Abstract
We aimed to analyze the nursing work process directed at care in the Nutrition, Growth and Development Surveillance and Control Program (VNCD) for children under five years at a social security institution in Mexico. The study adopted a qualitative approach and was based on the work category, on conceptions of the work process in health and on institutional analysis. We carried out direct systematic observations and interviews with a group of nurses and their assistants and with mothers who attended nursing appointments with their children. The care process was identified as procedure-centered and based on care protocols, with rapid appointments and little room for interaction between nurses and mothers. However, on some occasions, nurses were capable of producing live work as a result of their self-government, which allowed them to establish a mother/child-centered care nucleus.
Highlights
Children constitute a priority group in global health care efforts
We included 25 mothers who attended the visits with their children and identified themselves as such, since we consider them as the subject/object of nursing care
We considered the identified empirical thematic units and correlated them with theoretical conceptions, which allowed us to reconstruct the moments of the EMI work process and reach conclusions
Summary
Children constitute a priority group in global health care efforts. During the World Summit for Children 1990, a Declaration and an Action Plan were adopted, with 27 goals for the survival, development and protection of children and adolescents. The follow-up of child growth and development, which health professionals and users identify as Healthy Child Care, is a central component in community health services. This care contains three main elements: immunization, growth and development assessment and health education. It can be practiced by physicians or nurses(1). Child care implies implementing health promotion, diagnosis, treatment and maintenance activities which, in the case of the Mexican Social Security Institution, are part of the Nutrition, Growth and Development Surveillance and Control Program for children under five years (VNCD). The VCND is a strategy for integral care delivery, aimed at raising health levels in the population under five years old, decreasing malnutrition rates in the child and preschool population and reducing morbidity and mortality in this group(2)
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