Abstract
Nursing Care Systematization (NCS) is an organized and systematized process that concerns nursing professionals who provide quality assistance, being a mandatory tool in all health centers. Despite this factor, there is a visible resistance from nursing to the operationalization of a systematized care. Thus, the present study aims to analyze the applicability of nursing care systematization and the knowledge that primary care nurses have of this process. This is a descriptive, cross-sectional study with quanti-qualitative approach, conducted with nurses working in primary care teams from a regional health zone in the state of Paraná, Brazil. Out of the 44 participant nurses, only 20.5% claimed to take all steps in the nursing process during their care practice, and 43.2% do not know about the Resolution of the Federal Nursing Council that addresses NCS application. This low NCS applicability is worrisome, since it is related to the quality, resolution and security of care provision. The applicability of the systematization within the assessed teams is quite fragmented and small; besides, their NCS knowledge is insufficient considering that this is such a relevant tool to a nurse’s professional practice. It is possible to notice numerous fragilities and difficulties in the application of NCS to primary care, with highlight to time availability, overworked nurses, and need for training.
Highlights
For many years, nursing, in connection with medicine, has taken on a characteristic of immediate and cure-oriented work, with care centered on disease and its complications, promoting health care actions in an intuitive rather than systematized manner (Dutra, Soares, Meincke, & Matos, 2016)
A total of 44 professionals participated in this research, totaling 60.3% of nurses working in Primary Health Care (PHC) within the studied regional health zone
When it comes to time since graduation, 50% of the professionals finished college more than 10 years ago, and, regarding time working in PHC, the majority have between 1 to 3 years
Summary
For many years, nursing, in connection with medicine, has taken on a characteristic of immediate and cure-oriented work, with care centered on disease and its complications, promoting health care actions in an intuitive rather than systematized manner (Dutra, Soares, Meincke, & Matos, 2016). From its very beginning, is aimed at the individual who needs care, to whom it must provide a comprehensive and unique assistance with practices that promote health and prevent diseases and complications, as well as ensure diagnosis and treatment at an opportune time (Tannure & Pinheiro, 2011). To support the work process of nursing professionals, the Nursing Care Systematization (NCS) was created, which is a scientific methodology that subsidizes actions taken on patients by means of the nursing process. This systematization organizes the professional work concerning method, staff and instruments, enabling the operationalization of the Nursing Process (NP) (Tannure & Pinheiro, 2011)
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