Acolhimento a demanda espontânea pela enfermagem: uma proposta de instrumento no atendimento ambulatorial infantil

Abstract

Introduction: Secondary and/or outpatient health care is characterized by a set of human and technological resources designed to perform specialized procedures of medium and high complexity, aiming to serve users referred by primary care and who seek the service spontaneously, without prior referral, reporting various complaints, at different levels of severity, seeking to meet their needs. Objective: To investigate in the scientific literature how care occurs in the pediatric outpatient context. Methodology: This is a bibliographic research, based on the survey of scientific articles from the SciELO Brazil and Lilacs databases. Data collection took place from 2023 to 2024. The following descriptors were used for the search: Child health. Reception. Spontaneous demand. Nursing. Results and discussion: This bibliographic study allowed us to understand the scientific literature on how care occurs in the pediatric outpatient context in health care network services, especially how the reception of the nursing professional occurs in the outpatient context. However, the limitations of this study highlight the scarcity of studies focused on outpatient nursing care, as well as the lack of validated protocols for outpatient care for children. Although, as a whole, the extracted articles demonstrate a significant focus on establishing a smooth flow of care for mothers and children/adolescents in outpatient care. Conclusion: This study enabled the development and proposal of an instrument for the care of spontaneous child requests in outpatient services within the healthcare network. This allows for a more humane and effective approach to children and family members who receive referrals and spontaneous requests to child healthcare outpatient clinics. This instrument is intended to be applied and validated in future studies by these authors.