Cuidando de si, do outro e "do nós" na perspectiva da complexidade

Abstract

This study is an experience report of a reflective practice developed with nursing professionals in a public hospital in Santa Catarina, Brazil about the problem of relationships in caring for one's self, another, and for 'us', in different dimensions, within the perspective of the Complexity paradigm. Five workshops were organized and carried out, encompassing three meetings each, with previously chosen themes. From the systematic analysis of the participants' speech content, some units of meaning emerged. This practice brought comprehension concerning established iterations and associations in the I-other-us relationship closer together, as human beings, in the I-other-us-environment relationship, and in the relationship each human being has with him/herself, based on the mobilization/undulations/private and reciprocal exchanges of living and living with others in a complex world/scenario.

Processando O Cuidado “Do Nós” Nas Relações/Interações Estabelecidas Por Profissionais De Enfermagem E De Saúde

“…Nessa perspectiva, a concepção de cuidado coletivo resulta de ações individuais voltadas para alcançar outras pessoas ou grupos (10) . Por tratar-se de coletivo, nos encontros entre os profissionais, acontecem multiplicações e ressonâncias de ações, de experiências e de vivências que se inter-relacionam para o cuidado "do nós" (11) .…”

“…sua multidimensionalidade e complexidade, o cuidado "do nós" no ambiente hospitalar acontece na interação entre os profissionais e desses com outros seres e com o seu ambiente, os quais estabelecem um relação de interdependência para o cuidado coletivo e multidimensional (11) . Logo, a interdependência entre os profissionais de enfermagem e de saúde beneficia tanto as relações interpessoais de cuidado no trabalho, quanto o cuidado prestado ao paciente (14) .…”

Sistematização da assistência de enfermagem em cuidados paliativos na oncologia: visão dos enfermeiros

“…However, the teaching of nursing, although showing flaws that do not escape the reality of simplification and fragmentation and thus resembling the dichotomy between theory and practice, has eclectic characteristics, from the valuing of traditional pedagogical foundations and the technically-oriented model to the incorporation of humanistic ideal aspects, adding values of complexity to its practice, values that need to be further promoted and agreed to (18) . The client's profile, given their multiple and complex health care needs, requires nurses to use dynamic and flexible frameworks, in addition to team work commitment, on behalf of an interactive and complex type of care, regulated by contextualization, interdependence and relationship of all aspects associated with human life (8) . Interdisciplinarity and the involvement of all levels of power and academic institutions themselves with the NCS implementation process were essential to achieve success, which refers to investments made to improve healthcare practices.…”

“…Although not being a recent concern in the political, health care and academic context, NCS is an incipient practice, with many difficulties involved in its implementation process, among which the following stand out: nurses' lack of knowledge about the methodology of health care, theoretical models and application of nursing process stages (5) ; great demand for bureaucratic and administrative services, lack of personnel and material resources for health care (6) ; nursing team's undervaluing of NCS application, often resulting in practice based on common sense concepts and fragmented actions focused on tasks (7) . In view of these difficulties and recognition of the complex, multidimensional and multifaceted reality present in health service organizations of the 21 st century, nursing experts seek to follow the paradigmatic changes, discussing the contributions of complex thinking as a possibility of avoiding the biomedical/Cartesian model and fragmentation of human care (for oneself, for others and for "ourselves"), corroborating the comprehensive care principle of the Sistema Único de Saúde (SUS -Unified Health System) (8)(9) . According to this perspective, in health care for patients with advanced cancer, multiple and complex care demands that affect bio-psycho-socio-cultural aspects cause the area of nursing to have certain peculiarities, aiming to achieve comprehensiveness on behalf of interactive and complex care (10) .…”

A família como sustentação no cotidiano de mulheres multíparas

“…One caring component cannot replace the other. They are complementary (16) . Therefore, care is influenced by the cultural environment and is anchored in daily activities where people sacrifice their individual projects for the sake of larger projects that meet the needs and wishes of the family group.…”