Representação social da punção venosa pediátrica durante internação para acompanhantes e para equipe de enfermagem

• Autor(a) principal: Krempser, Paula
• Data de Publicação: 2018
• Outros Autores: [e-mail]
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/17943
• topic: Atención de Enfermería; Salud Infantil; Cateterismo Periférico; Psicología Social; Teoría de Enfermería; Nursing Care; Child Health; Peripheral Catheterization; Social Psychology; Nursing Theory; Cuidados de Enfermagem; Saúde da Criança; Cateterismo Periférico; Psicologia Social; Teoria de Enfermagem; CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA

Peripheral venous puncture, nursing staff assignment procedure is a source of pain, stress and serious complications and a challenge for nursing when dealing with the child and his companion. The present study is justified because of its originality and the need to understand the meanings of puncture in children for sociocultural adequacy of care. The object of study is the social representation of the pediatric venous puncture for the nursing professionals and for the companions of hospitalized children. The objectives were to understand the social representations elaborated by the nursing professionals and the companions about the peripheral venous puncture in hospitalized children, to describe the symbolic contents and their allocation within the hierarchical system, to identify the representational dimensions of the social representations and to reflect their implications in the light of Betty Neuman's theory. The methodological course was delineated in the qualitative research in the theoretical-methodological reference of Theory of Social Representations with the triangulation of data with the procedural and structural approach based on the Betty Neuman theory. Individual interviews were recorded with guiding points and application of non-hierarchical free evocation technique. The present investigation was submitted and approved under opinion nº 2,543,592 of the Committees of Ethics in Research of the preponderant institution of the study and of the institution that was carried out the research. The social representation of picking up vein for the nursing professionals is structured on the difficulty of performing the procedure and insertion of the mother in the care and for the group of the companions of hospitalized children, has a character of negative psychological impact for the social group. The representation of nursing professionals about keeping the catheter in the vein of a child is characterized by technical behaviors and for the companions means a feeling of sadness, but understanding their need. And the meaning of withdrawing the catheter from a child's vein by nursing professionals is the end of the venous therapy proven by the medical prescription, which leads to the positive feelings expressed by happiness and relief at the end of venous therapy. It was possible to identify the representational dimensions and the intrapersonal, intrapersonal and transpersonal stressors present in the venous puncture process in children that make it difficult to cope with this procedure during a hospital stay, which requires a re-dimensioning of the nursing professionals' performance and management expressed by objects, actions and during the procedure. We conclude that the present investigation contributes to the identification of the meanings and feelings of the venous puncture process in children in the view of the nursing professionals and the accompanying children and points out a reflection on present stressors to resize the nursing care in venous therapy in children.