O acolhimento de usuários no centro cirúrgico e a humanização das práticas cotidianas do cuidado de enfermagem

• Ano de defesa: 2013
• Autor(a) principal: Giron, Mariana Nepomuceno
• Orientador(a): Berardinelli, Lina Márcia Miguéis
• Banca de defesa: Santo, Fátima Helena do Espírito , Santos, Iraci dos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade do Estado do Rio de Janeiro
• Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
• Departamento: Centro Biomédico::Faculdade de Enfermagem
• País: BR
• Palavras-chave em Português: Enfermagem de centro cirúrgico; Enfermagem perioperatória; Humanização da assistência; Acolhimento
• Palavras-chave em Inglês: Operating room nursing; Perioperative nursing; Humanization of assistance; User embracement
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM MEDICO-CIRURGICA
• Link de acesso: http://www.bdtd.uerj.br/handle/1/11339

To talk about humanization is to recapture the western tradition of thinking about the place where the human being occupies in the world, about the interrelationship between its fellow human beings, about the social as well as health care sphere, about ethics and solidarity. To a humanized care practice the beginning of this care must occur with the user embracement in all sectors, including the general surgical ward. The main goal of this study is: to comprehend the user embracement process in the everyday of the nurse assistance in the general surgical ward through the directive: user embracement, ambiance and extended general practice from the Política Nacional de Humanização (PNH). As the specific goals: to describe the user embracement during the daily nursing care practice in the general surgical ward; to analyze the user embracement experiences from the perspective from the users in the general surgical ward during the daily nursing care practice and to identify the strategies used during the nursing care in the general surgical ward that make the feasibility of the directive real: User Embracement, Ambiance and Extended General Practice. In order to carry the study through we chose the ethnomethodological approach with an exploratory research design. The study scenario is a Rio de Janeiro State s hospital and the data were collected through semi-structured interviews with eighteen participants in post-operative care and participant observation in the general surgical ward. Afterwards they were submitted to the Bardin s content analysis, from what three categories emerged: the reception of the user in the general surgical ward; characterization of the execution of the user embracement in the general surgical ward s reception from the user s perspective and strategies of care oriented towards the ambiance, user embracement and extended general practice. Final considerations: comprehending the user embracement process in the everyday of the nurse assistance was only possible through the sharing of the experiences of the users that used the services of the unit. Nursing care in this environment was identified through two praxes: in the reception of the user to elective surgery and differently to the emergency surgery. The ambiance of the general surgical ward creates in the user a range of feelings and there is an imaginary around the surgical event and this space. About the directive, the nursing care in this sector attends partially what is established. A way to the feasibility of the PNH and the directive: user embracement, ambiance and extended general practice is a lifelong learning in work that must not only employ the politics in its theory, but develop methods in order to make it real and tangible, promoting an improvement in the nursing care.