scholarly journals Dificuldades para a implantação sistematização da assistência de enfermagem em maternidades

2013 ◽  
Vol 4 (1) ◽  
pp. 11-14 ◽  
Author(s):  
Inez Sampaio Nery ◽  
Ariane Gomes Dos Santos ◽  
Maria do Rozário De Fátima Borges Sampaio

Objetivou-se descrever as dificuldades enfrentadas por docentes e discentes de enfermagem da Universidade Federal do Piauí para a implantação da SAE em uma maternidade. Nesta reflexão encontraram-se como dificuldades: não preenchimento dos impressos, descontinuidade da assistência, falta de comunicação entre equipe e acadêmicos, deficiência da educação permanente, falta de preparo dos profissionais e número insuficiente de pessoal. Há necessidade de uma maior coesão entre a equipe de enfermagem, em busca de benefícios para a profissão, cliente e instituição. Espera-se, com este estudo, trazer contribuições aos profissionais de enfermagem no sentido de incentivar a realização de uma assistência digna, humanizada e sistematizada.Descritores: Assistência de Enfermagem, Saúde da Mulher, Docentes.Difficulties in the implementation of nursing care systematization (SAE) in maternitiesThis work aimed to describe the difficulties faced by the faculty and students of nursing of the Federal University of Piauí in the implementation of the SAE in a maternity. The difficulties in this regard were: non-filling of the papers, discontinuance of the care service, lack of communication between the team and university students, deficiency in the permanent education, lack of preparation of the professionals and insufficient number of personnel. There is a need for higher cohesion between the nursing team, towards benefits for the profession, client, and institution. This study is expected to bring some inputs for the nursing professionals in order to promote a worthy, humanized, and systematized care service.Descriptors: Nursing Care, Women's Health, Faculty.Dificultades para la implantación y sistematización de la asistencia de enfermería en maternidadesEl objetivo fue el de describir dificultades enfrentadas por docentes y discentes de enfermería de la Universidad Federal de Piauí para la implantación de la SAE en una maternidad. En esta reflexión se encuentran como dificultades: el no llenado de los impresos, discontinuidad de la asistencia, falta de comunicación entre el equipo y los académicos, deficiencia de la educación permanente, falta de preparación de los profesionales y número insuficiente de personal. Existe la necesidad de una mayor cohesión entre el equipo de enfermería, en busca de beneficios para la profesión, cliente e institución. Se espera, con este estudio, traer contribuciones a los profesionales de enfermería en el sentido de incentivar la realización de una asistencia digna, humanizada y sistematizada.Descriptores: Asistencia de Enfermería, Salud de la Mujer, Docentes.

2012 ◽  
Vol 20 (5) ◽  
pp. 909-916
Author(s):  
Ione Carvalho Pinto ◽  
Carla Santa Maria Marciliano ◽  
Fabiana Costa Machado Zacharias ◽  
Ana Paula Neroni Stina ◽  
Ivana Astolphi Gandra Passeri ◽  
...  

AIM: to analyze nursing care practices at a Specialized Outpatient Care Center from the perspective of an integrative health care activity. METHOD: Interviews with 24 nursing professionals were undertaken. For data analysis, Thematic Content Analysis as proposed by Bardin was applied, resulting in the following themes: the team size and its commitment to health care; professional practices and activity of the nursing team. RESULTS: The size of the nursing team was considered insufficient, which compromises the quality of care and results in work overload and dissatisfaction of the nursing professionals. On the other hand, they were satisfied with the tasks performed day-to-day and related integrality to individual care, considered it essential and usually practiced it daily. CONCLUSION: It is considered that the nursing team has the potential and commitment to develop their care practice combined with the integrative perspective, and therefore providing quality health care to the population.


2016 ◽  
Vol 7 (2) ◽  
pp. 32 ◽  
Author(s):  
Rudval Souza Da Silva ◽  
Ana Raquel Lima Peralva De Almeida ◽  
Francieli Aparecida De Oliveira ◽  
Arly Silva Oliveira ◽  
Maria do Rozário De Fátima Borges Sampaio ◽  
...  

Objetivo: descrever o conhecimento da equipe de enfermagem sobre a Sistematização da Assistência de Enfermagem (SAE) e o Processo de Enfermagem (PE). Metodologia: pesquisa exploratória e descritiva, realizada em 2013, com 32 profissionais de enfermagem de um hospital público do Norte da Bahia. Para a coleta de dados, foi usada a entrevista semiestruturada e os dados foram tratados segundo a técnica de análise de conteúdo de Bardin. Resultados: três categorias temáticas: 1) SAE e PE: do que estamos falando? 2) Fatores dificultadores na operacionalização do PE: com a palavra os enfermeiros 3) A formação de nível médio em enfermagem: competências e habilidade para o desenvolvimento do PE. Conclusão: existe um déficit relacionado ao conhecimento sobre a SAE e a aplicação do PE como ferramenta prática para sistematizar o cuidado de enfermagem.Descritores: Equipe de Enfermagem; Processos de enfermagem; Administração dos cuidados ao paciente.NURSING CARE SYSTEMATIZATION IN THE PERSPECTIVE OF STAFFObjective: to describe the knowledge of the nursing staffs on the Nursing Care Systematization (NCS) and the Nursing Process (NP). Methodology: this is an exploratory and descriptive research, accomplished in 2013, with 32 nursing professionals from a public hospital North of Bahia. To collect data, we used the semi-structured interviews and data were treated with the technique Bardin’s content analysis. Results: three thematic categories: 1) NCS and NP: what are we talking about? 2) Difficulty factors in the operationalization of the NP: with the word nurses 3) The formation of secondary level nursing: competences and skills to the development of NP. Conclusion: there is a deficit related to the knowledge of the NCS and the application of the nursing process as a practical tool to systematize nursing care.Descriptors: Nursing team; Nursing process; Patient care management.SISTEMATIZACI ÓN DE LA ASISTENCIA DE ENFERMERÍA EN LA PERSPECTIVA DEL EQUIPOObjetivo: describir el conocimiento del personal de enfermería en la Sistematización de la Asistencia de Enfermería (SAE) y el proceso de enfermería (PE). Metodología: investigación exploratoria y descriptiva, realizada en 2013, con 32 profesionales de enfermería de un hospital público al Norte de Bahía. Para recopilar los datos, hemos utilizado las entrevistas semiestructuradas y los datos fueron tratados por la técnica de análisis de contenido de Bardin. Resultados: los tres temas: 1) SAE y PE: ¿qué estamos hablando? 2) factores que dificultan la aplicación de la PE: con la palabra los enfermeras 3) La formación de enfermería de nivel medio: las habilidades y la capacidad de desarrollar PE. Conclusión: hay un déficit en relación con el conocimiento de la SAE y la aplicación del proceso de enfermería como herramienta práctica para sistematizar los cuidados de enfermería.Descriptores: Grupo de enfermeira; Procesos de enfermeira; Manejo de atención al paciente.


2019 ◽  
Vol 79 (17) ◽  
Author(s):  
Fabiano Carpes ◽  
Débora Biff ◽  
Karine Eliel Stumm

O pré-natal é um atendimento de extrema importância para as gestantes, pois é por meio dele que é possívelidentifi car alterações durante a gestação e assim tratá- las a tempo, evitando problemas para a saúde da mãe e dobebê. Objetivo: Conhecer o entendimento do acadêmico de enfermagem sobre a importância do cuidado pré-natal.Método: Pesquisa qualitativa descritiva, a ser realizada na Faculdade Cenecista de Osório/RS, os sujeitos serão20 acadêmicos do curso de enfermagem, o instrumento de pesquisa será uma entrevista semi- estruturada a qualdeverá passar por uma análise temática. Resultados esperados: Espera-se identifi car as principais fragilidades dosacadêmicos referente à assistência de enfermagem ao pré- natal.Palavras-chave: Saúde da Mulher; Enfermagem; Pré-Natal. ABSTRACTPrenatal care is very important for pregnant women because it is through it is possible to identify changes duringpregnancy and so treated them in time, thus avoiding problems for the health of mother and baby. Objective:To know the understanding of Nursing students about the importance of prenatal care. Method: Descriptivequalitative research, to be held in the Faculty of Cenecista Osório/RS, the subjects are 20 students from thenursing program , the research instrument will be a semi- structured interview which must undergo a thematicanalysis. Expected results: Expected to identify the main weaknesses of academics related to nursing care forprenatal.Keywords: Women’s Health; Nursing; Pre-Natal.


2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Ana Elizabeth Lopes de Carvalho ◽  
Iracema da Silva Frazão ◽  
Darine Marie Rodrigues da Silva ◽  
Maria Sandra Andrade ◽  
Selene Cordeiro Vasconcelos ◽  
...  

ABSTRACT Objectives: To analyze the factors related to the occupational stress of a Mobile Emergency Care Service (Samu) nursing team. Methods: This is a descriptive study, with a quantitative approach, performed with nursing professionals from Samu service of a city of Pernambuco. A sociodemographic questionnaire and the Lipp’s Stress Symptom Inventory were used. Results: The participants presenting stress (24.6%) were classified in the phases: resistance (19.7%), exhaustion (4.4%) and near exhaustion (0.5%). It was also observed an association of stress level with the following factors: gender, sleep quality, professional autonomy restriction, emotional exhaustion with work performed and work in inadequate or unhealthy physical facilities. Conclusions: Although showing low occurrence of stress, this study pointed out the profile that presents the highest risk of developing occupational stress, through the factors significantly associated with stress in the studied population.


2020 ◽  
Vol 11 (3) ◽  
Author(s):  
José Wellington Silva De Moura ◽  
John Carlos De Souza Leite ◽  
Vinícius Rodrigues De Oliveira ◽  
João Paulo Xavier Silva

Objetivo: Compreender a percepção de uma equipe de enfermagem de um Centro de Parto Normal acerca da assistência ao parto humanizado. Método: Trata-se de uma pesquisa descritiva, qualitativa, realizada com profissionais de enfermagem de um Centro de Parto Normal, em um município do interior do Ceará. Os dados foram analisados segundo a análise categorial temática, utilizando-se o software IRAMUTEQ para processamento dos dados.  Resultados: Os participantes do estudo reconhecem a relevância de seu trabalho e identificam a classe da enfermagem como protagonista na assistência humanizada. Esses apresentam a percepção de parto humanizado relacionado à autonomia da mulher, além disso, entendem que o processo de humanização se inicia desde a entrada da mulher no centro de parto. Conclusão: Os profissionais de enfermagem demonstraram conhecimento científico sobre a assistência ao parto humanizado e sobre as práticas de humanização para a parturiente.Descritores: Parto humanizado; Cuidados de enfermagem; Profissionais de enfermagem; Enfermagem obstétrica. BIRTH HUMANIZATION IN THE PERSPECTIVE OF THE NURSING TEAM OF A NATURAL BIRTH CENTERObjective: Comprehend the perspective of a nursing team in a natural birth center about the assistance on humanized childbirth. Methodo: this is a descriptive, qualitative research carried out with nursing professionals of a natural birth center, in a municipality in the interior of Ceará. The data were analyzed according to the thematic categorical analysis, using IRAMUTEQ software in data processing. Results: The study participants recognize the relevance of their work and identify the nursing class as the protagonist in humanized care.  This  present the perception of humanized birth related to women's autonomy, also, they understand that the humanization process begins when the woman enters the birth center. Conclusion: Nursing professionals demonstrated scientific knowledge about humanized childbirth assistence, and about humanization practices for parturient women.Descriptors: Humanizing Delivery;  Nursing Care; Nurse Practitioners; Obstetric Nursing.HUMANIZACIÓN DEL PARTO NA PERSPECTIVA DEL EQUIPO DE ENFERMERÍA DE UN CENTRO DE PARTO NORMALObjetivo: Comprender la percepción de un equipo de enfermería en un Centro de Parto Normal acerca de la asistencia humanizada para el parto. Metodo: Esta es una investigación descriptiva y cualitativa, realizada con profesionales de enfermería de un Centro de Parto Normal, en una ciudad del interior de Ceará. Los datos se analizaron de acuerdo con el análisis categórico temático, utilizando un software IRAMUTEQ en el procesamiento de datos. Resultados: Los participantes del estudio reconocen la relevancia de su trabajo e identifican a la clase de enfermería como protagonista en la atención humanizada. Estos presentan la percepción del parto humanizado en relación con la autonomía de la mujer, además, entienden que el proceso de humanización comienza desde el ingreso de la mujer al centro de parto. Conclusión: Los profesionales de enfermería demostraron conocimiento científico sobre el cuidado del parto humanizado y sobre las prácticas de humanización para mujeres parturientas.Descriptores: Parto Humanizado; Atención de Enfermería; Enfermeras Practicantes; Enfermería Obstétrica.  


2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 365-368
Author(s):  
Joice Moreira Schmalfuss ◽  
Regina Yoshie Matsue ◽  
Lucimare Ferraz

ABSTRACT Objective: To present the limitations of the nursing care for women with fetal death, reflecting on this challenge for care practices. Method: Reflective study with theoretical focus on national and international publications, along with the experience of the authors in the area of women’s health and obstetrics. Results: There are limitations related to nursing care, which involve feelings of insecurity and powerlessness, inappropriate attitudes of these professionals in front of women, difficulties to manage emotional aspects, and structural problems of health services. Final Considerations: This study points out that there are challenges to qualify nursing care for women with fetal death, which included academic studies and continuing education in health services. Relational aspects should be valued and demand more sensitivity from nurses, with more empathic relationships in the care for women with fetal death.


2018 ◽  
Vol 52 (0) ◽  
Author(s):  
Grasielle Camisão Ribeiro ◽  
Maria Clara Padoveze

ABSTRACT Objective: To conduct a situational diagnosis of the Nursing Care Systematization (NCS) in a Basic Health Unit from the perception of the nursing team. Method: This was a quantitative, descriptive-exploratory study, conducted in a Basic Health Unit in the interior of São Paulo state, Brazil. A structured questionnaire containing Likert scale was used for data collection, previously validated by specialists. Results: The questionnaire was applied to 21 nursing professionals. It was verified that implementation of NCS and the nursing process is still incipient in the Basic Health Units. Regarding its use in all nursing actions: 19% of respondents believe that it is never used, 38% thought that it is rarely implemented, and 29% responded sometimes. The main difficulties identified were related to the lack of institutional structure, highlighting a lack of capacity by the institution (81%). The team has a reasonable understanding about the subject, but pointed out that professional education does not prepare them for performing NCS in primary care. Conclusion: Institutional interest in NCS is necessary to enable implementation. The study can contribute to the effective implementation in this unit and point out guidelines for its implementation in other similar contexts.


1970 ◽  
Vol 2 (1) ◽  
pp. 59
Author(s):  
Hemi Fitriani ◽  
Styowati . ◽  
Yati Afiyanti

ABSTRAK Pendahuluan: permasalahan kesehatan di Indonesia diantaranya seputar kesehatan ibu dan kesehatan perempuan. Ners spesialis keperawatan maternitas yang memiliki peran dan fungsi pada kesehatan perempuan diharapkan dapat berperan dalam mengatasi permasalahan kesehatan di Indonesia. Karya ilmiah akhir ini bertujuan memberikan gambaran pelaksanaan praktek residensi ners spesialis keperawatan maternitas dengan fokus penerapan teori keperawatan ‘need for help Wiedenbach’ pada fase akut dan ‘conservation Levine’ pada fase pemeliharaan dalam asuhan keperawatan pada tujuh kasus perdarahan akibat kanker serviks. Metode: praktik residensi keperawatan maternitas dilaksanakan di Rumah Sakit Umum Daerah (RSUD) Kabupaten Bekasi, Rumah Sakit Umum Pusat Nasional (RSUPN) Ciptomangunkusumo Jakarta. Hasil: masalah keperawatan prioritas pada fase akut adalah resiko hipovolemi. Masalah prioritas pada tahap pemeliharaan adalah gangguan perfusi jaringan. Evaluasi pada fase akut adalah tidak terjadi syok hipovolemi. Evaluasi pada fase pemeliharaan adalah gangguan perfusi jaringan teratasi. Kompetensi selama pelaksanaan praktek keperawatan maternitas dapat dicapai. Pembahasan: asuhan keperawatan pada pasien perdarahan akibat kanker serviks, sangat tepat dengan mengaplikasikan dua teori keperawatan yaitu teori keperawatan need for help wiedenbach pada fase akut dan teori Conservation Levine pada fase pemeliharaan mencapai keutuhan (wholeness). Ners spesialis keperawatan maternitas diharapkan mampu menerapkan teori model keperawatan dalam pelaksanaan asuhan keperawatan sesuai dengan kondisi dan kebutuhan pasien. ABSTRACT Introduction: health problems in Indonesia are including maternal and women's health. Maternity nursing specialists who have the role and function on the women’s health are expected to play a role in addressing women's health problems. This final scientific work aimed to describe the implementation of maternity nursing specialist residency practice focused on the application of Wiedenbach Need for Help Theory which was performed in the acute phase and Levine Conservation Theory which was done in the maintenance phase in nursing care of cervical cancer bleeding was performed on seven patients. Method: maternity nursing specialist residency practice was due at Bekasi Regency General Hospital (RSUD), Ciptomangunkusumo National General Hospital (RSUPN), Jakarta. Result: the prior nursing problem in the acute phase was risk for hypovolemic. The prior nursing problems in the conservation stage were tissue perfusion disorder. The evaluation in the acute phase was hipovolemic shock did not occur. The evaluations in the conservation phase were the tissue perfusion disorder was resolved. The maternity nursing specialist competencies were achieved during the residency practice. Discussion: nursing care of patient with cervical cancer bleeding is perfectly applying two nursing theories, those are Wiedenbach Need for Help at acute phase and Levine Conservation at the maintenance phase to reach wholeness.The maternity nursing specialists are expected to be able to apply the nursing model theory in the implementation of nursing care in accordance with the patient’s conditions and needs.


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