that corroborate the process of open, axial and selective codification so as to assure the conceptual development and density. The result of this codification and integration ...

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“…Ainda, possibilita que o profissional atue de forma coerente e eficaz. 15 Os profissionais de enfermagem estão se esforçando para desenvolver uma prática profissional autônoma que vise mudanças nas condutas, porém, há necessidade de melhorar o conhecimento científico e ampliar as ações de enfermagem, pois o cuidado não exige apenas técnicas e procedimentos com o usuário.…”

Section: é a Independência Que O Profissional Tem Em Relação A Outrasunclassified

Protocolo de assistência de enfermagem a pessoas com feridas como instrumento para autonomia profissional

Brum¹,

Poltronieri

Adamy

et al. 2015

Rev Enferm UFSM

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RESUMO: Objetivo: conhecer se os enfermeiros utilizam os protocolos no cuidado aos usuários com feridas crônicas e se os identificam como instrumentos de promoção da autonomia profissional. Método: trata-se de uma pesquisa de cunho exploratório descritivo, realizada com 16 enfermeiros que atuam na assistência direta em unidades básicas. Para a coleta de dados utilizou-se um instrumento semiestruturado, aplicado no mês de agosto de 2012. Resultados: os enfermeiros, embora entendam o significado da autonomia no cuidado com feridas, poucos aplicam os protocolos existentes e, ocasionalmente exercitam sua autonomia. Parecem estar habituados à dinâmica de trabalho estabelecida nos serviços de saúde, centrada e conduzida pela terapêutica médica. Conclusão: os achados da pesquisa contribuem para compreender a prática da enfermagem e promovem reflexões que visam à elaboração de propostas que auxiliem na conquista da autonomia profissional do enfermeiro. Descritores: Avaliação em enfermagem; Autonomia profissional; Promoção da saúde. ABSTRACT

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Espaço autônomo e papel próprio: representações de enfermeiros no contexto do binômio saúde coletiva-hospital

Cited by 19 publications

References 5 publications

The role of the nurse in the neonatal intensive care unit: between the ideal, the real and the possible

The role of the nurse in the neonatal intensive care unit: between the ideal, the real and the possible

The nursing process presented as routine care actions: building its meaning in clinical nurses' perspective

Protocolo de assistência de enfermagem a pessoas com feridas como instrumento para autonomia profissional

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