Suchergebnisse

Objective: To systematize nursing care to an infant with West Syndrome, using the Nomenclature of Diagnoses / Results and Nursing Interventions. Methods: Descriptive study, a case study, conducted at a School Hospital in João Pessoa / Paraíba in October 2010, following the phases of the nursing process. Diagnoses were identified using the Nomenclature of Diagnoses / Results and Nursing Interventions developed and validated for said hospital according to CIPE® terms. The project was approved by the Research Ethics Committee of the hospital under CAAE: 0052.0.126.000-09. Results: Six nursing diagnoses were identified: neuropsychomotor impairment, seizure, impaired oral hygiene, altered respiratory pattern, risk of infection, altered family routine. Conclusion: The use of a nomenclature of diagnoses / results and interventions directs the actions of nursing, providing efficiency in the care of children with West syndrome.

Objetivo: compreender o gerenciamento do cuidado de enfermagem através do discurso de enfermeiros assistenciais. Metodologia: pesquisa qualitativa ancorada na Teoria Fundamentada nos Dados. Participaram do estudo 12 enfermeiras assistenciais de um hospital-escola de João Pessoa, Paraíba. A análise dos dados seguiu as etapas interdependentes de codificação: aberta, axial e seletiva. Resultados: emergiu o fenômeno 'Compreendendo o gerenciamento do cuidado de enfermagem na assistência hospitalar', discutido através do modelo paradigmático de Strauss e Corbin, cujos elementos evidenciaram o gerenciamento do cuidado como um conjunto de todas as atividades desenvolvidas no cotidiano de trabalho do enfermeiro. Contribuições acadêmicas: foram trazidas novas perspectivas acerca do gerenciamento do cuidado de enfermagem que podem colaborar para seu desenvolvimento. Contribuições práticas: o estudo demonstra a relevância do papel gerencial desempenhado pelo enfermeiro e os desafios vivenciados em sua prática, suscitando a necessidade de ampliar as discussões sobre o tema e a realização de novas pesquisas em diferentes contextos, que abordem propostas para qualificação do trabalho gerencial do enfermeiro.
Palavras chave: Gestão em saúde. Gerência de serviços de saúde. Cuidados de enfermagem. Papel do profissional de enfermagem. Enfermagem.

This is an integrative review of the literature that aimed to characterize the scientific production of the last ten years of management and management of nursing care in primary care and describe the practice of this management. The search of the material took place in May and June 2014 in the databases SCIELO, LACHC, and MEDLINE NDB considering the terms: Management; care management; Health Management; Nursing and Primary Health Care, so that 16 articles were included in the sample selected. The characterization of the studies pointed out the year 2010 with the largest quantity of sample publications; the Cuban Journal of Enfermería was the one that got more than one publication; 10 studies are presented in Portuguese, three in English and three in Spanish. Three themes were highlighted for discussion: management practice and management of nursing care in Primary Care; Skills and nursing skills; and Challenges faced. We emphasize the importance of managerial activities of the nursing organization and qualification of care and transformation of health in primary care, demonstrating is necessary to build quality indicators; democratization of organizational behavior; systematization of assistance; best training and continuing education of professionals.