Educação permanente em saúde para implementação da sistematização da assistência de enfermagem em instituição de longa permanência para idosos

Abstract

The Systematization of Nursing Care standardizes the structure of the nursing service and organizes the assistance provided to the person, family and community. It must be present in nursing services and health institutions. To this end, the objective was to carry out Permanent Health Education to implement the Systematization of Nursing Care in a long-term institution for the elderly, in the form of exploratory, qualitative research, of the action research type. For this, the resolution of the Federal Nursing Council nº 358/2009 was used as a legal basis and, as a theoretical-methodological basis, the Theory of Basic Human Needs, proposed by Wanda Horta, to grasp concepts of Being-cared, Being-caregiver and Being-nursing. Six pedagogical workshops were held throughout 2022. This thesis analyzes the pedagogical workshops as part of the process of knowledge acquisition, awareness of their role by the nursing team of the long-term care institution for the elderly and describes categories of meaning based on the participants' statements through the content analysis technique of Bardin. Among the categories of meaning, there are: Participants' problematization regarding the service and nursing team: with categorization of results between positive points and points for improvement in the service; 2. Knowledge of the nursing team about Systematization of Nursing Care and the Nursing Process: elucidating the gap in knowledge about these two concepts; 3. The reality of the structuring of the institution's Nursing Service in relation to what is suggested by the Systematization of Nursing Care and Nursing Process: with the elaboration of the functional structure of the Systematization of Nursing Care in the institution; 4. Weaving knowledge for the development of the Systematization of Nursing Care and the Nursing Process through the practices experienced by participants in nursing care in ILPI, which included, in addition to the participants' impressions of shared knowledge, the preparation of Nursing Process forms Nursing for service. As final considerations, the Systematization of Nursing Care provides the scientific, personal and legal framework for organizing the nursing service in a Long-Term Institution for the Elderly and improving the nursing care provided to residents. Despite this, there are barriers that prevent its implementation in nursing services, such as resistance from the team itself, lack of knowledge and work overload. It is also important to highlight the need to understand the management of these institutions regarding the importance of the Systematization of Nursing Care and its consequences for the quality of health services in this field of activity.