SAE SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM RESOLUÇÃO COFEN/ Dispõe sobre a Sistematização da Assistência de Enfermagem. CONSIDERANDO a Resolução Cofen nº , de 15 de outubro de , que dispõe sobre a sistematização da assistência de Enfermagem e a implementação. Anamnese é a entrevista inicial que o técnico de enfermagem ou enfermeiro faz com o paciente. Consiste no preenchimento de uma ficha ou questionário.
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To analyze the performance of nurses in the implementation of nursing care systematization NCS. This study is a descriptive research developed from a qualitative approach. The content analysis CA must be 35 through 3 chronological poles allowing the researcher to construct an analysis structure that corresponds to the needs of the research and the objectives coefn the proposed research; The chronological poles of CA are described as: Phase 1—preanalysis, phase 2—exploration of the material: Only a semistructured interview will be conducted with the research subjects who meet the inclusion criteria of the study, preserving the identity of the individuals and guaranteeing the right to quit the research at any 3558 during the interview.
The activities related to the care offered by a health team have as partners the nurses who work in the coordination, supervision, and specialized technical care. The activities of nurses are developed in an integrated and concomitant way; the large dimension of nursing care is possible because the nurse has the vision and knowledge allied to a leader’s posture and collaborative behavior.
In order to develop assistance activities with quality, the technology allied to the nursing care systematization NCS directs nurses to an evidence-based practice, valuing the planning capacity necessary for daily practice. The NCS is the instrument that provides the use of scientific principles and a work methodology that promotes the interrelationship of actions, favoring the assistance rendered to the human being, contributing to the quality of emergency care.
Also defined as a systematic and dynamic way of providing nursing care, using 5 interrelated stages: According to Vaz et al, [ 6 ] the NCS assists in building the quality of health care and also in building theoretical and scientific knowledge based on the best clinical practices.
For its development, the professional needs to master the 5 stages of this work process; however, problems in the planning and optimization of the human resources can lead the nurse to commit flaws in the service, damaging the final result of the assistance rendered. According to Oliveira et al [ 8 ] and Cruz and Almeida, [ 9 ] the discourses point to a mechanized assistance with low ccofen clinical reasoning, with a view to fulfilling the routine tasks destined to the execution of the care, being evident the lack of adhesion of the nursing team to a plan of care focused on the patient.
In the category of difficulties in the implementation of NCS, it is pointed out that it is devalued by the nurse and by the entire nursing team; this position is based on the lack of specific knowledge of these professionals on the NCS, becoming a barrier to cofeb execution in health institutions. The lack of scientific knowledge favors its devaluation, especially in nursing teams where there is no multiprofessional space for discussions about NCS. Thus, care planning has been in the background in many realities, once perceived as a difficult activity to be practiced on the Brazilian nursing scene, despite all the logical proposal presented by NCS.
Therefore, nurses often move away from their main role, due to the need to perform bureaucratic and routine activities, causing a distance between the nurse and the patient.
Resolução COFEN 358/2009
In this way, in view of the reflections presented so far, some questions are pertinent to help in the cut of the object of this study, such as: How was the process of training professionals to implement this dw What elements can make this implementation easier or more difficult? In front of these questions, it is hypothesized that nurses do not present sufficient knowledge to develop NCS and the actions to implement it. The descriptive studies, according to Gil [ 13 ] have as main objective the description of characteristics of a certain population phenomenon or the establishment of relationships between variables obtained through standardized techniques of data collection, such as questionnaire and systematic observation.
The descriptive study will allow to accurately present facts or phenomena of the studied reality. The qualitative approach, according to Minayo, [ 15 ] arises from the impossibility of investigating and understanding by mean of statistical data some phenomena focused on perception, intuition, and subjectivity.
Through qualitative evaluation we can expose experience and common sense through the actions of understanding, interpreting and promoting the dialectics necessary for understanding.
The mission of HUERB is to provide humanized care with quality and ethics, respecting sociocultural diversity to ed who seek an emergency care service.
This emergency service attends clinical emergencies, surgical, and traumatic in adults and children, with back-up beds in medical clinic, treatment of acute intoxication and alcohol and other drug withdrawal, pediatric emergency, surgical centre, and service of intensive care unit. Altogether there are beds distributed between beds of hospitalization, observation, and emergency.
This component of the Urgency and Emergency Network is one of the entry points for secondary level of health care and is a reference for the entire State of Acre, Brazil, and border countries, Bolivia and Peru. The public servants, nurses, who carry out assistance activities at HUERB will be part of the research participants.
It is estimated 30 interviews that will cifen consolidated by the saturation method. A semistructured interview will be used for data collection with 3558 guiding questions addressing aspects related to NCS knowledge and practices. The semistructured interviews will valorise the researcher’s presence ocfen offer all possible perspectives to reach the spontaneity necessary for qualitative research.
The interviews start from certain questions that are not born a priori, but from information that the researcher already has about the phenomenon that is of interest to study. In this sense, the informant will have the freedom to follow the line of his thought and his experiences within the main focus placed by the investigator.
According to Bardin [ 17 ] the CA must be developed through 3 chronological poles allowing the researcher to construct an analysis structure that corresponds to the needs of the research and the objectives of the proposed research; The chronological poles of CA are described as follows Fig.
For the completion of data collection conducting interviews the researcher will consider the process of saturation of the speeches of the subjects which consists in analyzing the empirical data that will be collected.
The investigator should focus on the perception of the decrease of new information in each interview, considering the saturation point when the new interviews do not present additions or insignificant information to the research directed by the objectives of the protocol.
Following the steps proposed by Bardin [ 17 ] in the preanalysis, the researcher will transcribe the interviews that will allow the floating reading necessary for the initial organization of CORPUS set of documents that will be exposed to the analysis that will be analysed; Reaffirmed the objectives of the study, that are: Based on the objectives of the study, the researcher predetermined the thematic dofen named as:.
For the development of the CA is oriented the codification of vofen fragments called record units RU and subsequent construction of the called context units CU that provide sensing to the speeches of respondents; for the implementation of the codification, in the material exploration stage, rules were defined for the systematic development of the enumeration and codification of the registration units by the researcher.
The default rules were:. Define representative colors for each category: After all the reasoning of the ve and how the researcher will direct their analysis of content, will proceed the second stage called exploration of the material ; to begin the rules implementation the researcher should develop a new reading of CORPUS.
The application of the weighted frequency will allow the correct direction of the analysis of each questioning for the thematic categories and the use of the intensity and direction for the RUs referring to the NCS Knowledge category to define the intensity of the right and wrong answers by the subjects.
Record units, context units, and analytical categories according to the Bardin method Rio Branco, Acre, Flowchart of the material exploration step. In the third stage, called Treatment of the results obtained and interpretationa revision of the CU will be implemented, finalizing the construction of it and organizing the main evidences raised in step 2 to proceed a later interpretation of the results obtained with the exploration of the material.
In this stage the construction of the table with the categories and a summary of the evidences that will be submitted to the interpretation of the researcher are going to completed and will support the construction of the final report of the results and final discussion of the research in the light of the NCS literature.
Flowchart of the step treatment of the results obtained and interpretation, Source: Only the semistructured interview will be conducted with the research subjects who meet the inclusion criteria of the study, preserving the subject’s identity and guaranteeing the right to quit the research at any time during the interview. Nowadays, it is urgent to organize the nursing service in public and private units through the implementation of NCS; however, it is still necessary to awake the professionals to the need of searching for knowledge and to reduce the dichotomy between academia and professional practice.
The training of the professionals does not contribute cofej the df of the NCS, since there is no implementation of the investigation due to lack of preparation which in fact leaves them deprived of the understanding of the real role of nursing.
RESOLUÇÃO COFEN Nº 427/2012
The use of the technique of CA according to the guidelines of Bardin [ 17 ] will help in the interpretation of the speeches of respondents who in many cases do not believe that they are performing practices outside the standard established by the science of nursing; the interpretation of knowledge and practices without a rigorous technique could lead to subjective and superficial interpretations as to what is intended to be analyzed with this protocol of research, but as reported by Minayo [ 15 ] with the support of qualitative research can be reached conclusions that are not measured by statistics.
Qualitative research is capable of incorporating the question of meaning and intentionality as inherent in acts, relationships and social structures, the latter being taken, both in its advent and in its transformations, as significant human constructions. The information analyzed by this research protocol will have the power to encourage the reflection of many nursing professionals about their daily work, by giving visibility to the importance of the NCS implementation, and to illustrate the direction of the nurses to be guided by the evidence and planning required for a good quality nursing care.
The understanding of the knowledge and practices on the NCS can reach the excellence of the assistance provided to the user of the emergency services, a reflection on the nursing work instrument and the increase of the implantation of NCS in the health care units. To Acre State through the Department of Health for the opportunity to qualify through the agreement n.
To the Federal University of Acre UFAC for the interinstitutional partnership, academic, and intellectual support with its faculty of counsellors. To all those who directly or indirectly contributed to the realization of this project.
Souza Junior, Luiz C. Bezerra, Fernando Adami, Luiz C. Monteiro, Fernando Adami, Luiz C. Monteiro, Fernando Adami, Hugo M. Souza Junior, Luiz C de Abreu. Bezerra, Fernando Adami, Hugo M. Writing — original draft: The authors have no funding and no conflicts of interest to disclose. National Center for Biotechnology InformationU. Journal List Medicine Baltimore v. Published online Aug Find articles by Carlos B.
Author information Article notes Copyright and License information Disclaimer. Received Jun 18; Accepted Jun Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4. Introduction The activities related to the care offered by a health team have as partners the nurses who work in the coordination, supervision, and specialized technical care.
Study design It is a descriptive research developed from a qualitative approach. Study participants The public servants, nurses, who carry out assistance activities at HUERB will be part of the research participants. Collection instrument of empirical material A semistructured interview will be used for data collection with 16 guiding questions addressing aspects related to NCS knowledge and practices. In it the documents that will be submitted for analysis are selected, the hypotheses and the objectives are formulated and the rules that base the final interpretation are elaborated.
It constitutes the identification of the units of record, units of context, and subjects that arise from the readings. In this stage, the thematic units and registration units of this study will be identified. It is emphasized that the thematic categories that were explored in this phase will be built focused on the objectives in the previous phase.
Phase 3—Treatment of results obtained and interpretation: At 538 stage, the investigator may propose inferences and advance interpretations about the intended objectives or relate to other unexpected discoveries. Open in a separate window. Construct the CU using as reference the RUs and inferences arising from the exploration of the material.
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Table 1 Record units, context 3558, and analytical categories according to the Bardin method Rio Branco, Acre, Table 2 Description of study categories and evidence. Rio Branco, Acre, Brazil Discussion Nowadays, it is urgent to organize the nursing service in public and private units through the implementation of NCS; however, it is still necessary coden awake the professionals to the need of searching for knowledge and to reduce the dichotomy between academia and professional practice.
Innovation The information analyzed by this research protocol will have the power to encourage the reflection of many nursing professionals about their daily work, by giving visibility to the importance of the NCS implementation, and to illustrate the direction of the nurses to be guided by the evidence and planning required for a good quality nursing care. Acknowledgments To 20009 State through the Department of Health for the opportunity to qualify through the agreement n.
Revista Rede Enfermagem Nordeste ; Rev Bras Enfermagem ; Cofeb Lat Am Enfermagem ; R Pesq Cuidado Fundam ; 5: Esc Anna Nerry Rev Enfermagem ;