A formação da enfermagem para a realização do procedimento de curativos
Data
2018-08-27
Autores
Paula, Graziela Silva de 
Orientadores
Uchôa-Figueiredo, Lúcia da Rocha
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Diante do processo de formação profissional de enfermagem destaca-se a prática do cuidado. A formação do enfermeiro requer competências e habilidades, com associação teórico-prático para tomada de decisão imediata. Ainda assim, o enfermeiro é o principal ator no cenário do tratamento de feridas, realizando a avaliação inicial e conduta para encaminhar à referência médica. O curativo consiste no procedimento de limpeza e cobertura da lesão com finalidade de tratamento prevenindo colonização, promovendo cicatrização, evitar infecção, reduzir custos e prejuízos ao paciente. A proposta da pesquisa tem como objetivo analisar o nível de conhecimento do profissional enfermeiro responsável pelo procedimento de curativos, compreender como é feita a avaliação, identificar dificuldades e elaborar produto para organização da assistência na realização do procedimento de curativos. Realizado com abordagem qualitativa descritiva através de entrevistas com análise de conteúdo. Os resultados evidenciam diversidade de faixa etária dos profissionais e tempo de formação acima de 5 anos, entretanto a experiência do contato com o procedimento em questão tornase bem inferior ao tempo de experiência profissional. As respostas obtidas foram agrupadas por similaridade em duas categorias: a formação do profissional enfermeiro, que recebe um conteúdo de acordo com as diretrizes curriculares para atuação de forma generalista; dificuldades do enfermeiro na realização do procedimento de curativos, demonstrando déficit de conteúdo específico, além de problemas com a falta de recursos estruturais, recursos humanos e materiais. Foram elencadas subcategorias: qualidade na formação do enfermeiro, educação permanente em saúde, o cuidado e a prática profissional que permitiram analisar o nível de conhecimento do enfermeiro, assim como identificar as dificuldades possibilitando a elaboração de um produto, sugerindo a confecção de um protocolo de assistência de enfermagem no tratamento de feridas que será ferramenta crucial no processo de trabalho do profissional enfermeiro, contribuindo para uma evolução e assistência especializada e qualificada. Os resultados demonstraram a fragmentação do conteúdo transmitido e a dificuldade de assimilação entre a prática e o teórico, entretanto, as diretrizes são cumpridas na graduação, os conteúdos são transmitidos como propostos, o que verificou-se uma necessidade de segmento nos estudos para algo mais específico, o enfermeiro tem sua formação generalista, e para aperfeiçoar nas técnicas e procedimentos específicos do curativo deve procurar agrupar conhecimentos através de procura em cursos específicos, de pós graduação, extensão, etc.
Before the process of professional training of nursing stands out the practice of care. Nursing training requires skills and abilities, with theoretical-practical association for immediate decision making. Nevertheless, the nurse is the main actor in the scenario of wound treatment, performing the initial evaluation and conduct to refer to the medical referral. The dressing consists of the procedure of cleaning and covering the lesion with a treatment purpose, preventing colonization, promoting healing, avoiding infection, reducing costs and damages to the patient. The aim of this research is to analyze the level of knowledge of the nurse professional responsible for the dressing procedure, to understand how the evaluation is done, to identify difficulties and to elaborate a product for the organization of the care in the accomplishment of the dressing procedure. Conducted with qualitative descriptive approach through interviews with content analysis. The results show a diversity of the age group of professionals and training time over 5 years, however the experience of the contact with the procedure in question becomes well below the time of professional experience. The answers obtained were grouped by similarity into two categories: the training of the nurse practitioner, who receives content according to the curricular guidelines for acting in a generalist way; difficulties of the nurse in performing the dressing procedure, demonstrating a specific content deficit, as well as problems with the lack of structural resources, human and material resources. It was listed subcategories that arose to discuss the subject: quality in the training of the nurse, permanent education, care and professional practice that allowed to analyze the level of knowledge of the nurse, as well as identify the difficulties making possible the elaboration of a product, suggesting the confection of a protocol of nursing care in the treatment of wounds that will be crucial tool in the work process of the professional nurse, contributing to an evolution and specialized and qualified assistance.The results demonstrated the fragmentation of the content transmitted and the difficulty of assimilation between the practice and the theoretical, however, the guidelines are fulfilled in the undergraduate, the contents are transmitted as proposed, which verified a segment need in the studies for something more specific, nurses have their general training, and to improve on the techniques and procedures specific to the dressing should seek to group knowledge through demand in specific courses, post graduation, extension, etc.
Before the process of professional training of nursing stands out the practice of care. Nursing training requires skills and abilities, with theoretical-practical association for immediate decision making. Nevertheless, the nurse is the main actor in the scenario of wound treatment, performing the initial evaluation and conduct to refer to the medical referral. The dressing consists of the procedure of cleaning and covering the lesion with a treatment purpose, preventing colonization, promoting healing, avoiding infection, reducing costs and damages to the patient. The aim of this research is to analyze the level of knowledge of the nurse professional responsible for the dressing procedure, to understand how the evaluation is done, to identify difficulties and to elaborate a product for the organization of the care in the accomplishment of the dressing procedure. Conducted with qualitative descriptive approach through interviews with content analysis. The results show a diversity of the age group of professionals and training time over 5 years, however the experience of the contact with the procedure in question becomes well below the time of professional experience. The answers obtained were grouped by similarity into two categories: the training of the nurse practitioner, who receives content according to the curricular guidelines for acting in a generalist way; difficulties of the nurse in performing the dressing procedure, demonstrating a specific content deficit, as well as problems with the lack of structural resources, human and material resources. It was listed subcategories that arose to discuss the subject: quality in the training of the nurse, permanent education, care and professional practice that allowed to analyze the level of knowledge of the nurse, as well as identify the difficulties making possible the elaboration of a product, suggesting the confection of a protocol of nursing care in the treatment of wounds that will be crucial tool in the work process of the professional nurse, contributing to an evolution and specialized and qualified assistance.The results demonstrated the fragmentation of the content transmitted and the difficulty of assimilation between the practice and the theoretical, however, the guidelines are fulfilled in the undergraduate, the contents are transmitted as proposed, which verified a segment need in the studies for something more specific, nurses have their general training, and to improve on the techniques and procedures specific to the dressing should seek to group knowledge through demand in specific courses, post graduation, extension, etc.
Descrição
Citação
PAULA, Graziela Silva de. A formação da enfermagem para a realização do procedimento de curativos. 2018. 84 f. Dissertação (Mestrado em Ensino em Ciências da Saúde) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2018.