Abstract

Objective: To understand the experiences of nurses in an adult intensive care unit in the development of Nursing Care Systematization (NCS). Methods: Qualitative research, participant study, using the Research Itinerary of Paulo Freire, with nine nurses in an adult intensive care unit of a hospital in southern Brazil. For collection and analysis of data were used Culture Circles, following the steps of investigation of generation themes, encoding and decoding, and critical revelation. Results: Nurses noticed they have limited knowledge about the patient's clinical and NCS, they still valued the development of technical procedures and manipulation of the technological devices because they feel recognized by the health team. Conclusion: As a possibility to change, the nurses were organized to start discussion groups on clinical cases and NCS, seeing strengthening knowledge and appreciation in front of the health team.

Highlights

  • Nursing work in the Intensive Care Unit (ICU) is complex and contains numerous requirements for the development of care

  • The same percentage of 44% were of professionals with 5 or 6 years of training, and 11% of participants had education higher than 10 years. These characteristics of the study participants were relevant to the group still at the beginning of the discussions because they were considered as a limiter for the development of Nursing Care Systematization (NCS), since the little experience in intensive care often hinders decision-making, for lack of practical knowledge

  • This study showed that NCS was not developed with ease and fullness by nurses working in the studied institution, as recommended by COFEN ten years ago

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Summary

Introduction

Nursing work in the Intensive Care Unit (ICU) is complex and contains numerous requirements for the development of care. The dynamic between the professionals, the critical condition of the patients and the use of different technologies require from nursing knowledge of several sources, strengthening the assistance and maximizing effective work processes and care. ICU is the complex level of the hierarchy of hospital services, showing the need for organization and structuring of nursing care in order to contribute positively to the quality of the actions and safety of the patient and the multidisciplinary team[1]. In this context, the Nursing Care Systematization (NCS) is a solid conceptual structure that promotes continuity of care and quality of nursing care. The Nursing Process (NP) is a method of work required as an important part for performing NCS2

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