A prática do enfermeiro na consulta de puericultura na estratégia saúde da família

Daniele de Souza Vieira; Nathanielly Cristina Carvalho de Brito Santos; João Agnaldo do Nascimento; Neusa Collet; Beatriz Rosana Gonçalves de Oliveira Toso; Altamira Pereira da Silva Reichert

Daniele de Souza Vieira Universidade Federal da Paraíba (UFPB) (Paraíba, Brasil)
Nathanielly Cristina Carvalho de Brito Santos Universidade Federal de Campina Grande (Cuité, Paraíba, Brasil)
João Agnaldo do Nascimento Universidade Federal da Paraíba (UFPB) (Paraíba, Brasil)
Neusa Collet Universidade Federal da Paraíba (UFPB) (Paraíba, Brasil)
Beatriz Rosana Gonçalves de Oliveira Toso Universidade Estadual do Oeste do Paraná (Cascavel, Paraná, Brasil)
Altamira Pereira da Silva Reichert Universidade Federal da Paraíba (UFPB) (Paraíba, Brasil)

Palabras clave: Enfermería, Cuidado del niño, Salud del niño, Atención primaria a la salud, Crecimiento y desarrollo

Key-words: Nursing, Child care, Child health, Primary health care, Growth and development

Palavras chave: Enfermagem, Cuidado da criança, Saúde da criança, Atenção primária à saúde, Crescimento e desenvolvimento

Resumen

Objective: to analyze the care actions performed by nurses during child care consultations. Method: an observational, quantitative study with 31 nurses who performed child care consultations in the Estratégia Saúde da Família of a municipality of Paraíba (Brazil). Three randomized consultations were performed by each participating nurse, totaling 93 consultations between March and July 2016, through a previously structured checklist based on the guidelines of national child health care policies containing the care actions that should be implemented by nurses. The analysis was made through descriptive statistics and chi-square test, with a significance level of 5% and cluster analysis. Results: the most common dimensions of care performed were the evaluation of immunization and iron and vitamin A supplementation; anamnesis, welcoming, physical examination/neuropsychomotor development and health education were the actions least performed by the nurses. Conclusion: nursing care in child care consultation falls short of what is established by the child health care guidelines. Continuing education interventions to qualify nurses for comprehensive child care can overcome these shortcomings

Abstract

Objetivo: analizar las acciones de cuidado realizadas por el enfermero durante las consultas de puericultura. Método: estudio observacional, cuantitativo, realizado con 31 enfermeros que realizaban consulta de puericultura en la Estratégia Saúde da Família de un municipio de Paraíba (Brasil). Se observaron tres consultas aleatorias por cada enfermero participante, totalizando 93 consultas entre marzo y julio de 2016, por medio de un checklist previamente estructurado, basado en las directrices de las políticas nacionales de atención a la salud del niño, conteniendo las acciones de cuidados que debían ser implementadas por los enfermeros. El análisis fue realizado por medio de estadística descriptiva, prueba qui-cuadrada, con un nivel de significancia del 5% y análisis de agrupamiento. Resultados: las dimensiones del cuidado realizadas en mayor proporción fueron la evaluación de la inmunización y las suplementaciones de hierro y vitamina A; la anamnesis, la acogida, el examen físico / desarrollo neuropsicomotor y la educación en salud fueron las menos efectivas por los enfermeros. Conclusión: el cuidado de los enfermeros en la consulta de puericultura está por debajo de lo establecido por las directrices de atención a la salud del niño. Las acciones de educación permanente para calificar a los enfermeros para el cuidado integral del niño pueden superar esas lagunas

Resumo

Objetivo: analisar as ações de cuidado realizadas pelo enfermeiro durante as consultas de puericultura. Método: estudo observacional, quantitativo, realizado com 31 enfermeiros que realizavam consulta de puericultura na Estratégia Saúde da Família de um município da Paraíba (Brasil). Foram observadas três consultas aleatórias por cada enfermeiro participante, totalizando 93 consultas entre março e julho de 2016, por meio de um checklist previamente estruturado, baseado nas diretrizes das políticas nacionais de atenção à saúde da criança, contendo as ações de cuidados que deveriam ser implementadas pelos enfermeiros. A análise foi feita por meio de estatística descritiva, teste qui-quadrado, com nível de significância de 5% e análise de agrupamento. Resultados: as dimensões do cuidado realizadas em maior proporção foram a avaliação da imunização e as suplementações de ferro e vitamina A; a anamnese, o acolhimento, o exame físico/desenvolvimento neuropsicomotor e a educação em saúde foram as menos efetivadas pelos enfermeiros. Conclusão: o cuidado dos enfermeiros na consulta de puericultura está aquém do estabelecido pelas diretrizes de atenção à saúde da criança. Ações de educação permanente para qualificar os enfermeiros para o cuidado integral à criança podem superar essas lacunas

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A prática do enfermeiro na consulta de puericultura na estratégia saúde da família

Nursing practices in child care consultation in the estratégia saúde da família

La práctica del enfermero en la consulta de puericultura en la estratégia saúde da família

Resumen

Abstract

Resumo

Bibliografía