Processo de trabalho do t?cnico de enfermagem: sua organiza??o e seus registros em um hospital universit?rio

• Main Author: Freitas, Cl?udio Henrique Silva de
• Other Authors: 50334298415
• Language: Portuguese
• Published: PROGRAMA DE P?S-GRADUA??O EM GEST?O DE PROCESSOS INSTITUCIONAIS 2017
• Subjects: CNPQ::CIENCIAS HUMANAS: GEST?O DE PROCESSOS INSTITUCIONAIS; T?cnico de enfermagem; Processo de trabalho; Sistematiza??o da assist?ncia de enfermagem
• Online Access: https://repositorio.ufrn.br/jspui/handle/123456789/22176

Submitted by Automa??o e Estat?stica ([e-mail]) on 2017-02-22T19:52:03Z No. of bitstreams: 1 ClaudioHenriqueSilvaDeFreitas_DISSERT.pdf: 1740254 bytes, checksum: 894f0ff9f21933b0594b76c6cfa325a8 (MD5) === Approved for entry into archive by Arlan Eloi Leite Silva ([e-mail]) on 2017-03-08T00:31:33Z (GMT) No. of bitstreams: 1 ClaudioHenriqueSilvaDeFreitas_DISSERT.pdf: 1740254 bytes, checksum: 894f0ff9f21933b0594b76c6cfa325a8 (MD5) === Made available in DSpace on 2017-03-08T00:31:33Z (GMT). No. of bitstreams: 1 ClaudioHenriqueSilvaDeFreitas_DISSERT.pdf: 1740254 bytes, checksum: 894f0ff9f21933b0594b76c6cfa325a8 (MD5) Previous issue date: 2016-09-28 === Este estudo teve como objetivo analisar o processo de trabalho e as a??es do t?cnico de enfermagem na cl?nica cir?rgica do Edif?cio Central de Interna??o do Hospital Universit?rio Onofre Lopes, ECI-HUOL. Buscou-se, assim, entender como se d? a organiza??o do trabalho, mais especificamente em rela??o ?s atividades assistenciais. O estudo descritivo proposto foi realizado no setor de cl?nica cir?rgica do Hospital Universit?rio Onofre Lopes em Natal/RN e incluiu 18 enfermeiros e 54 t?cnicos de enfermagem atuantes no referido setor. A partir de uma an?lise inicial dos impressos e protocolos dispon?veis, constatou-se a defici?ncia na sistematiza??o dos procedimentos e a limita??o de instrumentos que possam guiar os t?cnicos na defini??o de uma l?gica ou sequenciamento de suas a??es. Com o uso de instrumentos variados (observa??o, question?rio fechado do tipo survey), foi feita uma an?lise de como se d? a organiza??o do trabalho da enfermagem e constatou-se que, na ?tica dos envolvidos, este se processa de maneira aleat?ria, sem um instrumento formal que ordene as atividades ou indique quem deve orientar o sequenciamento ou prioridade das a??es assistenciais. Os resultados indicaram tamb?m que, de modo geral, tal fragilidade de par?metros propicia certa personaliza??o na assist?ncia, traduzida numa atua??o que expressa os h?bitos adquiridos e a vis?o particular de cada profissional em rela??o ao processo. Conclui-se, ent?o, que, longe de buscar um enrijecimento e controle absoluto do agir, ? necess?rio otimizar a organiza??o do trabalho a partir da escolha e ado??o de procedimentos que informem e padronizem a assist?ncia, evitando, assim, que a indefini??o quanto aos par?metros comprometa o tratamento institu?do, trazendo riscos ? sa?de do paciente. === This study aimed to analyze the work process and the nursing technician's actions in the surgical sectors of the Central building of hospitalization of University Hospital Onofre Lopes, ECI - HUOL. It attempted to thus understand how is the organization of work, specifically in relation to welfare activities. The proposed descriptive study was performed in surgical sector of Onofre Lopes University Hospital in Natal / RN and included 18 nurses and 54 nurse technicians who work in that sector. From an initial analysis of forms and available protocols, it was found that has a deficiency in the systematization of the procedures and the limitation of tools that can guide the technicians in the definition of a logic or sequence of its shares. With the use of various instruments (observation, closed questionnaire type survey), an analysis of how is the organization of nursing work was done. It was found that, in the view of those involved, their activities are performed randomly, without a formal instrument to order the actions or indicate who should guide the sequencing and priority of care actions. The results also indicated that, in general, such fragility parameters provide some personalization in care, translated into a performance that expresses the acquired habits and the particular vision of each professional regarding the process. It was concluded, then, that far get a stiffening and absolute control of the act, it is necessary to optimize the organization of work from the choice and adoption of procedures to report and standardize the assistance, thus avoiding the uncertainty as to the parameters compromise the treatment given, bringing risks to patient health.