O cuidado de enfermagem e suas representações no contexto da hemodiálise: aproximações e distanciamentos entre os seus atores sociais

• Autor(a) principal: Santos, Felipe Kaezer dos
• Data de Publicação: 2017
• 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/1/11162
• topic: Nursing care; Kidney dialysis; Nurse-patient relationship; Cuidados de enfermagem; Diálise renal; Relação enfermeiro-paciente; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The present work is the result of a doctoral thesis, whose object is the nursing care provided to the patient under hemodialysis. In order to address this object, we propose the following general objective: To analyze the care offered by nursing professionals and the patient in the context of HD. As specific objectives: 1) To identify the social representation of the nursing team for the group of patients treated through hemodialysis; 2) To identify the social representation of users of hemodialysis services for nursing professionals; 3) To describe the social representation of nursing care for both groups; 4) To discuss the relationship between nursing professionals and patients in the context of HD, based on the representational objects studied. The theoretical reference used was the Social Representation Theory of Sérge Moscovici. The methodological framework includes the use of descriptive statistics for the analysis of sociodemographic information and the Patient Satisfaction Instrument. In addition, the Theory of Social Representations was used to perform the structural analysis of evocations and the procedural analysis of semi-structured interviews. The study was carried out in two dialysis centers in the northern area of Rio de Janeiro, and a total of 100 patients undergoing hemodialysis and 100 professionals (among nurses and nursing technicians) were included in this scenario. Data collection included a sociodemographic characterization phase; The application of an instrument of patient satisfaction regarding nursing care; The collection of free evocations and a semi-structured interview. The results of the study point to the realization of the nursing care focused on the technical dimension by the professionals, while the patients have the expectation of receiving and appreciating the human dimension. The professionals live an ambiguous movement where they want the recognition of the patients, while at the same time they want to maintain the relation limited to the realization of norms and routines. Patients deal with the difficulties of adapting to HD, and sometimes dissatisfaction with one's life can compromise the relationship with others. The nurses were considered as specialized professionals, endowed with a lot of responsibility and, however, distant from direct care; While nursing technicians were represented as those who are directly related to care. It is important to look for ways to transform the reality of care in dialysis centers so that the gap between patients and professionals is fulfilled, providing greater satisfaction to professionals and users.