Abstract
To analyze the use of nursing terminology as an instrument of the nursing work process in Collective Health. Exploratory case study. For data collection was conducted a group interview with 24 nurses working in health units of a municipality in south central Paraná, Brazil. Data were analyzed in the light of interdependence between the structural, particular and singular dimensions contained in the Theory of Nursing Praxis Intervention in Collective Health. The situations interfering with improper use were the lack of knowledge about the origin and purpose of terminology, lack of training, and non-mandatory use. Although the nursing terminology is used as an instrument in the nursing work process in collective health, it requires training to be recognized as a classification system. At the same time, institutional policies should be employed to ensure the effective use of these instruments. Analisar a utilização de terminologia de enfermagem como instrumento do processo de trabalho do enfermeiro em Saúde Coletiva. Estudo de caso exploratório. Para coleta de dados foi realizada entrevista em grupo com 24 enfermeiros que atuam nas unidades de saúde de um município no centro-sul do Paraná, Brasil. Os dados foram analisados à luz da interdependência entre as dimensões estrutural, particular e singular contidas na Teoria da Intervenção Práxica de Enfermagem em Saúde Coletiva. As situações que interferiram na utilização inadequada foram o desconhecimento sobre origem e finalidade da terminologia, a falta de treinamento e a não obrigatoriedade de uso. A terminologia de enfermagem, apesar de utilizada como instrumento no processo de trabalho de enfermeiros em Saúde Coletiva, necessita de capacitação para ser reconhecida como sistema classificatório. Ao mesmo tempo, políticas institucionais devem ser empregadas no intuito de garantir a efetiva utilização destes instrumentos.
Highlights
The work process of nurses involves objects, agents, instruments, objectives, methods and products[1]
In the interpretation of objective reality it was possible to identify the limited knowledge of nurses about the CIPESC®
It is available on the computerized system of the municipality, CIPESC® is used by nurses mechanically, as a mere additional software item
Summary
The work process of nurses involves objects, agents, instruments, objectives, methods and products[1]. Nursing terminologies are instruments of the nursing work process, and defined as a set of terms describing the important concepts of the profession uniformly. Through these terminologies, it is possible to demonstrate the nursing contribution to health care[2]. In the unique space of care provision, they need tools and methods that aim at the systematization of care[3], and above all, are compatible with the assumptions of collective health. When thinking about the work process in collective health, the use of critical and reflective thinking about the social determination of the health-disease process allows nurses to select more appropriate diagnoses and interventions to meet the recognized health needs and promote the transformation of vulnerabilities[4]
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