Loading...
Publication
A pessoa submetida a transplante de medula óssea: estudo exploratório sobre os padrões de documentação de cuidados de enfermagem
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 189.01 KB | Adobe PDF |
Advisor(s)
Abstract(s)
A documentação de cuidados de enfermagem é fundamental para a qualidade da assistência em enfermagem. Contudo, esta documentação tem apresentado algumas lacunas que a impede de reflectir, com exactidão, o exercício profissional do enfermeiro.
No sentido de contribuir para a melhoria da qualidade dos cuidados, consideramos pertinente a identificação das categorias e dos itens de informação documentada, relativamente à natureza dos cuidados de enfermagem prestados aos doentes submetidos a Transplante de Medula Óssea (TMO).
Para tal, concebemos um estudo num paradigma quantitativo, de carácter exploratório-descritivo, com o intuito de definir o perfil do doente submetido a TMO e identificar o padrão de cuidados em uso no Serviço de Transplantação de Medula Óssea (STMO), documentado pelos enfermeiros.
Para responder aos objectivos propostos analisámos o conteúdo da informação produzida pelos enfermeiros, relativa aos cuidados de enfermagem, de 122 episódios de internamento dos doentes submetidos a TMO, internados no STMO do Instituto Português de Oncologia do Porto Francisco Gentil, Entidade Pública Empresarial (IPOPFG, EPE). Os dados obtidos foram sujeitos a análise estatística - descritiva e inferencial.
Dos resultados auferidos salientamos que o perfil do doente submetido a TMO é, na sua maioria, do sexo masculino, de meia-idade, casado, reformado ou com profissões no âmbito dos trabalhadores qualificados da indústria, construção e artífices. O padrão de documentação de cuidados de enfermagem situa-se, essencialmente, no domínio do compromisso dos processos corporais, desenvolvendo-se intervenções, no âmbito da gestão de sinais e sintomas. A intensidade da acção terapêutica documentada pelos enfermeiros é reduzida, face aos diagnósticos documentados. A informação documentada sugere não reflectir, na sua totalidade dos cuidados “efectivamente” prestados.
Os resultados deste estudo poderão ser úteis na melhoria dos Sistemas de Informação (SI) em uso no Instituto Português de Oncologia (IPO) do Porto e induzir à reflexão, por parte dos profissionais, sobre a importância da documentação eficiente dos cuidados de enfermagem.
The documentation on nursing care plays a major role in the quality of assistance in nursing. However, it is recognized that this documentation has been presenting some gaps that prevent it from reflecting the nurse’s professional work exactly. We understand the need to contribute for the improvement of care quality through the identification of documented information’s categories and items in respect of the nature of nursing care provided to the patients subjected to a Bone Marrow Transplantation (BMT). In order to achieve that, we have conceived a study in a quantity paradigm of an exploratory-descriptive kind, intending to define the patient’s profile subjected to BMT and to identify the pattern of care documented by nurses and used in the Bone Marrow Transplantation Department (BMTD). In order to meet the proposed goals, we analyzed the content of the information produced by the nurses about the nursing care, from 122 episodes of hospitalization of patient subjected to BMT, who are hospitalized at the BMTD in Instituto Português de Oncologia do Porto Franscisco Gentil, Entidade Pública Empresarial. The obtained data was submitted to both descriptive and inferential statistical analysis. From the results obtained we stress that: the patient’s profile, subjected to a BMT, is mainly male, middle-aged, married, retired or a skilled worker in industry, in construction, and a craftsman. The pattern of documentation of nursing care lies, essentially, in the domain of a compromise of bodily processes, developing interventions, predominantly, as far as the management of signs and symptoms is concerned. The intensity of therapeutic action documented by nurses is reduced, compared to diagnoses documented. The documented information suggests not to reflect, as a whole, the care “effectively” provided. The results of this study may be useful in the improvement of the Systems of Information used in the Instituto Português de Oncologia do Porto and may bring about the reflection by professionals on the importance of efficient documentation in nursing care.
The documentation on nursing care plays a major role in the quality of assistance in nursing. However, it is recognized that this documentation has been presenting some gaps that prevent it from reflecting the nurse’s professional work exactly. We understand the need to contribute for the improvement of care quality through the identification of documented information’s categories and items in respect of the nature of nursing care provided to the patients subjected to a Bone Marrow Transplantation (BMT). In order to achieve that, we have conceived a study in a quantity paradigm of an exploratory-descriptive kind, intending to define the patient’s profile subjected to BMT and to identify the pattern of care documented by nurses and used in the Bone Marrow Transplantation Department (BMTD). In order to meet the proposed goals, we analyzed the content of the information produced by the nurses about the nursing care, from 122 episodes of hospitalization of patient subjected to BMT, who are hospitalized at the BMTD in Instituto Português de Oncologia do Porto Franscisco Gentil, Entidade Pública Empresarial. The obtained data was submitted to both descriptive and inferential statistical analysis. From the results obtained we stress that: the patient’s profile, subjected to a BMT, is mainly male, middle-aged, married, retired or a skilled worker in industry, in construction, and a craftsman. The pattern of documentation of nursing care lies, essentially, in the domain of a compromise of bodily processes, developing interventions, predominantly, as far as the management of signs and symptoms is concerned. The intensity of therapeutic action documented by nurses is reduced, compared to diagnoses documented. The documented information suggests not to reflect, as a whole, the care “effectively” provided. The results of this study may be useful in the improvement of the Systems of Information used in the Instituto Português de Oncologia do Porto and may bring about the reflection by professionals on the importance of efficient documentation in nursing care.
Description
Keywords
Transplante de medula óssea Sistemas de informação em enfermagem
Citation
ONCO.NEWS > ANO VI ∙ N.º 22 ∙ NOV-FEV 2013
Publisher
Associação Enfermagem Oncológica Portuguesa (aeop)