Modos de pensar e de fazer: o cuidado de enfermagem à pessoa com HIV/Aids representado pela equipe de enfermagem

• Autor(a) principal: Freitas, Raquel Soares
• Data de Publicação: 2014
• 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/1/11334
• topic: Nursing care; HIV / AIDS; Psychosocial impact; Cuidados de enfermagem; HIV/Aids; Impacto psicossocial; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE DOENCAS CONTAGIOSAS

This study proposes a reflection on nursing care and its practices aimed at people living with HIV / AIDS and it was developed by a professional nursing team. The defined general objective was to analyze the social representations and practices of nursing care for people with HIV / AIDS regarding the nursing team that acts on STD / AIDS in the city of Rio de Janeiro. This is a qualitative research, based on the Theory of Social Representations. Regarding the methodology, this study was developed from of 16 health units of the National STD and AIDS Programme of the Ministry of Health, which provide direct care to people living with HIV / AIDS on an outpatient basis. Thirty seven professionals participated in this study, 20 nurses and 17 technicians and nursing assistants. Data were collected using of semi-structured interviews, and they were analyzed by using the software ALCESTE 4:10, and the implementation of socio-professional identification questionnaire, which data analysis was performed using descriptive statistical analysis. From the ALCESTE analyses, seven classes divided into two thematic blocs were defined, the first one called "HIV / AIDS and its social impacts through the perspective of the nursing staff." This bloc encompassed three classes, namely: Prejudice and vulnerability in daily nursing care for people affected by HIV / AIDS (class1); Family relationships and involvement with HIV / AIDS (Class 4) and Socioprofessional Memories on HIV / AIDS (class 7). The second thematic bloc is called "HIV / AIDS and care practices," and it includes 4 classes resulting from the analysis, namely: The complexity of ambulatory care of persons with HIV / AIDS (class 2); Care practices of nursing staff and multidisciplinary team (class 3); Health education as a practice of nursing care (class 5) and Protection and biosecurity measures of nursing professionals (class 6). In the first thematic group there are the representations of the disease, the stigma faced by people living with HIV / AIDS, the relationships with family members and health professionals and the memories of the nursing staff regarding the disease. It is observed that even after the occurrence of changes in the profile of the disease, the marks of the past are still present in the daily lives of these subjects, which is reflected in nursing care, family relations and in life in society. The second thematic bloc describes the institutional and professional care practices to people with HIV / AIDS, observing the highlight of self-protection in nursing care to individuals living with HIV / AIDS. Despite this approach, there is also the highlight of elements that relate to the care of others, such as the bond, the welcoming attitude, psychological support and interpersonal relationships, which are modalities recognized as participant of care practices, as well as health education. It is concluded that the various contents that compose the social representations and practices of nursing care for people with HIV / AIDS present feelings, practices, attitudes, memories, concepts and current and old images, with the presence of instrumental care, as well as relational care.