Abstract
ABSTRACT Objective: to analyze the practices of novice graduated nurses in view of their social representations on intensive care to the critical patient provided in non-critical patient units. Method: a qualitative research, based on social representations, with 26 novice graduated nurses at a private university in Rio de Janeiro (Brazil). Data collection made between 2016 and 2017 by a semi-structured interview and lexical analysis by Alceste software. Results: the context of the Intensive Care Unit influences social representations, which mobilizes identity aspects of this environment that stereotype the ward as a disorganized place and that does not have material resources and trained professionals. Thus, when novice undergraduates act and despite the effort and dedication fail to transfer the patient, fear and lack of confidence are exacerbated, resulting in actions that can bring risks to the patient. Conclusion: there are stereotypes in relation to the clinic that limit the care actions of the novice undergraduates in relation to the critical patient, and should be re-signified in generalist education. It is recommended to develop follow-up programs for novice graduated nurses.
Highlights
There is a growing concern about the allocation of patients in the Intensive Care Unit (ICU), in view of limited resources to meet the increase in the volume of patients who demand intensive care, as well as due to the insufficiency of Services
A research that determined the required number of adult ICU beds in Rio de Janeiro (Brazil) to meet the current existing demand showed that considering an average length of hospitalization of 11 days in the regulated ICU would take 595 active beds compared to the existing 268, to ensure the stability of the system and meet the 33,101 requests that were made to the Vacancy Regulation Center in 2010-2011.4
The division of the corpus in 781 Elementary Context Units (ECUs) resulted in 6 lexical classes, and the block that is structured by classes 1, 5 and 6 reflects the dimension of the participants’ practice
Summary
There is a growing concern about the allocation of patients in the Intensive Care Unit (ICU), in view of limited resources to meet the increase in the volume of patients who demand intensive care, as well as due to the insufficiency of Services. In this direction, discussions about those who need to be in the ICU have been developed in the search for the best evidence on the criteria of admission, screening and discharge, in order to help the intensivist professional in the final decision regarding ICU admission.[1,2]. Regarding the nursing team, interest in the screen article, the presence of critical patients in units of non-critical patients impacts their work
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