Élissa Jôse Erhardt Rollemberg Cruz

Dialética de sentimentos do enfermeiro intensivista sobre o trabalho na Terapia Intensiva

Objective: To identify the perception of intensive care nurses about the work on the scene of Intensive Care and discuss motivating factors of intensive care nurses stay in their work in Intensive Care. Methods: This research of qualitative and descriptive character, its object is the perception of the intensive care nurses about the work in the Intensive Care Unit (ICU). The research was developed in a private Intensive Care Unit from Rio de Janeiro with ten nurses. The technique of data collection was the semi-structured interview, which took place from June to August 2008. We used content analysis to process the data. Results: The results showed that intensive nurse has affinity with technologies and likes direct patient care. It was found that there are aspects that result in pleasure and pain in that work, which reveals a dialectical perception of this productive activity. Conclusion: It was concluded that this work is predominantly pleasure factor for nurses due to the status that the sector occupies in the hospital environment.Objetivo: Identificar a percepcao dos enfermeiros intensivistas sobre o trabalho no cenario da Terapia Intensiva e discutir fatores motivadores da permanencia no trabalho em Terapia Intensiva. Metodos: A presente pesquisa, de carater qualitativo-descritivo, tem como objeto a percepcao do enfermeiro intensivista sobre o trabalho numa Unidade de Terapia Intensiva (UTI). A pesquisa desenvolveu-se numa UTI particular do Rio de Janeiro com dez enfermeiros. A tecnica de coleta foi a entrevista semiestruturada, ocorrida de junho a agosto de 2008. Utilizou-se da analise de conteudo para tratar os dados. Resultados: Os resultados revelaram que o enfermeiro intensivista tem afinidade com tecnologia dura e gosta do cuidado direto ao paciente. Verificou-se que ha aspectos que resultam em prazer e sofrimento, o que revela uma percepcao dialetica sobre o trabalho. Conclusao: Concluiu-se que este trabalho e, predominantemente, fator de prazer para os enfermeiros devido ao status que o setor ocupa no ambiente hospitalar.

Collective Defense Strategies: tactics to mitigate suffering in nurse’s hospital work

Introduction: Qualitative, descriptive study that had as object the defense collective strategies made by assistance nurses in order to mitigate the suffering that comes from hospital work organization. Objective: To characterize the defense collective strategies made by nurses at medical and surgical clinics context. Methodology: The study scenario was a University Hospital, the individuals were 25 nurses and the data collection techniques were: semi-structured interview and observation. The analysis method was based in the hermeneutic-dialectic that has showed the following categories: defensive strategies made by assistance nurse collective. Main Results: The analysis showed twelve defense collective strategies that the nurse use to mitigate and/or occult the suffering came from work organization. Conclusions: It was stated that the referred strategies can be interesting tactics against the suffering since they allow the nurse to keep on working without getting physically and psychologically sick, it means, to resist working organization pressures without experiencing classic pathologic processes. Thus, they can be characterized as a factor that results in alienation, hiding the real comprehension of work context.

Evaluating the orientations of nursing in perioperatory care - a descriptive study

Introduction: The orientation makes possible the client adaptation to his health condition, minimizing his anxiety , and can be offered in orientation groups for health. The extension project “ Orientating the client in surgical situation to diferenciate the care” helps to understand the internation process and was implemented in order to minimize the orientation deficit about client perioperatory. Objective: To evaluate the project from clients perception. Methodology: Quantitative case study developed in may/june/2005 with preoperatory clients of general surgery. Main Results: The participants referred that it was important to receive preoperatory information, learned them and suggested the group ampliation for all the surgical clients of the hospital in question. Conclusions: The project has been suitably developed, and clients consider it relevant to cover all their health needs; suggestions that were given reveal the necessity to amplify offer/participation at meetings for the other surgical clients of this hospital.

Dialéctica de sentimientos del enfermero intensivista sobre el trabajo en la Terapia Intensiva

Objective: To identify the perception of intensive care nurses about the work on the scene of Intensive Care and discuss motivating factors of intensive care nurses stay in their work in Intensive Care. Methods: This research of qualitative and descriptive character, its object is the perception of the intensive care nurses about the work in the Intensive Care Unit (ICU). The research was developed in a private Intensive Care Unit from Rio de Janeiro with ten nurses. The technique of data collection was the semi-structured interview, which took place from June to August 2008. We used content analysis to process the data. Results: The results showed that intensive nurse has affinity with technologies and likes direct patient care. It was found that there are aspects that result in pleasure and pain in that work, which reveals a dialectical perception of this productive activity. Conclusion: It was concluded that this work is predominantly pleasure factor for nurses due to the status that the sector occupies in the hospital environment.Objetivo: Identificar a percepcao dos enfermeiros intensivistas sobre o trabalho no cenario da Terapia Intensiva e discutir fatores motivadores da permanencia no trabalho em Terapia Intensiva. Metodos: A presente pesquisa, de carater qualitativo-descritivo, tem como objeto a percepcao do enfermeiro intensivista sobre o trabalho numa Unidade de Terapia Intensiva (UTI). A pesquisa desenvolveu-se numa UTI particular do Rio de Janeiro com dez enfermeiros. A tecnica de coleta foi a entrevista semiestruturada, ocorrida de junho a agosto de 2008. Utilizou-se da analise de conteudo para tratar os dados. Resultados: Os resultados revelaram que o enfermeiro intensivista tem afinidade com tecnologia dura e gosta do cuidado direto ao paciente. Verificou-se que ha aspectos que resultam em prazer e sofrimento, o que revela uma percepcao dialetica sobre o trabalho. Conclusao: Concluiu-se que este trabalho e, predominantemente, fator de prazer para os enfermeiros devido ao status que o setor ocupa no ambiente hospitalar.

Dialectic feelings of the intensive care nurse about the work in Intensive Care

Objective: To identify the perception of intensive care nurses about the work on the scene of Intensive Care and discuss motivating factors of intensive care nurses stay in their work in Intensive Care. Methods: This research of qualitative and descriptive character, its object is the perception of the intensive care nurses about the work in the Intensive Care Unit (ICU). The research was developed in a private Intensive Care Unit from Rio de Janeiro with ten nurses. The technique of data collection was the semi-structured interview, which took place from June to August 2008. We used content analysis to process the data. Results: The results showed that intensive nurse has affinity with technologies and likes direct patient care. It was found that there are aspects that result in pleasure and pain in that work, which reveals a dialectical perception of this productive activity. Conclusion: It was concluded that this work is predominantly pleasure factor for nurses due to the status that the sector occupies in the hospital environment.Objetivo: Identificar a percepcao dos enfermeiros intensivistas sobre o trabalho no cenario da Terapia Intensiva e discutir fatores motivadores da permanencia no trabalho em Terapia Intensiva. Metodos: A presente pesquisa, de carater qualitativo-descritivo, tem como objeto a percepcao do enfermeiro intensivista sobre o trabalho numa Unidade de Terapia Intensiva (UTI). A pesquisa desenvolveu-se numa UTI particular do Rio de Janeiro com dez enfermeiros. A tecnica de coleta foi a entrevista semiestruturada, ocorrida de junho a agosto de 2008. Utilizou-se da analise de conteudo para tratar os dados. Resultados: Os resultados revelaram que o enfermeiro intensivista tem afinidade com tecnologia dura e gosta do cuidado direto ao paciente. Verificou-se que ha aspectos que resultam em prazer e sofrimento, o que revela uma percepcao dialetica sobre o trabalho. Conclusao: Concluiu-se que este trabalho e, predominantemente, fator de prazer para os enfermeiros devido ao status que o setor ocupa no ambiente hospitalar.

The care for the surgical client: a guide act to reach welfare. A bibliographic review

The study object is the implementation experience of the extension Project: “ Orientating the client in surgery situation to care differentiate”; descibing what participants have passed through and presenting a result evaluation. The project takes place with a joint work between professors, nurses, academics and nursing interns. Offering information at pre and post-operative, clarifying doubts and so clients can create strategies to face the surgical process. The activity contributed in assistance quality, in the formation of nurses committed to integrity and professional-assintential integration. It has been considered that the activity reached the objectives to assist clients to understand the internation process dynamics; to demystify the surgical experience and to reduce bio-psyquic-social alterations that are related to surgery.