SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM NA UNIDADE DE TERAPIA INTENSIVA PEDIÁTRICA: enfrentando desafios e tecendo novos arranjos

Abstract

The Nursing Care Systematization, through the application of Nursing Process, the nurse practice organizes and promotes their professional autonomy. The Nursing Process is divided into five interrelated and interdependent phases: Nursing History; Nursing Diagnosis; Planning; Implementation and Evaluation. The name and the amount of these phases may vary depending on nursing theory used to guide the practice. However, the meaning and the purpose of this systematic procedure is to take care of human beings. While nursing practice is characterized by legal determination of the Brazilian Nursing Council, the nursing care activities are systematized in all Brazilian institutions, whether public or private. Based on these assertions, the research was guided by the assumption that scientific and technical meetings will provide the search and development of knowledge, skills and competencies necessary for choosing the theoretical framework and the involvement of nurses in the Pediatric ICU of the University Hospital of the Federal University of Maranhão for deployment of Nursing Care Systematization into the unit. The objectives of this research and scientific/meetings or workshops about Nursing Care Systematization were easier with the nurses of the Pediatric Intensive Care Unit; improving knowledge and skills of nurses for deployment of Nursing Process; Nursing History building to support the Nursing Process to children and adolescents hospitalized in intensive care; support and monitor the stages of the construction, validation, testing and deployment process of the Nursing History; Deploy the Nursing History as the first phase of the Pediatric ICU Nursing Process. The methodological approach used was Assistant Convergent Approach (ACRA), since this methodology research is conducted concurrently with the scenario of professional practice in order to introduce changes or innovations. As a methodological resource supports the use of several different methods and techniques for collecting and analyzing data, however, in this investigation, data were obtained from scientific meetings and workshops with nurses and through Literature Review for identifying scientific evidence for construction of the Nursing History. The scientific evidence and the theoretical framework of Basic Human Needs Wanda Horta gave theoretical at this stage of the research support, so that nursing care reach the human being in its entirety. After construction, the History of Nursing underwent validation expertise and tuned to be tested in clinical practice. With the cooperation of the nurses was built the final version of the Nursing History to meet the care needs of children, adolescents and their families during hospitalization; and standardized abbreviations and acronyms to be used in nursing records. The History of Nursing built and deployed in the unit is not intended to generalizations and not terminating the multiple and complex needs that arise in the setting of pediatric intensive care, on the contrary, it should be improved where necessary.