Nursery Process proposal in the Unit of Intensive Treatement for the pos-operatory period after a heart surgery / PROPOSTA DE PROCESSO DE ENFERMAGEM EM UNIDADE DE TRATAMENTO INTENSIVO PÓS-OPERATÓRIA CARDIOLÓGICA
AUTOR(ES)
Flavia Lamberti Pivoto
DATA DE PUBLICAÇÃO
2008
RESUMO
This is a qualitative, exploratory and descriptive study which is based on the convergentassistance methodology that aimed to elaborate a Nursery Process proposal to patients who are in the pos-operatory period after they did a heart surgery. This proposal was elaborate with the nursery team of the Pos-operatory Cardiologic of Intensive Treatment Unit. The steps that follow were contemplated by the proposal: diagnoses, prescription and nursery evolution. The proposal was validated in five meetings that used the convergence group technique in which five nurses who attend in the Unit have participated. Every single ethical question was respected in the study developing. The proposals first stage used the data collect tool for the nursery historical made in the Unit that was used as the source of data that was in the subsequent steps. Together with the nursery evolutions in the patients records, there were the nursery occurrence book notes which were used to do a documental research to collect relevant data. The data was distributed among six groups according to the pos-operatory day that the patients registrations corresponded to. The patients were investigated and organized in tables that had the frequency of each data as discovered in relation to the number of interviewed patients. We researched in registrations referred to 20 patients submitted to 30 days interval surgeries. The presented relevant data constitute the definer characteristics establishment and the diagnoses related factors. The study established 15 diagnoses based on taxonomy II of NANDA for the pos-operatory period of heart surgery. For that, correlated nursery prescriptions were planned based on the participants professional experience and on the literature as well, aiming to satisfy the identified needs. Aiming to operate and make the nursery prescription elaboration faster, four prescription models were elaborated based on the prescriptions correlated to the diagnoses and in the relevant data groups according to the posoperatory day. The first model corresponds to the immediately pos-operatory period; the second corresponds to the first day of admission; the third corresponds to the second day and the fourth model corresponds to the third day on. 37, 27, 25 and 19 interventions respectively came out. These were nursery interventions appropriated to the each period needs. The rising or decreases of interventions are allowed according to the need. The last step used the nursery evolution developing methodology of the study Unit. This methodology is daily developed in the patients transference or death. The developed proposal seems to show the needs of the nursery assistance to patients who are in the pos-operatory period. Besides, it makes possible the nursery actions demonstration and registration in a systematized and organized way. Adopting a specific scientific method to organize, plan and do the nursery activities together with the implementation of the Nursery Process on the professional practice represent strategies to the Nursery responsibilities and knowledge delimitation, to the visibility, the done work recognition and to a higher professional valorization.
ASSUNTO(S)
cardiac surgical procedures nursery professional role enfermagem papel do profissional de enfermagem procedimentos cirúrgicos cardíacos enfermagem processos de enfermagem nursery processes cuidados pós-operatórios postoperative care nursery
