Abstract
ABSTRACT Objective: to analyze the challenges of the Federal and Regional Nursing Councils regarding the performance of nursing in providing care to people with COVID-19. Method: a documentary study carried out on the websites of the Federal Nursing Council and respective Regional Councils of São Paulo, Rio de Janeiro, Ceará, Amazonas and Pernambuco. Data collection took place in May, encompassing bulletins published from March to April 2020. A total of 149 bulletin items were analyzed through Content Analysis. Results: most of the bulletins published by the Federal Nursing Council cited support for professionals, and health service inspection and task force creation stand out for the Regional Nursing Councils among the included units. The findings were organized into four categories: The nursing professional during the pandemic: the fight against the invisible enemy; Working conditions in providing care to people with COVID-19: barriers and challenges; Professional devaluation x technical responsibility: frontline scenario; Mental health of nursing professionals: living with fear and uncertainty. Conclusion: the challenges of the Federal Nursing Council and the Regional Nursing Councils regarding nursing performance in providing care to people with COVID-19 are directly linked to the supervision and support to the category in the daily exercise of the profession as evidenced by structural difficulties of the working conditions, professional devaluation due to their technical responsibility, inadequate dimensioning of the workforce, overload and problems related to mental health.
Highlights
IntroductionThe new severe acute respiratory syndrome (SARS)-CoV-2 virus (from the acronym Severe Acute Syndrome Coronavirus-2), identified in China in late 2019, has caused a respiratory disease known as COVID-19 (of the acronym COronaVIrus Disease), with a high potential for contagion and growing incidence, becoming the largest worldwide pandemic of the last decades.[1,2,3] As it is a disease with a broad clinical spectrum, more serious cases and higher mortality are observed among older adults and in people with pre-existing diseases such as hypertension, diabetes mellitus , chronic lung disease, and cancer, among others.[2,4]The number of cases and deaths due to COVID-19 significantly increased in Brazil between the months of March and April 2020, requiring the government, official health agencies, researchers and the scientific community in general to search for alternatives to confront the disease in order to minimize the impacts of the pandemic.[5,6] On the one hand the challenges relate to the response capacity in this scenario, which reflects the capillary action of its health system and adopting measures in favor of monitoring the epidemic curve of the virus.[3,7] On the other hand, the work of teams of professionals from different areas in the scope of health services in providing care to cases and in preventing and controlling infection stands out.[8,9,10]Nursing has been recognized among the health professions as essential and nuclear in the front line in the fight against COVID-19, acting in the public, philanthropic and private sectors
The present study aimed to analyze the challenges of the Federal and Regional Nursing Councils regarding the performance of nursing in providing care to people with COVID-19
We considered the bulletins regarding the performance of the Cofen/Corens system before the nursing demands of COVID-19
Summary
The new SARS-CoV-2 virus (from the acronym Severe Acute Syndrome Coronavirus-2), identified in China in late 2019, has caused a respiratory disease known as COVID-19 (of the acronym COronaVIrus Disease), with a high potential for contagion and growing incidence, becoming the largest worldwide pandemic of the last decades.[1,2,3] As it is a disease with a broad clinical spectrum, more serious cases and higher mortality are observed among older adults and in people with pre-existing diseases such as hypertension, diabetes mellitus , chronic lung disease, and cancer, among others.[2,4]The number of cases and deaths due to COVID-19 significantly increased in Brazil between the months of March and April 2020, requiring the government, official health agencies, researchers and the scientific community in general to search for alternatives to confront the disease in order to minimize the impacts of the pandemic.[5,6] On the one hand the challenges relate to the response capacity in this scenario, which reflects the capillary action of its health system and adopting measures in favor of monitoring the epidemic curve of the virus.[3,7] On the other hand, the work of teams of professionals from different areas in the scope of health services in providing care to cases and in preventing and controlling infection stands out.[8,9,10]Nursing has been recognized among the health professions as essential and nuclear in the front line in the fight against COVID-19, acting in the public, philanthropic and private sectors. The new SARS-CoV-2 virus (from the acronym Severe Acute Syndrome Coronavirus-2), identified in China in late 2019, has caused a respiratory disease known as COVID-19 (of the acronym COronaVIrus Disease), with a high potential for contagion and growing incidence, becoming the largest worldwide pandemic of the last decades.[1,2,3] As it is a disease with a broad clinical spectrum, more serious cases and higher mortality are observed among older adults and in people with pre-existing diseases such as hypertension, diabetes mellitus , chronic lung disease, and cancer, among others.[2,4]. The pandemic macro-context circumscribes the invisibility of work processes, meaning that nursing professionals are confronted with a reality marked by the lack of working conditions, low wages, long hours, and experience suffering and death, among other problems.[11,12,13]
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