As ações intencionais da equipe de enfermagem acerca dos seus registros e a segurança da criança hospitalizada

Abstract

Records may be defined as the form of written communication of relevant information regarding the customer and its care, that is why they become indispensable elements in the caring process, because, when written accurately, portraying reality, they allow continuous communication. Communication problems may cause harm to the patient, increase length of stay, and also imply ineffective use of resources. In light of the foregoing, the object of this study is the record of the nursing team from the perspective of the safety of the pediatric patient. And the objectives are: to describe which elements should be present in the records of the Pediatric Nursing from the standpoint of the nursing team; to understand the perspective of the nursing team when performing the records; to analyze the intentional action of performing records by the nursing team and their correlation with the safety of the pediatric patient. This is a qualitative study grounded on the sociological phenomenology of Alfred Schutz, which was held at a Pediatric Nursing of a University Hospital located in the city of Rio de Janeiro, with the participation of 20 nursing professionals (04 nurses and 16 nursing technicians). This study was submitted and approved by the Ethics Committee of the Institution, under CAAE nº 63991416.3.0000.5282 and Protocol nº 1.908.487. During the course of this survey, we complied with the ethical aspects established in Resolution 466/12 of the National Health Council. Data were collected through a phenomenological interview that was conducted in a reserved space within the pediatric nursing during the period from March to April 2017. From the speeches of the survey respondents, we raised three categories that enabled us to figure out the reasons for the action of the nursing professionals when performing their records, i.e., their intentionality. The denominations taken into account are the concrete categories of the experienced: To seek the safety of hospitalized child from the perspective of the treatment; To record the Nursing actions in the child s medical chart to ease up the communication of the Health Team; To support the professional in a legal manner in the face of the care provided to the pediatric patient. By giving voice to these professionals, we became able to understand the meaning of the act of recording for each of them. It was possible to realize that the act of caring for is intimately linked with their set of knowledge, which was acquired throughout life by means of personal and professional experience. Accordingly, it was possible to understand that, for the nursing team, when performing the action of recording, one intends to ensure the safety of the hospitalized child, ease up the communication of the health team and achieve legal support. We hope that this topic will contribute to a closer gaze on the part of the nursing professionals towards the records to be performed, with the purpose of making them more appreciated during the care actions, thereby providing the assisted child, the professional and the institution with a greater safety.