Care management for the hospitalized child with chronic cancer pain: intervening conditions

Abstract

Objective: To understand the intervening conditions of care management for the hospitalized child with chronic cancer pain. Method: Qualitative research, anchored in the methodological and theoretical frameworks, respectively, Grounded Theory and Complex Thinking. The semi-structured interview and non-participant observation were used to collect the data. Twenty-one health professionals, organized in three sample groups: nurses; nursing technicians; and professionals of the multiprofessional health staff. Results: They emerged as intervening conditions of care management: human resources and materials, teamwork, absenteeism, professional relocation, professional qualification, family, playful, dialogue, empathy and caring relationship. Conclusion: It was understood as limiting conditions for care management: deficits of human resources and materials, absenteeism, ineffective teamwork, professional relocation, and insufficient professional qualification. On the other hand, they were presented as facilitating conditions: adequate professional knowledge, effective teamwork, dialogue, empathy, playful and affective relationship with the child.

Avaliação e manejo da dor oncológica crônica em unidade de internação pediátrica

“…UFSM, Santa Maria, v11, p. 1-21, 2021 desempenhar um papel de agente facilitador do processo de avaliação e manejo da dor, sobretudo nas situações em que a criança não consegue verbalizar esse fenômeno. [14][15] Compreende-se que a família é uma unidade de complexidade humana, na qual se concentram os cuidados à criança. Trata-se de um concentrado biológico, psicológico, cultural e social muito forte, capaz de influenciar o comportamento e o desenvolvimento infantil.…”

Nursing care management concepts: scoping review

“…Knowledge was broadly addressed in the studies ( 2 , 4 , 10 - 11 , 13 - 14 , 17 , 21 , 26 , 28 , 29 , 37 , 42 , 48 - 50 ) , as a competence for both groups, as a requirement and attribute without which the exercise of management and administration of nursing care with excellence becomes incompatible.…”

“…The performance of the nurse, aimed at enabling nursing care and participating in it with the nursing team (21,(28)(29)33) , was found, among others, in the Definition and Ways codes, exemplified in the excerpts: "acts in the care and management field", "actions aimed directly or indirectly at care" (2,13,18,20,22,(24)(25)28,32,34,36,(39)(40)(41)(42)(43)(44) . On the other hand, the study observed the mobilization of competencies of an essentially strategic-administrative nature in the Requirements code, as in the quote "demands of the nurse (...) empirical knowledge and the technical and managerial skills", also located in other studies (2,32,37,43,(45)(46) ; and "it is one of the main axes of nurses' professional performance in health services, as it understands the articulation between the care and management dimensions in the execution of their work" (2,43,47) .…”

“…On the other hand, Nursing Care Administration was identified as the nurse's micropolitical performance, focused on the performance in the health service (21)(22) , intending to provide quality assistance to citizens through interdisciplinary actions that promote the proper organization and functioning of the unit (2,13,18,20,22,(24)(25)28,32,34,36,(39)(40)(41)(42)(43)(44) . In contrast to Nursing Care Management, Nursing Care Administration, although it presents a network and uses locoregional strategies, focuses on the institution's internal work process, improving attention and direct care to the health service user.…”

Conceitos de gestão e gerência do cuidado de enfermagem: revisão de escopo

“…A atuação do enfermeiro, no sentido de viabilizar o cuidado de enfermagem e participar dele com a equipe de enfermagem (21,(28)(29)33) , foi encontrada, entre outros, nos códigos Definição e Formas, exemplificada nos trechos: "atua no âmbito assistencial e gerencial", "Ações destinadas direta ou indiretamente ao cuidado" (2,13,18,20,22,(24)(25)28,32,34,36,(39)(40)(41)(42)(43)(44) . Já a mobilização de competências de caráter essencialmente estratégico-administrativo foi observada no código Requisitos, como na citação "requer da enfermeira (...) conhecimento empírico e as habilidades técnicas e gerenciais", localizada também em outros estudos (2,32,37,43,(45)(46) ; e "É um dos principais eixos da atuação profissional dos enfermeiros nos serviços de saúde, pois compreende a articulação entre as dimensões assistencial e gerencial na execução do seu trabalho" (2,43,47) .…”