Processo de trabalho em enfermagem: cuidado a pessoas com feridas crônicas na atenção primária à saúde

Abstract

The research object of this study was the perception of nurses about the care of people with chronic wounds in Primary Health Care. The objective was to describe the perception of nurses about the care of people with chronic wounds, discuss the factors involved in the work process nursing that affect the care of people with chronic wounds and analyze the configuration of care provided by nurses for people with chronic wounds in Primary Health Care in the city of Zona da Mata Mineira. We used to Laurence Bardin content analysis, and for the first stage of pre-analysis used the Atlas Ti 6.2 software, which enabled the organization of data and coding. For the formation of the categories in the light of the objective of this study and analytical interpretation of Bardin, was taken as a reference to Sanna approach (2007) on the Work Process in Nursing. The first category addressed on nursing care for people with chronic wounds in the context of the watch, and had four subcategories addressing the six components: the agent and the object, the instruments, the purpose, method and product. This, by the participants nurses showed that the components of the work process in nursing "Watch" are nonexistent or unfeasible to promote the production of the expected full care. Showed that the working condition and limited assistance to users, is unleashing the professional and the patient, feelings with the potential to trigger emotional injuries as there are solutions to the demands, even though they are unattainable. In the second category addressed to nursing care for people with chronic wounds in the context of "Politically participate" in which the discourses appeal demonstrated by the working conditions of workers and the poor treatment to the user. But is still incipient political development of the nurse, where a limited number shown intervene in the political domain carefully. We conclude that the care of chronic wounds, the APS study municipality, stood precarious and fragile, devoid of structural resources and lack of assistance features to the user's need, given the complexity that is the treatment of chronic wounds. Thus, users with chronic wounds are faced with a network of services in the city, fragmented and treatment becomes discontinuous and not integral. Nurses need to value themselves and empower themselves to pursue the political dimension, trying to be proactive in defending the proper care and qualified customer and defending better working conditions for the production of integral care.