As representações sociais do cuidado de enfermagem prestado à pessoa que vive com HIV/AIDS na perspectiva da equipe de enfermagem

• Autor(a) principal: Formozo, Gláucia Alexandre
• Data de Publicação: 2007
• 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/1/11318
• topic: Nursing care; HIV/AIDS; Collective subjectivity; Social representations; ALCESTE; Cuidado de enfermagem; HIV/AIDS; Subjetividade coletiva; Representação social; ALCESTE; Cuidados em enfermagem; AIDS (Doença) Aspectos sociais; Subjetividade; Análise de conteúdo (Comunicação); Representações sociais; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA

This study examines and compares social representations about nursing care provided to people with HIV/AIDS among two categories of a hospital s nursing staff. It is an exploratory descriptive study, on a qualitative approach, oriented by the theory of social representations as processual approach. The subjects of the study were 20 nurses and 20 nursing auxiliaries working in a public university hospital in Rio de Janeiro City. Data was collected by means of semi-structured interviews and subjected to lexical analysis using Alceste 4.7 software. From overall analysis of the set of participants, six analytical categories emerged, the first group comprising the classes Hospital care and drug care practices , The influence of health services on care provided to people with HIV/AIDS and Care as interpersonal relationship , relating to the objective and subjective dimensions of nursing care. The second group comprised the classes Day-to-day care for people with HIV/AIDS and The social subjects of care , directed to the day-to-day and social subjects of care. The final group consisted of Care as professional self-protection , relating to the care that health workers take to protect themselves. Contrastive cross-analysis of the two categories of health workers brought out two classes. One, corresponding to the nurses, expressed the ideal nursing care to be given to the HIV-positive patient, directed to quality of life, characterizing a reified discourse on professional practice. The other, from the nursing auxiliaries, presented content on day-to-day nursing care given to patients, in a discourse with practical characteristics. Care was noted to be represented as performing specific techniques and establishing a relationship with patients and their relatives. Despite declaring that the same care is provided to people living with HIV/AIDS as to any other client, the members of the nursing staff stressed the need for greater caution due to the risk of contagion for the health practitioner, characterizing a discourse marked by contradiction. It was also possible to observe various subtle forms of prejudice in professional attitudes, expressed in blaming the patients for a degree of responsibility, which depended on how they were contaminated. It was concluded that care practices are characterized by objective elements and strongly by group subjectivity, to which they may be molded, with results ranging from prejudice and blame towards patients, through to perception of changes in patient profile leading to nursing staff s identifying with clients to differing degrees.