Abstract
to identify the factors that hinder and facilitate the work of the nursing team in a neonatal unit and to know the demands of Permanent Education described by the nursing team, emerging from the daily care. qualitative study that followed the steps recommended by the "Paulo Freire's Method" carried out with 29 professionals of the nursing team of a neonatal unit of a university hospital. Three Culture Circles were carried out to identify the generating themes. The themes generated were organized according to the issues covered in the interviews and during the Culture Circles, with four themes being highlighted: lack of routines; training; improvement of coexistence of the team and improvement of management process. The study made it possible to know the factors that hinder and facilitate the routine practice of nursing professionals by identifying the emergent themes of the Culture Circles that favored the critical reflection of the group, generating subsidies for the collective elaboration of the Permanent Education program in neonatal unit.
Highlights
Nursing care for the child and for the newborn is something complex that involves, in addition to the adequate execution of nursing techniques, nurses’ competences ranging from knowledge about the most frequent pathologies in each period of development to social and emotional needs of children and their family
The nursing team at that time was trying to adapt to the changes resulting from works to expand the unit in the institution and some participants highlighted the importance of the routines for synchrony and focus of teamwork: Collection and data organization Data production occurred initially through observations recorded in field diaries and, subsequently, individual semistructured interviews prior to the Culture Circles
From the analysis of the interviews, all the themes and actions generated that emerged from the interviews were recorded, followed by the elaboration of a first structured list according to the questions presented in the interviews for later appreciation in the Culture Circles, whose meetings with the participants happened in the Nursing rest room of the unit, usually in the afternoon, with an average duration of 40 minutes, as suggested and previously scheduled by the participants, due to the smaller movement in the unit, which favored their participation
Summary
Nursing care for the child and for the newborn is something complex that involves, in addition to the adequate execution of nursing techniques, nurses’ competences ranging from knowledge about the most frequent pathologies in each period of development to social and emotional needs of children and their family. For the educational demands materialize, it is necessary that health professionals put to you, the patient and the family as desiring subjects, capable of causing uncertainties and concerns in a dialogical and reflexive movement of reality, seeking to trigger a set of knowledge to intervene in the situations experienced[2]. This action-reflection-action movement makes each professional subject, dynamic in the issues experienced in the daily work process, and, in a dialogical way, demands arise that express collective thinking, from the perspective of each one. Permanent Education can serve as a path for the emancipation and autonomy of the professional, as it promotes a meeting between work and training, that is, it is at work and for the work that the Permanent Education takes place, application and the relevance of established content and technology[3]
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