Ambiente hospitalar saudável e sustentável na perspectiva ecossistêmica: contribuições da enfermagem

Abstract

Este texto propõe uma discussão sobre o ambiente hospitalar saudável e sustentável destacando-se as contribuições da enfermagem nesse processo. As bases filosóficas encontram-se ancoradas na teoria ecossistêmica que analisa as sensibilidades necessárias para entender a natureza e os elementos estruturantes do ambiente/espaço hospitalar. Enfatiza-se a força aglutinadora das Unidades Produtivas que, de maneira interdependente e inter-relacionada, devem buscar o espaço sustentável e saudável através da cooperação, flexibilidade e parceria dos elementos constituintes. Reitera-se que a realimentação constante do conhecimento, envolvendo de forma sistêmica todas as Unidades Produtivas, pode facilitar as atualizações necessárias para acompanhar as modificações e transformações do espaço e, assim, do próprio cosmos. Compreende-se que o profissional de enfermagem, ao favorecer a construção de inter-relações em um processo de interconexões, pode ser o agente de transformação e representar os nós conectivos que tecem a rede viva da organização do ambiente hospitalar, levando-o à sustentabilidade e a ser mais saudável. Se propone una reflexión del ambiente hospitalario saludable y sustentable destacando las contribuciones de la enfermería en este proceso. Las bases filosóficas se encuentran arraigadas en la teoría ecosistémica que analiza las sensibilidades necesarias para entender la naturaleza y los elementos de estructura del ambiente/espacio hospitalario. Enfatiza la fuerza aglutinadora de las Unidades Productivas que, de manera dependiente y relacionada entre si, deben buscar el espacio sustentable y saludable a través de la cooperación, flexibilidad y unión. Reitera el feedback constante del conocimiento, envolviendo sistémicamente todas las Unidades Productivas, puede posibilitar las actualizaciones necesarias para acompañar las transformaciones del espacio/cosmos. El profesional de enfermería, al favorecer la construcción de relaciones en un proceso de conexiones entre si puede ser el agente de la transformación y representar los nudos conectores que tejen la malla viva de la organización del ambiente hospitalario, lo llevando a la sustentabilidad y a ser más saludable.

Comprehensiveness and humanization of nursing care management in the Intensive Care Unit

“…Thus, it is crucial to consider that the biomedical model no longer attains accommodating user needs and what it takes for this to be seen in its entirety, in solidarity, is to converge all efforts to achieve results with regard to healthcare production. This new way of organizing the work process is supported by studies (4)(5)(6)8,(19)(20)(21)(22) which indicate from their findings that we need to understand the healthcare needs better, with the purpose of developing actions for comprehensive healthcare which consider the diversity, the instabilities and complexity of users' demands.…”

“…It is observed that the health professionals involved in providing such care are faced with an increasing degree of technical, scientific, affective, integrative and social demands towards health promotion and maintenance in critical and emergency situations. However, the professional relationship in the ICU setting in many health institutions also expressed an organization of mechanical, hierarchical and fragmented work, and has been the point of instability between authors who envision a more flexible, dynamic and cooperative relationship based on dialogue and collective construction, seeking to satisfy the interests and needs of all who are part of that context (6,(17)(18)(19) . The need to change the way of thinking, acting and organizing work should be perceived based on studies and current legislation for ICUs.…”

“…This form of thinking and acting is based on the systemic/ecosystemic theory by considering that all elements/services need to be interconnected and contextualized in order to provide care to the human being in a comprehensive and quality manner. Thus, to understand the dimensional needs of the human being and their different ways of living, we need to include healthcare actions which study the characteristics and specificities of the space in which humans live, work and develop (5)(6)(7) . Therefore, the emerging thinking is able to contribute to the (re)organization of existing health practices, qualifying the care and guiding care management in health/nursing.…”

“…In order to obtain the expected results, it is necessary to understand the interrelationships between these dimensions and their interfaces in health production. This inter-relational dynamic constitutes the complexity of nursing care by the ICU user (6,8) .…”

Abordagem ecossistemica: uma possibilidade para construir conhecimento sustentavel em enfermagem/saude

“…This System Dynamic constantly restructures itself and self-organizes through associations, relationships and interconnections. Thus, the sustainability of the ecosystemic environment, in supporting itself on principles of interdependence, the cyclic flow of resources, cooperation and partnership, constructs itself under different aspects of the same pattern of organization, as the ecosystems are organized, to maximize the sustainability of the space/place/territory 16 . In this complexity, it is relevant to think that the process of change Svaldi JSD, Zamberlan C, Siqueira HCH The ecosystemic approach in nursing/health of a determined reality only becomes possible to happen if the people are capable of recognizing it, reflecting on it, and understand the need for change so as only afterwards to act and transform.…”