O processo de enfermagem na concepção de profissionais de Enfermagem de um hospital de ensino

Abstract

The aim of this study was to describe the nursing professionals' opinion on the nursing process, in order to base the actions of the implementation of the process in our institution. This is a qualitative study, carried out during an action research with the nursing staff of a pediatric teaching hospital. The nursing process is designed as a tool to organize care and prescribe nursing care. Work routines show the technical activities. Expectations with the implementation of nursing process involve improving the quality of care. The study reinforces the importance of including members of the nursing staff in the implementation stage of the nursing process and shows the challenge of facing the tecnicists routines.

Processo de Enfermagem: instrumento da Sistematização da Assistência de enfermagem na percepção dos enfermeiros Nursing process: systematization of the nursing care instrument in the perception of nurses

“…1 However, it was not identified in this study lack of interest and motivation of nurses to perform the NP. This may be related to the fact that the NP being performed continuously in these thirtyfour years of existence of the hospital where this study was conducted and therefore already be built into the nursing work and philosophy of the nursing service.…”

“…With scientific development, many were produced by nursing knowledge, including the Nursing Process (NP), which can be described as a tool used to guide the care actions and through it the nurse realizes the health problems of individuals, plans, implements and evaluates the results. 1 In Brazil, one of the first nurses to study deeply the NP was Wanda de Aguiar, whose thoughts have led to basic human Needs theory, published in 1979. 2 One of the contributions of theoretical model of Horta was the NP proposal, which to this day is the most known and followed in Brazil.…”

“…In this sense, the NP, especially through the prescription of nursing care can represent a paradigm change of culture within the institution and break with the biomedical model, presenting itself as a challenge to its consolidation in the institutions. 1 another point to highlight in this study is the uncertainty as to the identification and registration of nursing problems, since in that hospital, the chart follows the Weed method, clinical history, model developed by Lawrence Weed in the 1960s. This method allows the recording and communication between multidisciplinary team events linked to health status of patients who are not medical diagnoses, called Problem Oriented Medical Record (POMR).…”

The Operation of the Nursing care Process in the Intensive care Unit Maternal / A Operacionalização do Processo de Cuidar em Enfermagem em uma Unidade de Terapia Intensiva Materna

“…It should not be practiced mechanically without a critical reflection on the individuality of each client, since the process is part of the Nursing practice and requires the understanding of each professional that the process is part of the routine is of paramount importance for qualified care . 12 Barriers encountered in the practice of the Nursing Process With regard to the study in question, it was noticed that the Nurses in their majority develop only some stages of the EP, but with difficulties, which in many cases is related to the lack of specific training and practical knowledge of the professionals, as well as the lack of Time for the accomplishment of the EP, besides the resistance and the demotivation of the nursing professionals. The lack of specific training is expressed in the following statements: Although EP offers nurses a possibility to organize their work based on a philosophy and a method that prioritizes the individuality of care, professionals face adversities for their implementation.…”

Conformity of nurse prescribing to care needs: nurses' understanding

“…Its adequate assessment requires keeping record of a set of precise information on the health state of patients (1) . These documents support care planning (2) through nurse prescribing (NP).…”