Construção compartilhada dos Protocolos de Enfermagem na Atenção Primária à Saúde: a experiência nas Regiões Metropolitanas do estado do Rio de Janeiro

• Autor(a) principal: Araujo, Marcia Cristina Cid
• Data de Publicação: 2017
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11422
• topic: Primary Care Nursing; Primary Health Care; Nursing evaluation; Decision Making; Professional Practice; Enfermagem de Atenção Primária; Atenção Primária à Saúde; Avaliação em enfermagem; Tomada de decisão; Prática Profissional; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

This research had as object of study the Process of Shared Construction of Nursing Protocols in Primary Health Care in the Metropolitan Regions of Rio de Janeiro state, Brazil. Assistance Protocols in Primary Health Care (PHC) are considered by the literature as instruments that guide actions and provide safety and quality in nursing care performance. The present dissertation was developed in a descriptive perspective of qualitative approach, with the objective of analyzing the process of shared construction of the Nursing Assistance Protocol and its possible repercussions on the nurses practices in PHC, using as data collection the documental analysis, and the semi-structured interview with the actors involved in the process. It was approved by the Ethics and Research Committee, as established by Resolution number 466/2012, under Opinion 1.508.499. The participants were fourteen professionals who work in State Primary Health Care and the technique used to deal with subjective data was the thematic content analysis, which resulted in four categories. 1) The path taken in the construction of the protocols, which analyzes the methodological strategies of the process and the motivation of the participants during the process, discussing the forms of participation in the actions of joint construction and adaptation of the protocols to the local reality of each region, and their agreement in the management instances of the Brazilian Unified Health System (SUS). 2) Assistance protocols and professional practice, discussing the ethical aspects related to the use of protocols to legitimate nurses' actions, and the limits and possibilities of care protocols in the practice of these professionals in Primary Care. 3) The place of care, which reflects on the quality of care in the actions of nurses and the importance of this to the profession. 4) The analysis of the repercussions of the construction process in care practice. Final considerations: Data analysis showed that the construction, when collective and dialogued, as well as the adequacy of protocols to the reality were very motivating to the construction process and constituted an important permanent education process and deepening of the technical-scientific knowledge of nurses, with the active participation of the various actors in the learning process whom acknowledge the protocols as a care guide, but not its totality, though they are essencial to decision making because they offer base and support to the professional. The dependability in the knowhow was expressed as the professional s safety to offer the users the best procedures to solve their health problems, qualifying their care. Repercussions such as the incorporation of strategies resulting from the interaction and exchange of experiences and improvement of the professionals' performance have also been reported by the participants.