A experiência de enfermeiros de instituições de longa permanência para idosos com o processo de enfermagem
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Data
2019-02-25
Autores
Fonseca, Izabella Bizinelli da
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Universidade Estadual Paulista (Unesp)
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Introdução: As Instituições de longa permanência para idosos (ILPIs) podem ser instituições governamentais; ou não; de caráter residencial, destinadas ao domicilio coletivo de pessoas com idade igual ou superior a 60 anos com ou sem suporte familiar; e em condição de liberdade, dignidade e cidadania. Em ILPI o enfermeiro coordena a equipe de enfermagem, composta por auxiliares e técnicos de enfermagem e é responsável pelo gerenciamento e planejamento individual do cuidado aos idosos, educação e treinamento da equipe assim como a execução dos cuidados de maior complexidade.O planejamento da assistência de enfermagem individualizada ao idoso é exigido pela legislação do COFEN 358/2009 e está representado pelo Processo de Enfermagem (PE).A operacionalização do PE se estabelece pelas etapas da Sistematização da Assistência de Enfermagem (SAE) e nesse contexto corrobora para promover a qualidade e segurança do paciente, de forma a conduzir o processo de cuidar na ILPI; Objetivo: O objetivo do estudo foi compreender a experiência dos enfermeiros, que atuam em ILPIs, com o planejamento da assistência representado pela SAE. Tratou-se de um estudo qualitativo, aprovado pelo Comitê de Ética local, Plataforma Brasil, CAAE 65473317.7.0000.5411, Parecer nº 2.154.867. métodos: Utilizou-se como referencial teórico-metodológico a Teoria de Wanda de Aguiar Horta e como referencial metodológico a Análise de Conteúdo de Bardin. A coleta de dados foi realizada pela pesquisadora por meio de entrevistas semiestruturadas e audiogravadas, com dez enfermeiros de ILPIs de três municípios do interior de São Paulo. A pergunta norteadora foi: “Como é a sua experiência com o planejamento do cuidado ao idoso na ILPI em relação a SAE?”; Resultados: Como resultados da análise de conteúdo das falas dos entrevistados identificaram-se quatro categorias: insuficiência de regulação e fiscalização específicas para ILPI, Déficit quantiqualitativo de recursos humanos especializado, Inviabilizando o exercício profissional do enfermeiro como responsável técnico, Deparando-se com as ilegalidades do exercício profissional de enfermagem. Os temas que emergiram das categorias identificadas foram: Inviabilidade de realização integral da SAE, Negligência da SAE, Relação entre enfermagem, enfermeiro, paciente no processo de cuidar e, Inversão de papéis. Conclusão: Concluiu-se que existe impacto no processo de cuidar ao idoso institucionalizado advindos das experiências descritas e analisadas com contribuições à melhoria da qualidade que dependam da autonomia do enfermeiro na apropriação e utilização das etapas do PE.
Introduction: Long-term Institutions for the Elderly (ILPIs) can be governmental institutions; or not; of residential character, destined to the collective address of people aged 60 or over with or without family support; and in the condition of freedom, dignity and citizenship. In ILPI, the nurse coordinates the nursing team, composed of nursing auxiliaries and technicians and is responsible for the management and individual planning of care for the elderly, education and training of the team as well as the execution of the more complex care. nursing is required by the COFEN 358/2009 legislation and is represented by the Nursing Process (PE). The operationalization of the EP is established through the Nursing Care Systematization (SAE) stages and, in this context, corroborates the patient safety in order to conduct the caring process in the ILPI. Objective: The objective of the study was to understand the experience of nurses, who work in ILPIs, with the planning of care represented by SAE. This was a qualitative study, approved by the Local Ethics Committee,Brazil Platform, CAAE 65473317.7.0000.5411, Opinion no. 2,154,867. Methods: The Wanda Theory of Aguiar Horta was used as theoretical-methodological reference and as a methodological reference to the Bardin Content Analysis. Data collection was performed by the researcher through semi-structured and recorded audio interviews, with ten ILPI nurses from three municipalities in the interior of São Paulo. The guiding question was: "How is your experience with planning the care of the elderly at ILPI in relation to SAE?"; Results: As a result of the analysis of the content of the interviewees' speeches, four categories were identified: insufficiency of specific regulation and supervision for ILPI, specialized human resources qualitative quantity deficit, making the professional practice of nurses ineligible as a technical officer, encountering illegalities of professional nursing practice. The themes that emerged from the identified categories were: Inability to achieve SAE in full, SAE neglect, Relation between nursing, nurse, patient in the care process and, Inversion of roles. Conclusion: It was concluded that there is an impact on the process of caring for the institutionalized elderly coming from the experiences described and analyzed with contributions to quality improvement that depend on the autonomy of the nurse in the appropriation and use of the stages of the PE.
Introduction: Long-term Institutions for the Elderly (ILPIs) can be governmental institutions; or not; of residential character, destined to the collective address of people aged 60 or over with or without family support; and in the condition of freedom, dignity and citizenship. In ILPI, the nurse coordinates the nursing team, composed of nursing auxiliaries and technicians and is responsible for the management and individual planning of care for the elderly, education and training of the team as well as the execution of the more complex care. nursing is required by the COFEN 358/2009 legislation and is represented by the Nursing Process (PE). The operationalization of the EP is established through the Nursing Care Systematization (SAE) stages and, in this context, corroborates the patient safety in order to conduct the caring process in the ILPI. Objective: The objective of the study was to understand the experience of nurses, who work in ILPIs, with the planning of care represented by SAE. This was a qualitative study, approved by the Local Ethics Committee,Brazil Platform, CAAE 65473317.7.0000.5411, Opinion no. 2,154,867. Methods: The Wanda Theory of Aguiar Horta was used as theoretical-methodological reference and as a methodological reference to the Bardin Content Analysis. Data collection was performed by the researcher through semi-structured and recorded audio interviews, with ten ILPI nurses from three municipalities in the interior of São Paulo. The guiding question was: "How is your experience with planning the care of the elderly at ILPI in relation to SAE?"; Results: As a result of the analysis of the content of the interviewees' speeches, four categories were identified: insufficiency of specific regulation and supervision for ILPI, specialized human resources qualitative quantity deficit, making the professional practice of nurses ineligible as a technical officer, encountering illegalities of professional nursing practice. The themes that emerged from the identified categories were: Inability to achieve SAE in full, SAE neglect, Relation between nursing, nurse, patient in the care process and, Inversion of roles. Conclusion: It was concluded that there is an impact on the process of caring for the institutionalized elderly coming from the experiences described and analyzed with contributions to quality improvement that depend on the autonomy of the nurse in the appropriation and use of the stages of the PE.
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Palavras-chave
processo de enfermagem, instituição de longa permanência para idosos, enfermeiros, nursing process, long-term care institution for the elderly, nurses