Precaução de contato na unidade de internação pediátrica e as estratégias assistenciais do enfermeiro

• Autor(a) principal: Rabelo, Angela Helena de Souza
• Data de Publicação: 2012
• 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/1/11267
• topic: Cross infection; Family; Pediatric nursing; Infecção hospitalar; Família; Enfermagem pediátrica; Crianças - Assistência hospitalar; Acompanhantes de pacientes; Cuidados em enfermagem - Planejamento; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

This research had as object: the nurse´s purpose when developing actions of contact precaution next to the child´ s companion hospitalized in a pediatric unit. Objective: To apprehend the nurse´ s contribution when developing contact precaution actions next to the child´ s companion hospitalized in a pediatric unit. Qualitative study, whose methodological reference was the sociological phenomenology of Alfred Schutz. A pediatric hospital unit of a public university situated in the Municipality of Rio de Janeiro was the scenario. The subjects were seven nurses that develop or just developed care actions addressed to the contact precaution next to the hospitalized children´s companion. For data collection the phenomenological interview was utilized, having as orienting questions: talk about the contact precaution actions that you develop next to hospitalized children´ s companion in contact precaution? What do you have in view/ which are your intentions when developing these contact precautions actions next to hospitalized children´ s companion in the pediatric unit? This research was approved by the Research Ethical Committee of the institution, scenario of the study, with the number 15/11. The data analysis occurred after leaving out my presuppositions and hearing exactly what was told by the subjects to apprehend the intentionality typical of the nurses. In this sense, 2 (two) analytical categories emerged: To prevent cross infections among children in contact precaution with the companions participation and prevent infection without losing sight the child´ s psychosocial protection. The first category pointed that the nurses develop contact precaution actions next to the hospitalized children´ s companions with the purpose of prevent cross infections. And the second, that the nurses also develop actions of contact precaution aiming at the child s social protection, without losing sight important aspects of its infantile development, as the playing and the tricks. It concludes that the nurse´ actions with sights to contact precaution were ruled in two aspects: the child s biological and the psychosocial. Concerning the biological aspects, the nurses´ actions were ruled in the recommendations contained in assistance protocols and in the hospital routines. With respect to psychosocial aspects, the nurses´ actions were ruled beyond the recommendations contained in these protocols and in these routines. In the child´ s hospitalization process, the nurses understand that regardless of they are in contact precaution, the playing is an essential activity to its physical, emotional and intellectual health. For both, they utilize strategies that favor the playing and the trick. Therefore, the study revealed the consciously look of the nurse about the contact precaution measures next to the companion and the child hospitalized and pointed to the need of the reformulation of the public politics addressed to the cross infection prevention.