Giving new meaning to implantation and implementation of the systematization of nursing assistance.

 Author: Patricia dos Santos Claro Fuly, RN, PhD, Nursing Professor, Medical-Surgical Nursing Departament, Aurora de Afonso Costa Nursing School, Fluminense Federal University, Rio de Janeiro, Brazil.

Advisor: Joséte Luzia Leite, RN, PhD, Professor in Postgraduate Nursing Program, Anna Nery Nursing School, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.

Bibliografic reference: Fuly PSC. Giving new meaning to implantation and implementation of the systematization of nursing assistance [Thesis]. Rio de Janeiro (RJ), Brasil: Anna Nery Nursing School, Federal University of Rio de Janeiro; 2009.

 Problem: This current doctorate thesis that is at The Management and Professional Practice Research Line of the Research Nucleus in Health Management and Nursing Professional Practice, it has the subject on the meaning given to the nurses experiences on the systematization about nursing assistance in managing the quality of professional care.

Objective: Proposing a theoretical matrix that demonstrates the meaning of the implantation and implementation of the systematization of assistance in managing the quality of professional care.

Method: It is a qualitative research which had as theoretical-methodological reference the Symbolic Interactionism and Grounded Theory, respectively. The research scene was the National Institute of Cancer - Unit II, a public hospital, reference for the treatment of cancer in Brazil, located at Rio de Janeiro. The research subjects were nurses who work at this unit. To survey and comparative analysis of data semi-structured interviews were done with 09 nurses at 2008. The data were validated by six nurses.

Results: The theoretical matrix formulated was: giving new meaning to managing quality and valorization of professional care: implantation and implementation of the systematization of nursing assistance.

Conclusions: This matrix confirms the argument that nurses give new meaning to quality management, based on the experiences of the implantation and implementation of SAE, through new perspectives on their assistance indicators, managing people, resources and costs, valorizing its role against the professional care and understanding the implantation and implementation of the SAE as qualifiers processes of nursing assistance.

Keywords: Nursing Process, Quality of Health Care, Health Services Administration.

Main bibliography:

1.Conselho Federal de Enfermagem. Resolução COFEN n. 358/2009 de 15 de outubro de 2009. Dispõe sobre a Sistematização da Assistência de Enfermagem e a implementação do Processo de Enfermagem em ambientes, públicos ou privados, em que ocorre o cuidado profissional de Enfermagem, e dá outras providências. [Cited 2009 October 27]; Available from: http://www.portalcofen.gov.br/2007/materias.asp?ArticleID=10113&sectionID=34

2. Fuly PSC, Freire SM, Almeida RT. The nursing process and its application in intensive care at Rio de Janeiro as a support to the development of an electronic patient record. Online Braz. J. Nurs. [serial on the Internet]. 2003 December 12; [Cited 2007 April 17]; 2(3). Available from: http://www.uff.br/nepae/siteantigo/objn203fulyfreirealmeida.htm

3.Nóbrega MML, Silva KL. Fundamentos do cuidar em enfermagem. 2nd.ed. Belo Horizonte: ABEn; 2008. 232p.

4. Fuly PSC, Leite JLL, Lima SBS. Correntes de pensamento nacionais sobre sistematização da assistência de enfermagem. Rev Bras Enferm 2008 novembro-dezembro; 61(6):883-7.

5. Santos SR, Nóbrega MML. A busca da interação teoria e prática no sistema de informação em enfermagem - enfoque na teoria fundamentada nos dados. Rev Latino-am Enfermagem 2004 maio-junho; 12(3):460-8.

 

Address for correspondence: Patrícia dos Santos Claro Fuly, Fluminense Federal University – Medical-Surgical Department, Rua Dr. Celestino, 74, Centro, Niterói, RJ. CEP: 24020-091 - Email: patriciafuly@vm.uff.br - Telefone: (21) 2629-9463